张福利教授基于“中和观”论甲亢、甲减的因机证治

Exploring Causes and Treatment of Hyperthyroidism and Hypothyroidism based on the neutral view

甲亢、甲减为当今常见的甲状腺功能紊乱疾病,在临床治疗中常有因“干预太过”或“干预不及”而出现甲亢、甲减二者间“相互转化”的情况,故维持机体“内稳态”、使甲状腺功能达到“中和”状态是现代临床亟待解决的问题。“中和观”为我国古代重要的世界观与方法论,对中医学辨治体系的发展起着统立之功。张福利教授以中医经典和传统哲学理论为依托,结合自身临证经验,认为甲亢、甲减发生的因机之本在于中气失和所致的气化失司,以相反相成法为构架的组方配伍为求复“中和”的重要门径,阴阳调平、升降回环即为甲亢、甲减的辨治之本。

Nowadays,hyperthyroidism and hypothyroidism are common thyroid dysfunction diseases.In clinical treatment,there are often mutual transformation of hyperthyroidism and hypothyroidism due to too much intervention or less intervention.Maintaining the homeostasis of the body and achieving the neutral state of thyroid function are urgent problems to be solved inmodern clinical practice. Neutralization view is an important world view and methodology in ancient China, which has played animportant role in the development of TCM system. Based on traditional Chinese medicine classics and traditional philosophical theories,and combined with his own clinical experience, Professor Zhang Fuli believes that the root cause of hyperthyroidism and hypothyroidismlies in the disharmony of qi in the middle, and the opposite and complementary method is an important door for restoringneutralization. The leveling of Yin and Yang and the lifting and reversing of the ring are the basis of differentiation andtreatment of hyperthyroidism and hypothyroidism.