丁彩飞辨治多囊卵巢综合征合并自身免疫性甲状腺炎经验

DING Caifei’s Experience in Treating Polycystic Ovary Syndrome with Autoimmune Thyroiditis

[目的]总结浙江省名中医丁彩飞教授治疗多囊卵巢综合征合并自身免疫性甲状腺炎的经验。[方法]通过门诊跟师,系统收集丁教授治疗多囊卵巢综合征合并自身免疫性甲状腺炎的医案,总结分析丁教授治疗多囊卵巢综合征合并自身免疫性甲状腺炎的病因病机、辨治思路、用药特色,并附一验案佐证。[结果]丁教授提出,“痰”邪是多囊卵巢综合征合并自身免疫性甲状腺炎的病机关键,重视“肝、脾、肾”三脏的功能恢复,疾病可分为脾虚肝郁、痰瘀互结、肝肾亏虚三类证型,治疗上提倡“健脾化痰,疏肝理气,补肾活血”,配合中医外治、情绪调摄等,以获良效。所选验案,丁教授辨为痰瘀互结、脾虚湿盛证,治以健脾化湿、活血化瘀,以五苓散化裁治疗,取得较好疗效,促甲状腺素恢复正常水平,月经按时来潮。[结论]丁教授根据多囊卵巢综合征合并自身免疫性甲状腺炎的病理特点和临床特征,贯通中西,内服外治,以获得调经种子,改善内分泌代谢状态的治疗效果,为中西医结合治疗多囊卵巢综合征合并自身免疫性甲状腺炎提供了参考。

[Objective]To summarize the experience of Professor DING Caifei,a renowned traditional Chinese medicine practitioner in Zhejiang Province,in treating polycystic ovary syndrome with autoimmune thyroiditis.[Methods Methods]Through follow-up study of the outpatient clinic,collecting the relevant medical records of polycystic ovary syndrome with autoimmune thyroiditis treated by Professor DING Caifei,it summarized and analyzed the etiology,pathogenesis,treatment strategies and medication characteristics of Professor DING in treating polycystic ovary syndrome with autoimmune thyroiditis,accompanied with a recipe case.[Results ]Professor DING proposes that the pathogenic factor of“phlegm”is the key to the pathogenesis of polycystic ovary syndrome with autoimmune thyroiditis,emphasizing the functional recovery of the“liver,spleen and kidney”organs.In terms of treatment,it is divided into three types of syndrome differentiation and treatment:spleen deficiency and liver depression,phlegm and blood stasis intertwined,deficiency of the liver and kidney.The treatment should be“strengthening the spleen and resolving phlegm,soothing the liver and regulating Qi,tonifying the kidney and promoting blood circulation”,combined with external treatment methods of traditional Chinese medicine and emotional regulation to achieve good results.The selected case was diagnosed by Professor DING as phlegm and blood stasis,spleen deficiency and dampness excess syndrome,which were treated by strengthening the spleen and removing dampness,promoting blood circulation and removing blood stasis,and treated with modified Wuling powder.The treatment achieved good therapeutic effects,promoted the recovery of thyroid hormone to normal levels,and regulated menstruation to arrive on time.[Conclusion ]Based on the pathological and clinical characteristics of polycystic ovary syndrome with autoimmune thyroiditis,Professor DING Caifei identifies the syndrome and seeks the cause,integrates traditional Chinese and western medicines,attaches importance to the symptoms,focuses on symptoms,combines internal medicine and external treatment of traditional Chinese medicine.Her clinical experience provides reference for the treatment of polycystic ovary syndrome with autoimmune thyroiditis by combining traditional Chinese medicine and western medicine.