基于“态靶辨治”理论的甲状腺功能亢进症临证诊疗思路

Clinical diagnosis and treatment of hyperthyroidism based on the theory of"state-target ffdifferentiation and treatment"

甲状腺功能亢进症是内分泌系统常见病,其临床表现复杂多变,发病率较高。单纯依靠传统中医学的辨证论治甲状腺功能亢进症,往往只能改善症状。仝小林院士提出“态靶辨治”理论,此方略对于本病的治疗亦大有可为。通过中医思维四诊合参,借助临床指标对疾病进行诊断,“郁、火、虚”三态定位疾病阶段,病靶、症靶、标靶合参精准辨证论治,并通过归纳核心病因病机,审查甲状腺功能亢进症“郁态”之“因态”,兼顾“虚态”之“果态”,以确定理法方药量,病证合参,态靶结合,不仅能够改善临床症状,同时兼顾疾病本身的治疗,以达到扶正固本、标本同治的效果。

Hyperthyroidism is a common endocrine system disease,featuring complex and changeable clinical manifestations and a high incidence.The existing treatment methods for the disease,solely based on the syndrome differentiation of traditional Chinese medicine,can only improve its related symptoms.On the basis of that,academician Tong Xiaolin proposes the theory of"treatment based on a state-target differentiation",which is conductive for the treatment of this disease.Accordingly,referring to the TCM thinking of conducting a comprehensive analysis of data gained by the four diagnostic methods,he diagnoses the disease with the help of its clinical indicators,namely,identifying the disease stages by means of the three states of"depression,fire,and deficiency",and precisely working out a treatment plan based on a syndrome differentiation by making a comprehensive analysis of disease targets,symptom targets,and manifestation targets.Furthermore,he discerns the depression state as the cause of hyperthyroidism,and takes into account the deficiency state as its effect by summarizing the core etiology and pathogenesis of the disease,so as to decide on the treatment principle,method,prescription,herbs and dosage.The theory put forward by Tong Xiaolin is assumed to be able to not only improve its clinical symptoms,but also take into account the treatment of the disease itself,so as to achieve the effect of strengthening and consolidating the body resistance,treating both the manifestations and the root cause of the diseases.