从毒、瘀、虚探讨甲亢性心脏病的治疗

Exploring the Treatment of Hyperthyroidism Heart Disease from Toxicity,Stasis and Deficiency

甲亢性心脏病是指继发于甲状腺功能亢进症的心脏疾病。中医将甲亢性心脏病归为“瘿病”合并“心悸”范畴,其病机为本虚标实、虚实错杂,以先天禀赋不足为本,火毒为该病之始,痰瘀为之形,气阴两虚为该病之终。在治疗上,以整体观为基础,立足“毒”“瘀”“虚”的病因病机,提出了“清热泻火解毒”“祛痰活血化瘀”“益气养阴温阳”的治则治法,以期提高临床治愈率,改善患者的生活质量。

Hyperthyroidism heart disease is a heart disease secondary to hyperthyroidism.In Chinese medicine,hyperthyroidism is classified as a“gall disease”combined with“palpitation”,and its pathology is a combination of deficiency and deficiency,with the deficiency of innate endowment as the basis,fire toxicity as the beginning of the disease,phlegm and blood stasis as the form,and deficiency of Qi and Yin as the end of the disease.In the treatment,based on the overall concept and the etiology of“toxicity”,“stasis”and“deficiency”,the treatment principle of“clearing heat and fire to remove toxins”,“dispelling phlegm and activating blood circulation to remove blood stasis”,and“benefiting Qi,nourishing Yin and warming Yang”were proposed in order to increase the clinical cure rate and improve the quality of life of the patients.