岳仁宋论治亚甲炎后期的思路与方法

Ideas and Methods from YUE Ren-song About Subacute Thyroiditis Based on TCM Theory

亚急性甲状腺炎(后文简称"亚甲炎")是炎症性自限性疾病,在疾病后期病情易反复、迁延不愈,甚者会损伤甲状腺功能。岳仁宋教授认为甲状腺为人之少阳,易感风热邪毒发为少阳病。亚甲炎为温热邪毒侵犯甲状腺之少阳病,早期以邪实为主,后期主要为邪热未尽、正气亏损之虚实夹杂证。故亚甲炎后期当从邪伏少阳、余热未尽和正气亏虚进行辨证论治,以扶正补虚、和解少阳、宣透伏邪为治法,以小柴胡汤为基本方,风邪未出伤及阳位者合川芎茶调散,热毒未尽、郁而化热者合普济消毒饮,阳气亏虚、升举无力者合补中益气汤,壮火食气、气阴两虚者合竹叶石膏汤治之。

Subacute thyroiditis(later referred to as'SAT')is an inflammatory and self-limited disease.In the advanced stage of disease,it is easy to relapse and hard to recover,and it will even damage thyroid function.Professor YUE Ren-song believes that thyroid is be long to the Shaoyang of our body,and is easy to catch the wind-heat and toxin.SAT is a shaoyang disease that caused by heat toxin infected in thyroid.In the early stage,the main problem is infection.In the advanced stage,however,the residue of pathogen and the deficiency of Zhengqi is the principle contradiction.We should diagnose the late subacute thyroiditis from the aspect of Shaoyang,residual heat and qi deficiency.And treat from Fuzheng supplement deficiency,conciliatory Shaoyang,dispersing latent heat evil with a basic of Minor Chaihu decoction.If the wind evil invade upper body part,we use Chuanxiong Chatiao powder;If the remained heat and toxin deposit,we use Puji Xiaodu Decoction;If a person suffered from a yang deficiency,we treat by Buzhong Yiqi decoction;If a person is in a condition of Qi and Yin deficiency,we use Zhuye Shigao decoction.