从“肾浊”论治甲状腺相关性眼病

Treatment of Thyroid Associated Ophthalmopathy from the Theory of “Kidney Turbidity”

甲状腺相关性眼病是甲状腺与眼眶组织之间发生的免疫炎症反应,表现为眼外肌增粗、球后组织水肿、脂肪体积增多。中医药治疗甲状腺相关性眼病具有较好疗效,其辨治要点在目,而肾参与了目的形成发育及功能发挥,肾浊是甲状腺相关性眼病病变过程中的重要病理因素。肾浊为阴邪,其性秽浊、黏腻,容易阻滞气血津液运行输布,夹杂痰、湿、瘀为病,变化多端。治疗甲状腺相关性眼病时,可从肾浊的角度入手,在辨证选方的基础上,加以益肾泻浊。本文拟探讨“肾浊”理论在甲状腺相关性眼病治疗中的指导意义。

Thyroid associated ophthalmopathy is an immune inflammatory reaction between the thyroid gland and the orbital tissue, manifested by thickening of the extraocular muscle, retrobulbar tis-sue edema, and increased fat volume. Traditional Chinese medicine-based treatment of thyroid associated ophthalmopathy has a good effect, and its key points are in the eye, while the kidney is involved in the formation, development and function. Kidney turbidity is an important pathological factor in the process of thyroid associated ophthalmopathy lesions. Kidney turbidity is Yin evil, which is turbid and sticky. Kidney turbidity can easily block the operation of qi, blood and body fluid. It can mix with phlegm, dampness and blood stasis for the disease, which would cause variability. Kidney turbidity is changeable. In the treatment of thyroid associated ophthalmopathy, we can start from the perspective of kidney turbidity, and benefit kidney diarrhea turbidity on the basis of syndrome differentiation. This paper intends to explore the guiding significance of the “kidney turbidity” theory in the treatment of thyroid associated ophthalmopathy.