桥本甲状腺炎中医药治疗的研究进展

Progress in TCM Treatment of Hashimoto’s Thyroiditis

桥本甲状腺炎是一种常见的自身免疫性疾病,本病起病隐匿,发展缓慢,病程较长,主要表现为甲状腺肿大,多数为弥漫性,少数可为局限性。随着病程发展,甲状腺组织逐渐遭到破坏,则可能发展为甲状腺功能减退症。西医治疗桥本甲状腺炎通常以甲状腺素替代治疗为主,但疗效局限,且有不良反应。中医常从整体出发,辨证论治,治疗本病具有独特优势。该文就中医学对桥本甲状腺炎病因病机、辨证分型及中医药对桥本甲状腺炎的治疗概况进行综述。

Hashimoto’s thyroiditis is a common autoimmune disease, with an insidious onset, slow development, and a long course of disease, mainly manifested as goiter, most of which are diffuse, and a few can be limited. As the course of the disease develops and the thyroid tissue is gradually destroyed, it may develop into hypothyroidism. Western medicine treatment of Hashimoto’s thyroiditis is usually based on thyroxine replacement treatment, but the efficacy is limited, and there are adverse reactions. Traditional Chinese medicine often starts from the whole, syndrome differentiation and treatment, the treatment of this disease has unique advantages. This paper summarizes the treatment situation of Hashimoto’s thyroiditis etiology, syndrome differentiation and classification of Hashimoto’s thyroiditis by Traditional Chinese medicine.