[1]胡雪淇,闫梦如,杨小雪,等.名中医李惠林从“燮理阴阳”论治桥本甲状腺炎经验[J].陕西中医,2025,46(5):676-679,684.[doi:DOI:10.3969/j.issn.1000-7369.2025.05.022]
　HU Xueqi,YAN Mengru,YANG Xiaoxue,et al.Professor LI Huilin's experience in treating Hashimoto's thyroiditis from “harmonizing yin and yang”[J].,2025,46(5):676-679,684.[doi:DOI:10.3969/j.issn.1000-7369.2025.05.022]
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名中医李惠林从“燮理阴阳”论治桥本甲状腺炎经验
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年5期
页码:
676-679,684
栏目:
名中医经验
出版日期:
2025-05-05

文章信息/Info

Title:
Professor LI Huilin's experience in treating Hashimoto's thyroiditis from “harmonizing yin and yang”
作者:
胡雪淇1; 闫梦如1; 杨小雪1; 王红丽1; 黄浩民1; 林思聪1; 楚淑芳2
(1.广州中医药大学第四临床医学院,广东 深圳 518033; 2.深圳市中医院,广东 深圳 518033)
Author(s):
HU Xueqi1; YAN Mengru1; YANG Xiaoxue1; WANG Hongli1; HUANG Haomin1; LIN Sicong1; CHU Shufang2
(1.The Fourth Clinical medical college of Guangzhou University of Chinese Medicine,Shenzhen 518033,China; 2.Shenzhen Traditional Chinese Medicine Hospital,Shenzhen 518033,China)
关键词:
桥本甲状腺炎;  阴阳平衡;  李惠林;  经验;  养阴柔肝;  温阳散寒
Keywords:
Hashimoto's thyroiditis;  Yin-yang balance;  LI Huilin;  Experience;  Nourishing yin and tonifying liver;  Warming yang and dispelling cold
分类号:
R 581.4
DOI:
DOI:10.3969/j.issn.1000-7369.2025.05.022
文献标志码:
A
摘要:
桥本甲状腺炎患者早期可见甲状腺功能亢进症,部分患者后期出现甲状腺机能低下的表现。李教授认为桥本甲状腺炎属于中医“瘿病”的范畴,根据其不同的临床表现,归纳其病机主要在于阴虚气郁,阳虚寒凝二端,疾病有一定的传变规律。治疗时应以“燮理阴阳”为治疗原则,察明阴阳之偏颇,以药物纠正,以达平衡。初期病机为阴虚肝郁时,治以养阴柔肝,使肝之阳气顺利升发,以散热象; 后期阳虚内寒,则温阳散寒,疏涤全身,以去寒凝。但临证治疗时,并不拘泥于疾病的分期,而应辨证论治,以病机为导向。除了药物治疗外,李教授在治疗过程中常常疏导患者情志,嘱其运动,从生活上进行干预。
Abstract:
Patients with Hashimoto's thyroiditis may experience present with hyperthyroidism in the early stage,and some patients will later exhibit symptoms of characteristic of hypothyroidism.Professor LI believes that Hashimoto's thyroiditis falls within the scope of traditional Chinese medicine's “goiter disease”,and based on its different clinical manifestations,he summarizes its pathogenesis mainly in the two extremes of yin deficiency with qi stagnation,and yang deficiency with cold congelation,and the disease has certain transmission and transformation laws.Treatment should be based on the principle of “harmonizing yin and yang”,and the yin-yang imbalance should be corrected through medication to achieve balance.In the early stage,therapy focuses on nourishing yin and softening the liver to facilitate the smooth ascent of liver yang,thereby dissipating heat manifestations. In the advanced stage, treatment emphasizes warming yang to dispel cold and clearing and dredging the entire body to resolve cold congelation.However,in clinical treatment,we should not be rigidly bound by the disease's periodization,but should use syndrome differentiation and treatment,guided by the pathogenesis.In addition to drug therapy,Professor Li often counsels patients on emotional regulation and instructs them to exercise,intervening in their lives.

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备注/Memo

备注/Memo:
[基金项目]国家自然科学基金青年基金资助项目(82104759); 广东省深圳市科技创新委员会基础研究面上项目(JCYJ20230807094504008); 第七批全国老中医药专家学术经验继承工作项目
更新日期/Last Update: 2025-05-08