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丁治国教授从肝脾论治亚急性甲状腺炎临床经验
黄盛1, 李会龙2, 祁烁2, 陈晓珩2, 李哲2, 付金香1, 丁治国2
1.北京中医药大学第一临床医学院, 北京 100700;2.北京中医药大学东直门医院甲状腺病科, 北京 100700
摘要:
丁治国教授认为亚急性甲状腺炎的病机主要为情志内伤,肝郁化火,木旺乘土,脾失健运,痰浊内蕴。复感风热外邪,易与内生痰浊结聚颈部,发为该病。治疗应首重清肝健脾,清补并用,自拟"清肝健脾消瘿方",调整脏腑阴阳平衡,维持内环境的稳态。
关键词:  亚急性甲状腺炎  靥本相应  肝脾论治  清肝健脾法  丁治国
DOI:10.11656/j.issn.1672-1519.2020.07.21
分类号:R581.4
基金项目:北京中医药大学新奥基金项目(2017-XAJLJJ-017);北京市薪火传承"3+3"工程项目(2016-SZ-C-61)。
Professor DING Zhiguo's clinical experience in the treatment of subacute thyroiditis from the theory of liver and spleen
HUANG Sheng1, LI Huilong2, QI Shuo2, CHEN Xiaoheng2, LI Zhe2, FU Jinxiang1, DING Zhiguo2
1.First Clinical Medical College of Beijing University of Chinese Medicine, Beijing 100700, China;2.Department of Thyroid, Dongzhimen Hospital of Beijing University of Chinese Medicine, Beijing 100700, China
Abstract:
Professor DING Zhiguo believed that the pathogenesis of subacute thyroiditis is mainly emotional distress and frustration,depression of the liver generates pathogenic fire,which indicates subjugation of earth by wood and results in the formation of phlegm. Re-sensitization of wind and heat exogenous,easy to mix with the phlegm condenses to the neck. The principle of the treatment should be clearing liver and strengthening spleen at first. Heat-clearing and invigorating therapy also should be focused simultaneously. Professor DING drafts a decoction of "clearing liver-fire and strengthening spleen" to adjust the balance of viscera and yin and yang,and maintain the homeostasis of the internal environment.
Key words:  subacute thyroiditis  thyroid and internal environment corresponding  theory of liver and spleen  clearing liver and strengthening spleen  DING Zhiguo
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