四时-五脏-阴阳对亚甲炎治疗启示
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摘要
亚急性甲状腺炎是一种与病毒感染相关的自限性甲状腺炎,中医属"瘿痛""瘿痈"范围。亚甲炎的发病、病程、流行病学特点、症状均与《内经》"四时—五脏—阴阳"息息相关。魏军平教授在治疗时,根据发病时节与患者症状辨证论治,毒症期注重从肝、肺、心三脏清热透邪解毒、理气化痰行瘀,甲减期注重从脾、肾益气温阳,全程注重顾护肺肾之阴、疏行肝之郁气,以合于四时五脏阴阳。
Subacute thyroiditis is a kind of self-limiting thyroiditis associated with viral infection. It's belongs to"goiter pain", and"goiter carbuncle"in traditional Chinese medicine. The attack, course of disease, epidemiological characteristics and symptoms are closely related to the "four seasons-five zang organs-yin and yang" of Inner Canon.Professor Wei Junping, according to the morbidity season and the symptoms of patients with syndrome differentiation and treatment, the thyotoxicosis period pays attention to the liver, lungs, heart and to clear away heat and detoxification,regulate qi remove phlegm and blood stasis, and the hypothyroidism focuses on the spleen and kidney and to nourishing qi and warming yang. The whole process pays attention to the yin of the lungs and kidneys and disperses stagnated liver qi to relieve depression, so as to fit the four seasons, five organs and yin and yang.
Subacute thyroiditis is a kind of self-limiting thyroiditis associated with viral infection. It's belongs to"goiter pain", and"goiter carbuncle"in traditional Chinese medicine. The attack, course of disease, epidemiological characteristics and symptoms are closely related to the "four seasons-five zang organs-yin and yang" of Inner Canon.Professor Wei Junping, according to the morbidity season and the symptoms of patients with syndrome differentiation and treatment, the thyotoxicosis period pays attention to the liver, lungs, heart and to clear away heat and detoxification,regulate qi remove phlegm and blood stasis, and the hypothyroidism focuses on the spleen and kidney and to nourishing qi and warming yang. The whole process pays attention to the yin of the lungs and kidneys and disperses stagnated liver qi to relieve depression, so as to fit the four seasons, five organs and yin and yang.
引文
1贾琳,冯志海.亚急性甲状腺炎中西医治疗近况.光明医, 2018, 33(8):1207-1209.
2 邙建波,周冬仙,廖兵飞.小剂量泼尼松治疗亚急性甲状腺炎的临床观察.山西医科大学学报, 2015, 46(5):472-474.
3 Nishihara E, Ohye H, Amino N, et al. Clinical characteristics of 852patients with subacute thyroiditis before treatment. Intern Med, 2008, 47(8):725-729.
4 葛均波,徐永健.内科学.第8版.北京:人民卫生出版社, 2013:696.
5 钟兴华,陈萍.从肝论重症肌无力的理论探讨.辽宁中医药大学学报, 2010(8):83-84.
6 周博文.黄元御“一气周流”理论治疗瘿病刍议.中国中医基础医学杂志, 2018, 24(3):313-314.
7 任志雄,李光善,倪青.林兰教授谈亚急性甲状腺炎的中医诊治.天津中医药, 2013, 30(8):453-454.
8 任志雄,李光善,倪青.林兰教授从中医新释甲状腺疾病.世界中医,2013, 8(1):96-98.
9 张向伟,柳红芳,胡济源,等.从伏气温病论亚急性甲状腺炎治疗.环球中医药, 2018, 11(1):84-85.
10 于雪婷.透邪解毒法治疗亚急性甲状腺炎急性期的临床经验总结.北京:北京中医药大学硕士研究生学位论文, 2018.
11 曾明星,向楠,陈继东.李时珍《本草纲目》对瘿病的贡献.湖北中医药大学学报, 2016, 18(4):44-48.
12 刘艳骄,魏军平,杨洪军.甲状腺疾病中西医结合治疗学.北京:科学技术文献出版社, 2012:223.
13 Cunha B A. Berbari N. Subacute Thyroiditis(de Quervain influenza A:presenting as fever of unknown origin(FUO). Heart&Lung the Journal of Critical Care, 2013, 42(1):77-78.
14 曲卫,李美晔,王静,等.注射甲型H1N1流感疫苗引起亚急性甲状腺炎1例报告.标记免疫分析与临床, 2014, 21(4):489-491.
15 Martinez-Artola Y, Poncino D5Garcia M L, et al. Acute hepatitis E virus infection and association with a subacute thyroiditis. Annals of Hepatology, 2015, 14:141-142.
16 张奇.明清时期从痰诊治瘿病的特色探析.世界中西医结合杂志,2018, 13(6):741-743+747.
17 郑慧娟,魏军平.中医学透法在甲状腺疾病治疗中的应用.时珍国医国药, 2017, 28(12):2965-2966.
18 王耀立,魏军平.普济消毒饮治疗亚急性甲状腺炎甲亢期验案1则.世界中西医结合杂志, 2015, 10(4):555-556+559.
19 刘英.甲状腺功能检测在心脑血管疾病中的应用和分析.中外医疗,2015, 34(32):34.
20 王志宏,左新河.从五脏论治甲状腺功能亢进症.江西中医药, 2017,48(7):14-15.
21 贺玉伟,柴程芝,寇俊萍,等.玄参醇提物对甲状腺素诱导小鼠表观指征变化的作用.中药药理与临床, 2013, 29(1):87-90.
2 邙建波,周冬仙,廖兵飞.小剂量泼尼松治疗亚急性甲状腺炎的临床观察.山西医科大学学报, 2015, 46(5):472-474.
3 Nishihara E, Ohye H, Amino N, et al. Clinical characteristics of 852patients with subacute thyroiditis before treatment. Intern Med, 2008, 47(8):725-729.
4 葛均波,徐永健.内科学.第8版.北京:人民卫生出版社, 2013:696.
5 钟兴华,陈萍.从肝论重症肌无力的理论探讨.辽宁中医药大学学报, 2010(8):83-84.
6 周博文.黄元御“一气周流”理论治疗瘿病刍议.中国中医基础医学杂志, 2018, 24(3):313-314.
7 任志雄,李光善,倪青.林兰教授谈亚急性甲状腺炎的中医诊治.天津中医药, 2013, 30(8):453-454.
8 任志雄,李光善,倪青.林兰教授从中医新释甲状腺疾病.世界中医,2013, 8(1):96-98.
9 张向伟,柳红芳,胡济源,等.从伏气温病论亚急性甲状腺炎治疗.环球中医药, 2018, 11(1):84-85.
10 于雪婷.透邪解毒法治疗亚急性甲状腺炎急性期的临床经验总结.北京:北京中医药大学硕士研究生学位论文, 2018.
11 曾明星,向楠,陈继东.李时珍《本草纲目》对瘿病的贡献.湖北中医药大学学报, 2016, 18(4):44-48.
12 刘艳骄,魏军平,杨洪军.甲状腺疾病中西医结合治疗学.北京:科学技术文献出版社, 2012:223.
13 Cunha B A. Berbari N. Subacute Thyroiditis(de Quervain influenza A:presenting as fever of unknown origin(FUO). Heart&Lung the Journal of Critical Care, 2013, 42(1):77-78.
14 曲卫,李美晔,王静,等.注射甲型H1N1流感疫苗引起亚急性甲状腺炎1例报告.标记免疫分析与临床, 2014, 21(4):489-491.
15 Martinez-Artola Y, Poncino D5Garcia M L, et al. Acute hepatitis E virus infection and association with a subacute thyroiditis. Annals of Hepatology, 2015, 14:141-142.
16 张奇.明清时期从痰诊治瘿病的特色探析.世界中西医结合杂志,2018, 13(6):741-743+747.
17 郑慧娟,魏军平.中医学透法在甲状腺疾病治疗中的应用.时珍国医国药, 2017, 28(12):2965-2966.
18 王耀立,魏军平.普济消毒饮治疗亚急性甲状腺炎甲亢期验案1则.世界中西医结合杂志, 2015, 10(4):555-556+559.
19 刘英.甲状腺功能检测在心脑血管疾病中的应用和分析.中外医疗,2015, 34(32):34.
20 王志宏,左新河.从五脏论治甲状腺功能亢进症.江西中医药, 2017,48(7):14-15.
21 贺玉伟,柴程芝,寇俊萍,等.玄参醇提物对甲状腺素诱导小鼠表观指征变化的作用.中药药理与临床, 2013, 29(1):87-90.