Diagnosis and Treatment of Hashimoto's Thyroiditis Based on Loss of Nourishment in Bright Essence

BAO Wenhui; ZHANG Zengying

doi:10.13288/j.11-2166/r.2024.13.015

您当前的位置：

首页 >

文章列表页 >

Diagnosis and Treatment of Hashimoto's Thyroiditis Based on Loss of Nourishment in Bright Essence

更新时间：2024-06-28

- Diagnosis and Treatment of Hashimoto's Thyroiditis Based on Loss of Nourishment in Bright Essence
- Journal of Traditional Chinese Medicine Vol. 65, Issue 13, Pages: 1399-1402(2024)
- 作者机构：
  
  1.天津中医药大学，天津市静海区团泊新城西区鄱阳湖路10号，301617
  2.天津市中医药研究院附属医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2024.13.015
  CLC：
- Received：19 November 2023，
  
  Revised：2024-03-04，
  
  Published：02 July 2024
- 稿件说明：
移动端阅览
包文辉,张曾譻.基于精明失养辨治桥本甲状腺炎[J].中医杂志,2024,65(13):1399-1402.

BAO Wenhui,ZHANG Zengying.Diagnosis and Treatment of Hashimoto's Thyroiditis Based on Loss of Nourishment in Bright Essence[J].Journal of Traditional Chinese Medicine,2024,65(13):1399-1402.
包文辉,张曾譻.基于精明失养辨治桥本甲状腺炎[J].中医杂志,2024,65(13):1399-1402. DOI： 10.13288/j.11-2166/r.2024.13.015.

BAO Wenhui,ZHANG Zengying.Diagnosis and Treatment of Hashimoto's Thyroiditis Based on Loss of Nourishment in Bright Essence[J].Journal of Traditional Chinese Medicine,2024,65(13):1399-1402. DOI： 10.13288/j.11-2166/r.2024.13.015.

摘要

总结基于精明失养辨治桥本甲状腺炎的临证经验。认为桥本甲状腺炎的关键病机为七情所伤、精明失养，提出以健脑宁心为治疗总则。针对桥本甲状腺炎合并甲状腺功能减退，选用自拟方甲安合剂加减，以健脑宁心、柔肝滋肾；桥本甲状腺炎合并甲状腺功能亢进，选用自拟方心脑康加减，以健脑宁心、益气活血通络；桥本甲状腺炎合并甲状腺结节，选用自拟方消癖舒加减，以益气养阴、活血散结。

Abstract

To summar

ize the clinical experience of the diagnosis and treatment of Hashimoto's thyroiditis based on the theory of "loss of nourishment in bright essence". It is believed that damages of the seven emotions and loss of nourishment in bright essence are the root cause of Hashimoto's thyroiditis， so the overall therapeutic principle was proposed as fortifying brain and tranquillizing mind. For patients with Hashimoto's thyroiditis combined with hypothyroidism， the self-prescribed

Jiaan Mixture Formula

（甲安合剂） with modification is used to fortify brain and tranquillize mind， emolliate the liver and nourish the kidneys； for patients with Hashimoto's thyroiditis combined with hyperthyroidism， the self-prescribed

Xinnao Kang Formula

（心脑康） with modification is used to fortify brain and tranquillize mind， boost

， invigorate blood， and unblock the collaterals； and for patients with Hashimoto's thyroiditis combined with nodularity， the self-prescribed

Xiaopi Shu Formula

（消癖舒） with modification is used to boost

and nourish

yin

， and invigorate blood and dissipate masses.

关键词

Keywords

references

PYZIK A ， GRYWALSKA E ， MATYJASZEK-MATUSZEK B ， et al . Immune disorders in Hashimoto's thyroiditis： what do we know so far？［J］. J Immunol Res ， 2015 ， 2015 ： 979167 . doi： 10.1155/2015/979167 http://dx.doi.org/10.1155/2015/979167 .

ANTONELLI A ， FERRARI S M ， CORRADO A ， et al . Autoimmune thyroid disorders ［J］. Autoimmunity Reviews ， 2015 ， 14 （ 2 ）： 174 - 80 .

OTT J ， MEUSEL M ， SCHULTHEIS A ， et al . The incidence of lymphocytic thyroid infiltration and Hashimoto's thyroiditis increased in patients operated for benign goiter over a 31-year period ［J］. Virchows Arch ， 2011 ， 459 （ 3 ）： 277 - 81 .

HIROMATSU Y ， SATOH H ， AMINO N . Hashimoto's thyroiditis： history and future outlook ［J］. Hormones （Athens， Greece）， 2013 ， 12 （ 1 ）： 12 - 8 .

AJJAN RA ， WEETMAN AP . The Pathogenesis of Hashimoto's thyroiditis： further developments in our understanding ［J］. Horm Metab Res ， 2015 ， 47 （ 10 ）： 702 - 10 .

CHEN WH ， CHEN YK ， LIN CL ， et al . Hashimoto's thyroiditis， risk of coronary heart disease， and L-thyroxine treatment： a nationwide cohort study ［J］. J Clin Endocrinol Metab ， 2015 ， 100 （ 1 ）： 109 - 14 .

RAGUSA F ， FALLAHI P ， ELIA G ， et al . Hashimotos' thyroiditis： Epidemiology， pathogenesis， clinic and therapy ［J］. Best Pract Res Clin Endocrinol Metab ， 2019 ， 33 （ 6 ）： 101367 .

RALLI M ， ANGELETTI D ， FIORE M ， et al . Hashimoto's thyroiditis： an update on pathogenic mechanisms， diagnostic protocols， therapeutic strategies， and potential malignant transformation ［J］. Autoimmun Rev ， 2020 ， 19 （ 10 ）： 102649 .

WEETMAN AP . An update on the pathogenesis of Hashimoto's thyroiditis ［J］. J Endocrinol Investigat ， 2021 ， 44 （ 5 ）： 883 - 90 .

王文礼，刘冉 . 中医药治疗桥本甲状腺炎临床研究进展［J］. 中医药临床杂志， 2023 ， 35 （ 5 ）： 1031 - 1035 .

迪娜·塔吾列，温伟波 . 桥本甲状腺炎的中医研究进展［J］. 云南中医中药杂志， 2019 ， 40 （ 5 ）： 78 - 80 .

查看原文

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Needling at Acupoints of Hand and Foot Yangming （阳明） Channel for 30 Cases of Hashimoto's Thyroiditis

Professor LIN Lan’s Experiences in Treating Hypothyroidism

LI Guolie's Experience in Treating Orthostatic Hypotension from the Perspective of "Raising the Clear and Directing the Turbid Downward"

Construction and Application of "Source-Pivot-Convergence" Pattern Identification and Treatment Model for Malignant Tumors

Construction and Application of a Real-World Cohort of Community-Acquired Pneumonia Based on a Multimodal Large-Scale Traditional Chinese Medicine Big Data Platform

Related Author

CHEN Shu Bee

WANG Shanze

WANG Guanqun

YI Shasha

HUANG Chufeng

ZHAO Jiping

王泽

林兰

Related Institution

Dongzhimen Hospital，Beijing University of Chinese Medicine

中国中医科学院广安门医院

Address：No.16, Nanxiao street, Dongzhimen, Dongcheng District, Beijing Postal code：100700
Tel：010-64035632 Email：jtcmcn@188.com
Technical support is provided by Beijing Founder electronics co., LTD 京ICP备09064830号-19 京公网安备11010102007558号
It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.

⁰