李惠林甲亢养阴方治疗甲状腺功能亢进症经验
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摘要
李惠林教授基于多年对甲状腺功能亢进症(简称甲亢;中医学归属"瘿病"范畴)的临床研究及经验,提出阴虚火旺、阴精亏耗是甲亢病机之根本,气、痰、血搏结颈前为其标。治疗时自拟滋阴潜阳、养血柔肝的甲亢养阴方(主要由阿胶、鸡子黄、干地黄、白芍、茯神、麦冬、石决明、火麻仁、生牡蛎、生鳖甲、生龟板、炙甘草等组成),临证治疗甲亢多年,疗效显著。
Based on years of clinical study and experience in treating hyperthyroidism(being classified into goiterdisease in traditional Chinese medicine),Professor LI Hui-Lin believes that hyperactive fire due to Yin deficiencyand consumption of Yin fluid are the basic pathogenesis of hyperthyroidism, and Qi, phlegm and bloodaccumulated beside the prominentia laryngea is the direct cause. Therefore, the therapeutic principles arenourishing Yin to suppress yang,and nourishing blood to soothe liver. Professor LI prescribed Jiakang Yangyin Recipe for hyperthyroidism,which is mainly composed of Colla Corii Asini,Yolk,dried Radix Rehmanniae,Radix Paeoniae Alba,Poria Cum Ligno Hospite,Radix Ophiopogonis,Concha Haliotidis, Fructus Cannabis,raw Concha Ostreae, raw Carapax Trionycis, raw Carapax et Plastrum Testudinis, and Radix GlycirrhizaePreparata. The decoction has been applied in clinic for many years,and satisfactory effect has been achieved.
Based on years of clinical study and experience in treating hyperthyroidism(being classified into goiterdisease in traditional Chinese medicine),Professor LI Hui-Lin believes that hyperactive fire due to Yin deficiencyand consumption of Yin fluid are the basic pathogenesis of hyperthyroidism, and Qi, phlegm and bloodaccumulated beside the prominentia laryngea is the direct cause. Therefore, the therapeutic principles arenourishing Yin to suppress yang,and nourishing blood to soothe liver. Professor LI prescribed Jiakang Yangyin Recipe for hyperthyroidism,which is mainly composed of Colla Corii Asini,Yolk,dried Radix Rehmanniae,Radix Paeoniae Alba,Poria Cum Ligno Hospite,Radix Ophiopogonis,Concha Haliotidis, Fructus Cannabis,raw Concha Ostreae, raw Carapax Trionycis, raw Carapax et Plastrum Testudinis, and Radix GlycirrhizaePreparata. The decoction has been applied in clinic for many years,and satisfactory effect has been achieved.
引文
[1]中华医学会内分泌学分会《中国甲状腺疾病诊治指南》编写组.中国甲状腺疾病诊治指南——甲状腺功能亢进症[J].中华内科杂志,2007,46(10):876.
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[3]廖二元.内分泌代谢病学[M]. 3版.北京:人民卫生出版社,2012:450-477.
[4]李宝华,焦玉.甲亢的中医药治疗概况[J].吉林中医药,2017,37(7):753.
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[7]彭延古,雷田香,李路丹,等.全蝎提取液对家兔实验性动脉血栓的影响[J].微循环学杂志,2006,16(4):59.
[8]田黎.黄仰模教授治疗甲状腺功能亢进症经验[J].河南中医,2010,30(10):961.
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[10]尹海燕,赵柏庆,林庆葵.阿胶鸡子黄汤治疗甲状腺功能亢进症阴虚风动证临床观察[J].新中医,2017,49(7):74.
[11]张蕊.三甲复脉汤化裁方治疗甲亢的疗效观察及对TNF-α的影响[D].哈尔滨:黑龙江中医药大学,2015.
[12]李长泉.龟甲药理作用及临床应用的现代研究[J].长春中医药大学学报,2003,19(4):55.
[13]张雪,向瑞平,刘长河.茯神的化学成分和药理作用研究进展[J].郑州牧业工程高等专科学校学报,2009,29(4):19.
[14]彭婉,马骁,王建,等.麦冬化学成分及药理作用研究进展[J].中草药,2018,49(2):477.
[15]王文君.中药阿胶的临床应用及其药理研究[J].内蒙古中医药,2017,36(10):104.
[16]李乃谦.探讨白芍的药理作用及现代研究进展[J].中医临床研究,2017,9(20):137.
[2]倪青,徐逸庭,程若东.甲状腺疾病中医特效疗法[M].北京:人民军医出版社,2016:3-35.
[3]廖二元.内分泌代谢病学[M]. 3版.北京:人民卫生出版社,2012:450-477.
[4]李宝华,焦玉.甲亢的中医药治疗概况[J].吉林中医药,2017,37(7):753.
[5]高学敏.中药学(供中医药类专业用)[M]. 2版.北京:中国中医药出版社,2007.
[6]郝晓云,彭延吉,肖长江.全蝎提取液对血液凝固的影响[J].血栓与止血学,2001,7(4):158.
[7]彭延古,雷田香,李路丹,等.全蝎提取液对家兔实验性动脉血栓的影响[J].微循环学杂志,2006,16(4):59.
[8]田黎.黄仰模教授治疗甲状腺功能亢进症经验[J].河南中医,2010,30(10):961.
[9]周琳,于世家.于世家教授中西医结合治疗甲状腺功能亢进症经验[J].中华中医药学刊,2007,25(8):1557.
[10]尹海燕,赵柏庆,林庆葵.阿胶鸡子黄汤治疗甲状腺功能亢进症阴虚风动证临床观察[J].新中医,2017,49(7):74.
[11]张蕊.三甲复脉汤化裁方治疗甲亢的疗效观察及对TNF-α的影响[D].哈尔滨:黑龙江中医药大学,2015.
[12]李长泉.龟甲药理作用及临床应用的现代研究[J].长春中医药大学学报,2003,19(4):55.
[13]张雪,向瑞平,刘长河.茯神的化学成分和药理作用研究进展[J].郑州牧业工程高等专科学校学报,2009,29(4):19.
[14]彭婉,马骁,王建,等.麦冬化学成分及药理作用研究进展[J].中草药,2018,49(2):477.
[15]王文君.中药阿胶的临床应用及其药理研究[J].内蒙古中医药,2017,36(10):104.
[16]李乃谦.探讨白芍的药理作用及现代研究进展[J].中医临床研究,2017,9(20):137.