程益春应用药对治疗桥本甲状腺炎经验
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摘要
程益春认为肝失疏泄,脾失健运导致气滞、痰凝、血瘀壅结颈前是桥本甲状腺炎的发病机制,治疗上重视药对的使用,如以夏枯草、浙贝母化痰散结,柴胡、白芍疏肝解郁,莪术、三棱活血软坚,水红花子、泽兰活血利水,黄芪、山药、枸杞子、山萸肉温肾健脾,白花蛇舌草、半枝莲清热解毒。通过对药对应用的总结,进一步论述程益春对桥本甲状腺炎病因病机的认识及辨治经验。
Cheng Yichun believed that the liver failing to govern the free flow of qi and the spleen failing to transport cause qi stagnation,phlegm coagulation and blood stasis in front of the neck which are the pathogenesis of the Hashimoto's thyroiditis.In the treatment,herbal pairs were used such as:Prunella vulgaris and Thunberg Fritillary to dissolve phlegm and dissipate masses,bupleurum and radix Paeoniae Alba to soothe the liver qi and relieve the depression,rhizoma curcumae and rhizoma sparganii to promote the blood circulation and soften the hardness,Fructus Polygoni orientalis and Eupatorium to promote the blood circulation and diuresis,astragalus,yam,medlar and Cornus to warm the kidney and invigorate the spleen,Hedyotis diffusa and Scutellaria barbata to reducing the heat and toxicity.This paper summarized the applications of herbal pairs and analyzed Cheng Yichun's knowledge about the etiology and pathogenesis of Hashimoto's thyroiditis and his experiences in the treatment.
Cheng Yichun believed that the liver failing to govern the free flow of qi and the spleen failing to transport cause qi stagnation,phlegm coagulation and blood stasis in front of the neck which are the pathogenesis of the Hashimoto's thyroiditis.In the treatment,herbal pairs were used such as:Prunella vulgaris and Thunberg Fritillary to dissolve phlegm and dissipate masses,bupleurum and radix Paeoniae Alba to soothe the liver qi and relieve the depression,rhizoma curcumae and rhizoma sparganii to promote the blood circulation and soften the hardness,Fructus Polygoni orientalis and Eupatorium to promote the blood circulation and diuresis,astragalus,yam,medlar and Cornus to warm the kidney and invigorate the spleen,Hedyotis diffusa and Scutellaria barbata to reducing the heat and toxicity.This paper summarized the applications of herbal pairs and analyzed Cheng Yichun's knowledge about the etiology and pathogenesis of Hashimoto's thyroiditis and his experiences in the treatment.
引文
[1]高恩君,张伟辉.桥本氏甲状腺炎合并甲状腺癌的研究进展[J].现代生物医学进展,2013,13(18):3594-3596.
[2]Fisher D A,Oddie T H,Johnson D E,et al.The diagnosis of Hashimoto’s thyroiditis[J].J Chin Endocrinol Metab,1975,40(5):795.
[3]葛均波,徐永健,梅长林,等.内科学[M].北京:人民卫生出版社,2013:685
[4]Sun H X,Qin F,Pan Y J.ln vitro and invivoimmunosuppressive activity of Spica Prunellae ethanol extract on the immune responses in Mice[J].J Ethnopharmacol,2015,101(1-3):31-36.
[5]杨错,刑立国,刘玉兰,等.柴胡乳剂对小鼠免疫功能的影响[J].沈阳药科大学学报,2006,23(3):169-171.
[6]李梅.程益春治疗桥本氏甲状腺炎经验撷要[J].山西中医,2011,27(1):9-10.
[7]柳西河,李朝晖,董印宏,等.重订医学衷中参西录[M].北京:人民卫生出版社,2006:125.
[8]李品,高天舒.桥本甲状腺炎中医病名考[J].辽宁中医药大学学报,2012,14(7):203-204.
[9]邢捷.唐汉钧治疗桥本甲状腺炎经验撷英[J].上海中医药杂志,2015,49(9):15-17.
[10]赵冰,杜小刚,曾宪根,等.黄芪提取物的免疫调节及治疗作用[J].中国抗生素杂志,2013,38(9):652-655.
[11]赵慧,王立峰,陈之喜,等.强肌健力方重用黄芪对脾肾两虚大鼠甲状腺激素水平变化的影响[J].陕西中医,2010,31(5):616-618.
[12]田琳,陈斌,王亚兵.桥本甲状腺炎和甲状腺乳头状癌关系的研究[J].科技信息,2013,10(2):454-455.
[13]赵浩如,李瑞,林以宁,等.白花蛇舌草不同提取工艺对抗肿瘤活性的影响[J].中国药科大学学报,2002,33(6):510.
[14]曹拥军,李靖,刘钧.穿山龙对甲状腺功能减退的桥本甲状腺炎患者影响的研究[J].中国全科医学,2013,16(27):2486-2488.
[15]吴恋,于健春,康维明,等.碘营养状况与甲状腺疾病[J].中国医学科学院学报,2013,35(4):363-368.
[2]Fisher D A,Oddie T H,Johnson D E,et al.The diagnosis of Hashimoto’s thyroiditis[J].J Chin Endocrinol Metab,1975,40(5):795.
[3]葛均波,徐永健,梅长林,等.内科学[M].北京:人民卫生出版社,2013:685
[4]Sun H X,Qin F,Pan Y J.ln vitro and invivoimmunosuppressive activity of Spica Prunellae ethanol extract on the immune responses in Mice[J].J Ethnopharmacol,2015,101(1-3):31-36.
[5]杨错,刑立国,刘玉兰,等.柴胡乳剂对小鼠免疫功能的影响[J].沈阳药科大学学报,2006,23(3):169-171.
[6]李梅.程益春治疗桥本氏甲状腺炎经验撷要[J].山西中医,2011,27(1):9-10.
[7]柳西河,李朝晖,董印宏,等.重订医学衷中参西录[M].北京:人民卫生出版社,2006:125.
[8]李品,高天舒.桥本甲状腺炎中医病名考[J].辽宁中医药大学学报,2012,14(7):203-204.
[9]邢捷.唐汉钧治疗桥本甲状腺炎经验撷英[J].上海中医药杂志,2015,49(9):15-17.
[10]赵冰,杜小刚,曾宪根,等.黄芪提取物的免疫调节及治疗作用[J].中国抗生素杂志,2013,38(9):652-655.
[11]赵慧,王立峰,陈之喜,等.强肌健力方重用黄芪对脾肾两虚大鼠甲状腺激素水平变化的影响[J].陕西中医,2010,31(5):616-618.
[12]田琳,陈斌,王亚兵.桥本甲状腺炎和甲状腺乳头状癌关系的研究[J].科技信息,2013,10(2):454-455.
[13]赵浩如,李瑞,林以宁,等.白花蛇舌草不同提取工艺对抗肿瘤活性的影响[J].中国药科大学学报,2002,33(6):510.
[14]曹拥军,李靖,刘钧.穿山龙对甲状腺功能减退的桥本甲状腺炎患者影响的研究[J].中国全科医学,2013,16(27):2486-2488.
[15]吴恋,于健春,康维明,等.碘营养状况与甲状腺疾病[J].中国医学科学院学报,2013,35(4):363-368.