| 246 | 6 | 94 |
| 下载次数 | 被引频次 | 阅读次数 |
冉颖卓教授认为亚急性甲状腺炎的病机主要在于少阳枢机不利,应抓住少阳受邪这一根本病机,将本病分为三期进行治疗。初期以邪袭少阳为主,治以和解少阳、清热解毒;中期正邪交争,邪伏少阳,治以和解少阳、解毒利咽;后期正虚而邪退,耗损气阴,治以和解少阳,益气养阴。临床常以小柴胡汤为基本方,注重清热解毒,常使用大青叶、板蓝根、牛蒡子、夏枯草等药物,同时辅以透表泄热之法,常用金银花、连翘、薄荷等药物。
Abstract:Professor RAN Yingzhuo believes that the pathogenesis of subacute thyroiditis is mainly due to the abnormal performance of shaoyang pivot. Therefore,the treatment of the disease should cathch invasion of pathogenic factors into Shaoyang as fundamental pathogenesis and be divided into three stages. In the early stage,the disease is mainly caused by pathogenic factors attacking Shaoyang and the treatment should be aimed at harmonizing Shaoyang,clearing heat,and removing toxin. In the middle stage,since pathogenic qi is struggling with healthy qi,and the pathogenic factors lurks in Shaoyang,harmonizing Shaoyang,removing toxin,and disinhibiting the throat are suggested to be taken as the treatment. In the later stage,the healthy qi is weak and the pathogenic factors recede,with qi and yin depleted,so the treatment should be aimed at harmonizing Shaoyang,replenishing qi,and nourishing yin. In clinical practice,Xiaochaihu Decoction(小 柴 胡汤) is the basic prescription. Focusing on clearing heat and removing toxin,drugs such as Daqingye(Polygoin TinctorII Folium),Banlangen(Isatids Radix),Niubangzi(Arci Fructus),and Xiakucao(Prunellae Spica) are often used,supplemented by Jinyinhua(Lonicerae Japonicae Flos), Lianqiao( Forsythia Fructus), Bohe( Menthae Haplocalycis Herba) and other drugs to expel heat from the exterior.
[1]贾琳,冯志海.亚急性甲状腺炎中西医治疗近况[J].光明中医,2018,33(8):1207-1209.
[2]柯娜娜,衡先培.衡先培论治亚急性甲状腺炎临床经验[J].中华中医药杂志,2017,32(7):3033-3035.
[3]邢宇婷,张帆,李中南.李中南治疗亚急性甲状腺炎临床经验[J].中医药临床杂志,2018,30(6):1011-1014.
[4]杜丽坤,李新梦.疏风解毒法治疗亚急性甲状腺炎[J].长春中医药大学学报,2017,33(5):747-748.
[5]肖维佳,宋薇,蓝柳贵,等.赵玲分期结合分型辨证治疗亚急性甲状腺炎经验[J].山东中医杂志,2020,39(3):289-291,313.
[6]张晟.陆灏治疗亚急性甲状腺炎的学术思想介绍[J].中国中医急症,2016,25(3):435-437.
[7]张绍宗.《伤寒论》少阳病主证之我见[J].福建中医药,1981,1(6):11.
[8]王旺,杨学.柴胡量效规律探讨[J].浙江中医药大学学报,2010,34(6):807-809.
[9]张金华,邱俊娜,王路,等.夏枯草化学成分及药理作用研究进展[J].中草药,2018,49(14):3432-3440.
[10]陈蕾,周倩.夏枯草现代研究进展述要[J].海峡药学,2015,27(12):9-12.
[11]邹毅,周敏.抗病毒中药的研究进展[J].中国药物经济学,2015,10(S2):258-259.
[12]肖潮勇,张宇,王宇亮.蒲公英总多糖的提取、纯化及其体外抗炎活性分析[J].中国实验方剂学杂志,2016,22(11):25-28.
[13]刘玉峰,李鲁盼,马海燕,等.金银花化学成分及药理作用的研究进展[J].辽宁大学学报(自然科学版),2018,45(3):255-262.
[14]王清,朱萱萱,张赤兵,等.金银花提取物抗菌作用的实验研究[J].中国医药导刊,2008,10(9):1428-1430.
[15]马玲,尚文斌.清补并施论治亚急性甲状腺炎[J].长春中医药大学学报,2018,34(6):70-73.
[16]王丽敏,于静,张林,等.小柴胡汤对CFA大鼠血清细胞因子TNF-α、IL-1β、IL-6、M-CSF作用的实验研究[J].中华中医药学刊,2020,38(1):15-19.
[17]王军,苏海涛,孙丽梅,等.小柴胡汤对免疫抑制小鼠细胞因子影响的研究[J].中华中医药学刊,2013,31(10):2242-2244.
[18]刘玉楠,郭俊杰.郭俊杰运用清热化瘿止痛方治疗亚急性甲状腺炎经验总结[J].中医临床研究,2020,12(10):94-96.
[19]吴刚.叶天士《温热论》透邪法初探[J].成都中医药大学学报,1997,20(4):6-8.
[20]胡一莉.温病透法内涵及其临床运用[J].中医药临床杂志,2017,29(7):1014-1016.
[21]马遇春.基于古文献的梳理中医湿温的理论研究[D].哈尔滨:黑龙江中医药大学,2011.
基本信息:
DOI:10.16295/j.cnki.0257-358x.2022.12.015
中图分类号:R249;R259
引用信息:
[1]李睿,冉颖卓.冉颖卓从少阳受邪分期论治亚急性甲状腺炎经验[J],2022,41(12):1332-1336.DOI:10.16295/j.cnki.0257-358x.2022.12.015.
基金信息:
冉颖卓南京市名中医工作室项目(编号:RYZ-2019-NJ)