Differentiation and treatment of subacute thyroiditis by “Wei-Qi-Ying-Xue”

LIU Shi-wei; MENG Xiang-fei; WANG Dian-hong; SHI Kai-feng; LI Tong-xia; ZHANG Ning

doi:10.16025/j.1674-1307.2021.08.011

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Differentiation and treatment of subacute thyroiditis by “Wei-Qi-Ying-Xue”

更新时间：2023-04-10

- Differentiation and treatment of subacute thyroiditis by “Wei-Qi-Ying-Xue”
- Beijing Journal of Traditional Chinese Medicine Vol. 40, Issue 8, Pages: 845-847(2021)
- 作者机构：
  
  1. 中国中医科学院望京医院内分泌科
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2021.08.011
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LIU Shi-wei, MENG Xiang-fei, WANG Dian-hong, et al. Differentiation and treatment of subacute thyroiditis by “Wei-Qi-Ying-Xue”. [J]. Beijing Journal of Traditional Chinese Medicine 40(8):845-847(2021)
DOI：

LIU Shi-wei, MENG Xiang-fei, WANG Dian-hong, et al. Differentiation and treatment of subacute thyroiditis by “Wei-Qi-Ying-Xue”. [J]. Beijing Journal of Traditional Chinese Medicine 40(8):845-847(2021) DOI： 10.16025/j.1674-1307.2021.08.011.

摘要

亚急性甲状腺炎(简称"亚甲炎")是临床常见的以发热伴局部疼痛为主症的甲状腺疾病,其病因病机、发病形式及临床表现均符合中医温病特点,笔者参照叶天士治疗温病的"卫气营血"理论来辨治亚甲炎。临证中根据"卫气营血"辨证要点,将亚甲炎病程分为"肺卫风热""气分实热""邪伏营阴""瘀热内阻"四个阶段进行辨治,分别予以疏风清热解毒、清肺泄热、清热通腑、清营透热、凉血散血等治法,佐以软坚散结、疏利肝胆等,使邪去正复,热退肿消。

Abstract

亚急性甲状腺炎（简称"亚甲炎"）是临床常见的以发热伴局部疼痛为主症的甲状腺疾病,其病因病机、发病形式及临床表现均符合中医温病特点,笔者参照叶天士治疗温病的"卫气营血"理论来辨治亚甲炎。临证中根据"卫气营血"辨证要点,将亚甲炎病程分为"肺卫风热""气分实热""邪伏营阴""瘀热内阻"四个阶段进行辨治,分别予以疏风清热解毒、清肺泄热、清热通腑、清营透热、凉血散血等治法,佐以软坚散结、疏利肝胆等,使邪去正复,热退肿消。

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