1.北京中医药大学 北京 100029
2.中日友好医院
张新杰,女,在读硕士生
# 夏仲元,女,博士,主任医师,博士生导师,主要研究方向:中西医结合治疗甲状腺和乳腺疾病,E-mail:2718421708@qq.com
纸质出版日期:2023-05-30,
收稿日期:2022-09-16,
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张新杰, 张雨阳, 乔佳君, 等. 抗过敏调体质治疗桥本病[J]. 北京中医药大学学报, 2023,46(5):676-680.
ZHANG Xinjie, ZHANG Yuyang, QIAO Jiajun, et al. Intervention of Hashimoto disease with anti-allergic and regulating constitution therapy[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023,46(5):676-680.
张新杰, 张雨阳, 乔佳君, 等. 抗过敏调体质治疗桥本病[J]. 北京中医药大学学报, 2023,46(5):676-680. DOI: 10.3969/j.issn.1006-2157.2023.05.013.
ZHANG Xinjie, ZHANG Yuyang, QIAO Jiajun, et al. Intervention of Hashimoto disease with anti-allergic and regulating constitution therapy[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023,46(5):676-680. DOI: 10.3969/j.issn.1006-2157.2023.05.013.
桥本病患者常伴有过敏体质,桥本病常与过敏性疾病共存,疾病-体质-证候之间存在相关性。以过敏体质、过敏性疾病和桥本病的关系作为立足点,探究基于过敏体质论治桥本病的理论基础,发现二者的形成变化规律及病理特征、发病机制等一致,提出过敏体质的桥本病患者的病机属肺、脾、肾三脏功能失调,以脾虚为主,治以健脾益气、抗敏调体、扶正消瘿。常以过敏康合扶正消瘿汤作为调节体质基本方。临证诊治桥本病分为3个步骤:首先,辨体质,明确桥本病患者的体质类型,有助于了解疾病的转化趋势;其次,辨共病,根据不同的过敏性疾病针对性遣方用药;最后,辨病势,过敏性疾病为重、为急时以抗敏为主,过敏性疾病缓解时以扶正消瘿为主。抗过敏调体质论治桥本病,是辨体-辨病在现代诊疗的具体应用,可拓宽和启发桥本病的中医诊疗思路,提高临床疗效。
Hashimoto disease patients are often accompanied by inherited special constitution
and Hashimoto disease and allergic diseases often coexist. There is a correlation between disease-constitution-pattern. This paper dissects the definition and relationship between allergic diseases
inherited special constitution
and Hashimoto disease and explores the theoretical basis for the treatment of Hashimoto disease based on inherited special constitution
including the consistent formation and pathological characteristics of both. It is proposed that the pathogenesis of Hashimoto disease in allergic patients is due to dysfunction of the lung
spleen
and kidney
with spleen deficiency being the main cause. The treatment is based on invigorating spleen for benefiting qi
anti-allergic effects for regulating constitution
and strengthening vital qi for eliminating goiter. In clinical practice
we use a combination of
Guominkang
and
Fuzheng Xiaoying
Decoction with modification. Three steps involved in the treatment of Hashimoto disease. Firstly
to differentiate the constitution of the patients
which is helpful to get the transformation trend of the disease; secondly
to tell the allergic comorbidity by which the exact prescriptions is applied; finally
to distinguish the severity of allergic disease
which decide the strategy of anti-allergic or strengthening vital qi. Allergic constitution-based treatment of Hashimoto disease is a specific application of combined differentiation constiution and disease in the modern treatment of Hashimoto disease
which can help to broaden and inspire the Chinese medical treatment of Hashimoto disease and improve the clinical efficacy.
桥本病过敏体质过敏性疾病抗敏调体中医体质
Hashimoto diseaseinherited special constitutionallergic diseasesanti-allergic and regulating constitutionTCM constitution
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