中医药辨证论治桥本甲状腺炎研究进展

Research Progress of Using Traditional Chinese Medicine Based on Syndrome Differentiation to Treat Hashimoto Thyroiditis

摘要: 桥本甲状腺炎(Hashimoto Thyroiditis, HT)，是一种较常见的自身免疫性甲状腺疾病，大多认为属中医“瘿病”范畴，中医学在治疗此病方面积累了丰富的经验，并取得了良好的疗效。由古至今对“瘿病”的病因病机认识及其治疗在不断的探索，形式多样，观点众多。本文现将中医药治疗HT的辨证论治研究进展作以综述，发现各家认为“正气亏虚”、“脾肾不足”贯穿HT整个病程，扶正为治疗HT的基本原则。

Abstract: Hashimoto Thyroiditis (Hashimoto Thyroiditis, HT), is a relatively common autoimmune thyroid disease, most think “gall” category of traditional Chinese medicine. Traditional Chinese medicine in the treatment of the disease has accumulated rich experience, and has obtained the good curative effect. By the ancient, the ancient knowledge of the etiology and pathogenesis of “gall” and its treatment is constantly explored; forms are various and there are many views. We now summarize the research progress of using the traditional Chinese medicine based on syndrome differentiation to treat HT, and find that every expert thinks “deficiency of healthy atmosphere” and “deficiency of spleen and kidney” run through the whole course of HT. Centralizer is the basic principle for the treatment of HT.