甲状腺功能亢进症的中医药治疗研究进展

Progress in TCM Treatment of Hyperthyroidism

摘要: 甲状腺功能亢进症，指的是甲状腺的腺体本身功能亢进，合成以及释放甲状腺激素增加所导致的甲状腺毒症的一种内分泌疾病。目前西医针对甲亢的治疗，主要包括抗甲状腺药物，131I治疗，以及甲状腺次全切除手术等。治疗效果各有差异，具有一定的局限性。而中医贯彻“以人为本”“治病求本”的原则，适当的在西医的基础上，辨证论治的中医药治疗，具有良好的效果。笔者通过搜索资料，分析，整理归纳近几年医家对此病的认识，同时结合体质学说，提出了分质论治，以及分型论治、中西治疗、经验方治疗、针药结合、贴敷治疗等，并对含碘中药以及复方治疗的机制作以讨论。另外，对目前病情为甲亢以及经甲硫咪唑治疗后无效的患者的体内异常分子的表达进行了探究，现对研究概况作以总结。

Abstract: Hyperthyroidism refers to thyrotoxicosis, an endocrine disease caused by the hyperfunction of the thyroid gland itself and the increase in the synthesis and release of thyroid hormones. At present, western medicine treatment of hyperthyroidism mainly includes antithyroid drugs, 131I treatment, and subtotal thyroidectomy surgery. The treatment effects are different and have some limitations. Traditional Chinese medicine implements the principle of “people-oriented” and “cure the disease”, and the appropriate traditional Chinese medicine treatment, based on western medicine, has good results. Through searching data, analysis, sorting out and summarizing the doctors’ understanding of this disease in recent years, and combined with the constitution theory, the author put forward the qualitative treatment, classification and treatment, Chinese and Western treatment, empirical treatment, acupuncture and drug combination, sticking treatment, and discussed the mechanism of iodine-containing Chinese medicine and compound treatment. In addition, the expression of ab-normal molecules in patients with hyperthyroidism and ineffective methionimidazole treatment was explored, and the study situation is summarized.