文献类型：期刊文献

中文题名：仝小林院士治疗甲巯咪唑过敏甲状腺功能亢进症验案1例

英文题名：A case study of the treatment of a hyperthyroidism patient allergic to methimazole by Academician Tong Xiaolin

作者：鲍婷婷[1,2];张伟[1,3];于晓彤[1]

第一作者：鲍婷婷

机构：[1]中国中医科学院广安门医院,北京100053;[2]北京中医药大学,北京100029;[3]甘肃中医药大学,兰州730101

第一机构：中国中医科学院广安门医院,北京100053

年份：2022

卷号：42

期号：7

起止页码：822

中文期刊名：吉林中医药

外文期刊名：Jilin Journal of Chinese Medicine

收录：CSTPCD

基金：中国中医科学院科技创新工程项目(CI2021A01611)。

语种：中文

中文关键词：甲状腺功能亢进症;瘿病;态靶因果;仝小林

外文关键词：hyperthyroidism;goiter;state-target-cause-effect;Tong Xiaolin

摘要：甲状腺功能亢进症当属于中医“瘿病”范畴,仝小林院士认为甲状腺疾病以情志失常为主要病因,并呈现“郁-瘀-虚”的发展过程,治疗上采用“态靶因果”辨治方略,首先要清肝火,敛肝气,解肝毒以改善机体所处的内环境,即“调态”;在调态的基础上,注重“打靶”,改善甲亢主要症状,降低抗体水平;审因论治,强调从肝论治,一为调态以截断扭转,二为去除病因以釜底抽薪;重视“果态”,先安未受邪之地。通过对仝小林院士治疗的1例甲巯咪唑过敏的甲亢患者的医案资料进行整理分析,总结其临床用方、用量经验。
Hyperthyroidism is perceived to belong to the category of“goiter”in traditional Chinese medicine.While Academician Tong Xiaolin believes that thyroid diseases are mainly caused by emotional disorders,and present a pathological process of“stagnation-blood stasis-deficiency”.Accordingly,the syndrome differentiation and treatment of hyperthyroidism should follow the strategy of“state-target-cause-effect”.First of all,regulating the state,that is,to clear away liver fire,astringe liver qi,and expel toxins in the liver to improve the internal environment of the body.On the basis of that,its treatment focus should be placed on“targeting the symptoms”,to improve the major symptoms of the disease,and reduce the antibody level.Next,its treatment should be administered on the basis of cause differentiation,namely,an emphasis being given to the syndromes in the liver,aiming to cut off and reverse the disease course for one thing,and to remove the cause of the disease for another.At last,an attention should be attached to the“effect state”of the treatment,securing the unaffected parts in the body.In this study,the medical records of a patient with hyperthyroidism who were allergic to methimazole treated by Academician Tong Xiaolin are analyzed,and his clinical experience in formulating a prescription and measuring proper dosages are summarized.