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甲状腺机能亢进症患者需选择中医yao治疗

来源:杭州同济甲状腺医院 发布时间:2012-09-24 17:04 点击量:

    甲状腺机能亢进症患者需选择中医药治疗,Hyperthyroidism patients need to choose the treatment of traditional Chinese MedicineHyperthyroidism patients what circumstances should choose the treatment of traditional Chinese medicine TCM clinical study of hyperthyroidism disease, based on its causes, clinical symptoms and signs, the disease with Chinese medicine in the " gall " is very similar to. But traditional Chinese medicine gall disease concept is very wide, in the " Lu spring and Autumn ", " annals of the Three Kingdoms ", " further from the source ", " rear elbow ", " Qian Jin Yao Fang ", " three party ", because in ancient literature has used the blood gall, gall, gall stone gas polyps, gall, gall, soil work gall, gall, gall and many other worries reinforcement of, these can be generalized to the modern medicine simple goiter, hyperthyroidism, thyroiditis, thyroid tumor and other diseases, but with hyperthyroidism compared to is concern with gas gall gall. Hyperthyroidism with heat sweating, palpitations, irritability, eat thin finger trembling tongue, thyroid enlargement as the center of syndrome, disease in the neck veins ( Lantana thyroid ), liver, kidney, and lesions of organs in heart, spleen, lung, liver and kidney in. Etiology of both the congenital deficiency, and acquired conditioning loss, more evil invasion and pathogenesis.


    In short, this disease is to wound deficiency as the basis, complex and evil, phlegm, blood stasis, forming gas, fire from the virtual to real standard of evidence. The haughty disease in the neck, clinically presents a neck swelling, sweating, palpitations, afraid of heat dissipation on grain gluttony, quick-tempered, a tongue tremor, body weight loss and other symptoms, is a multiple organs affected, sickly machine coexistence complex process, treatment by liver qi, clearing liver and purging fire, phlegm spleen, nourishing Yin, nourishing the liver and kidney, tranquilizing mind, phlegm Sanjie, activating blood circulation, expelling toxin. Method, multiple links, thereby adjusting the inner environment of human body disorders in pathological states. A comprehensive domestic relevant data, combined with modern technology summarizes the Chinese medicine in the treatment of hyperthyroidism mechanism for: (1) adjust the immune function. ( 2) Regulation of neural and humoral system functional activities. ( 3) inhibition of energy metabolism.


    ( 4) inhibition of secretion of thyroid hormone. 1 Chinese medicine in the treatment of hyperthyroidism hyperthyroidism treated with indications of Chinese medicine, large amount of clinical data shows, curative effect compares affirmation. According to a recent statistic analysis of 1033 cases in 84% ~between 93.8%, curative effect. According to the literature, combined with individual experience, the indications are as follows:① the mild and moderate hyperthyroidism ( severe hyperthyroidism, in western medicine with );②to take anti thyroid drug allergy, or due to a toxic reaction to treatment, and not operation;③combined with liver disease;④by antithyroid drug therapy of hyperthyroidism exacerbation of symptoms of hyperthyroidism; the operation effect of consolidation or not, and recurrence. 2 basic TCM syndrome and treatment of hyperthyroidism hyperthyroidism more clinical symptoms, such as high metabolic syndrome, mental, neurological symptoms, cardiovascular, gastrointestinal symptoms, musculoskeletal, hematopoietic system symptom and local symptoms -- thyroid enlargement, exophthalmos, on so many symptoms, it is difficult to one to complete the treatment plan, achieve expected goal. In order to facilitate the clinical manifestation of TCM treatment characteristics, it must be on the patient of all symptoms and signs, pulse and other methods of the data, comprehensive analysis, find out the regularity of TCM syndrome, distinguish different syndromes, in order to provide the basis for the differentiation of symptoms and signs.


    On the disease syndrome differentiation, different level medical units, in different regions of scholars' opinions are not consistent. Its classification is Qi stagnation phlegm, heart, heart Yin deficiency of both qi and Yin, irascible, liver and kidney yin deficiency, yang hyperactivity, exuberant, stomach spleen stomach weak and strong wind syndrome. The disease early in the fire ( the fire), mainly due to yin deficiency of. A longer course of disease, older age, many of the main deficiency, the fire is the second ( partial fire ). Atypical hyperthyroidism, apathetic hyperthyroidism and longer duration of illness and infirmity, Qi deficiency, spleen deficiency in the main, Yin deficiency. Benign exophthalmos as phlegm qi4 intertwining, malignant exophthalmos is hyperactivity of liver Yang, diffuse goiter were liver depression and spleen deficiency, nodular goiter and thyroid adenoma with stagnation of Qi and blood stasis. The disease syndromes mainly include gas depression and phlegm junction, liver stomach fire hyperactivity type, deficiency of both qi and Yin, Yang Kang pneumatic type, hyperactivity of fire due to yin deficiency type, liver depression and spleen deficiency, phlegm stasis type, liver yin deficiency type eight / type. Many case often is not a single clinical syndromes exist, can be divided into two or more than two card type composite in the presence, in the treatment of attention to distinguish primary and secondary, capture main contradiction, can yield results is good. 3 in the treatment of hyperthyroidism hyperthyroidism treated with traditional Chinese medicine traditional Chinese medicine is more, the clinician is from a different perspective on the treatment of this disease experience, in the treatment of both achieved good curative effect in.4. patients of hyperthyroidism treated with integrated Chinese and Western medicine combined with traditional Chinese and Western medicine Chinese medical development is one of basic policy. In the treatment of hyperthyroidism in the use of traditional Chinese medicine, western medicine combined treatment, not only can the raise to its long, avoid its are short, and can significantly improve the clinical efficacy, shorten the course of treatment, and patients are willing to accept.


    5 common complications of hyperthyroidism treated with traditional Chinese medicine ( 1) in patients with hyperthyroidism hyperthyroidism exophthalmos exophthalmos occurred as a result of the body's immune function disorder and EPS role in ocular tissues by. According to liver resuscitation to theory of traditional Chinese medicine, treatment of the diseases treated from the liver. Treatment with Qinggan Mingmu mainly, at the same time with nourishing kidney and liver, phlegm Sanjie, promoting blood circulation of goods. For with exophthalmic disease patients with small amount of methimazole and thyroid tablets, effect satisfaction. In recent years, along with the endocrine infiltrative exophthalmos associated with autoimmune factors related to awareness, as well as CT clear the disease department retrobulbar tissue hyperplasia, edema, increased volume, forcing eye outside the process of pathological changes, most believe that the disease is caused by phlegm and blood stasis in node, rather than the evil fire damage, and in combination with blood rheology examination, awareness of the disease in patients with mild to phlegm, treatment focuses on reducing phlegm and resolving. In the hyperthyroid symptoms after remission, stable period of exophthalmos, blood has a " strong ", " sticky " blood goes not free of abnormal state, this time should be treated with activating blood circulation to dissipate blood stasis mainly. ( 2) in patients with hyperthyroidism after low calcium convulsions after operation in patients with hyperthyroidism and low calcium convulsions belongs to the traditional Chinese medicine " convulsive disease " category, due to Yin and blood loss, operation injured tendons dystrophy, virtual wind rotor induced by.


    In the theory of TCM of liver main reinforcement, hepatorenal homology, the physiologically interrelated inevitably lead to pathological interaction. Therefore, treatment of this disorder often hepatorenal double supplement, with Xifeng Zhijing products. In 6 patients with hyperthyroidism hyperthyroidism patients diet conditioning prominent performance for the metabolic syndrome is higher and the spirit of excitement. The disease due to gas, fire, phlegm, blood stasis intertwined with " fire", which is the most prominent clinical lit with real fire, such as honey does flourishing card, a virtual fire such as hyperactivity of fire due to Yin deficiency. The fire also known as " strong fire, strong fire fresh air ", in a certain stage of the lesions can appear Shangyin gas consumption, long time can lead to deficiency of both qi and Yin, liver and kidney yin deficiency, even can cause hyperactivity of Yang due to yin deficiency and yang hyperactivity syndrome, wind, so afraid of hot, sweating, palpitations, hyperthyroidism appetite, emaciation, finger and the tongue body vibration and other symptoms. Total diet principles is appropriate in light with high vitamin, fruit and vegetable nutrition rich lean meat, chicken, eggs, fish, at the same time should be YangYinShengJin objects, such as white fungus, mushroom, mussels, such as bird's nest. In addition, diet control, avoid overeating, pay attention to food hygiene, on hyperthyroidism patients is very important. Syndrome differentiation and treatment, nursing, diet therapy of traditional Chinese medicine syndrome differentiation is the three big main content.


    Syndrome differentiation and treatment is based on the patient's different syndromes, impose different prescription; dialectical nursing for patients of different disease, take targeted measures, is conducive to patient recovery, and can prevent the occurrence of the evil pentad, nip in the bud; dialectical food is based on patient symptoms. And the cold, cold temperature cold food, in order to facilitate the rehabilitation of the patient. In the diet therapy are as follows: ①liver stomach Sheng, should eat cold food, food such as wheat, millet, mung bean; meat such as pork, pig, duck, frog meat; vegetables such as spinach, celery, radish, cucumber, tomato, eggplant, gourd, fruit such as watermelon, winter bamboo shoots; melon, banana, pear, persimmon, orange, orange. Other such as eggs, duck eggs, milk, Adlay meters, freshwater fish. The hyperactivity of Yang due to yin deficiency, Yi Shi Ping food, food such as rice, corn, black beans, Akako Zu, sweet potato, pea; meat such as pork, pork, duck, fish, turtle; vegetables such as tomatoes, pumpkin, lotus root, yam, bean, edible fungus; fruits such as grapes, pineapple, fig, jujube, mulberry. Other such as eggs, lotus seeds, honey. The deficiency of both qi and Yin, the suitable food warm food, food such as rice, soybeans; meat such as beef, lamb, pork liver, tripe, chicken, pigeon meat, vegetables such as onions, eel; leek, ginger, garlic, carrots, parsley; fruits such as peach, plum, apricot, hawthorn, litchi. Other such as walnut, chestnut, brown sugar and other.


    In addition to the phlegm coagulation node should eat seaweed porridge, method is to wash seaweed 15 grams, 50 grams, and rice porridge, fasting to eat there, Ruanjiansanjie, Yijing blood work. 7 hyperthyroidism prevention has definitely hyperthyroidism is an autoimmune disease, but its mechanism has not been fully elucidated. In recent years the research that the disease is a genetic basis, with stress factors are involved and the incidence of genetic approaches, but not sure. In view of this, has yet to be found to prevent the disease effective drugs or other methods. Although the pathogenesis of this disease understanding is not very clear, but can cause the disease of various stress factors are recognized more consistent, therefore, prevention of the occurrence of this disease, at this stage should avoid stress factors, in order to prevent the occurrence of this disease. The common stress factors are: ( 1) infections include: bacterial infection and viral infection caused by certain diseases. ( 2) long-term trauma or a strong spiritual stimulation, such as anxiety, sorrow, fear, tension.


    ( 3) in a minority of patients with the onset of fatigue, trauma, pregnancy, excessive intake of iodine containing foods such as: kelp, sea fish, jellyfish and iodine-containing drugs such as amiodarone, compound iodine solution, zinc iodide, iodine containing traditional Chinese medicine on. People living in the great nature, four Suixu changes, the business, working environment, living environment adverse stimulating factor time on human can bring certain influence, due to the self adjusting function to keep control, so most of the people are able to healthy living. But when people control malfunction, and the adverse factors, will lead to the occurrence of this disease. Objectively speaking, there's no telling bad stimulus is the occurrence, prevention of hyperthyroidism is difficult. But as long as the food has a red-letter day, daily life has often, not made labor, indifferent unreal ( selfless stoic, ease of mind, spiritual pleasure ), conform to the laws of nature, coupled with appropriate physical exercise, not only can enhance immune function, but also for the prevention of the occurrence of hyperthyroidism also has certain positive sense.

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擅长治疗:应用中西医结合诊治疑难杂症,对内分泌甲亢、甲减、甲状腺腺瘤、囊肿、甲状腺肿大……[详细]

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毕业于军区军医学校,擅长应用中西医结合诊治疑难杂症...【详细介绍】

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答: 什么是甲亢?杭州同济甲状腺医院张建华教授指出:甲亢病若长期不愈...[详细]

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