Intervention of Hashimoto disease with anti-allergic and regulating constitution therapy

ZHANG Xinjie; ZHANG Yuyang; QIAO Jiajun; XIA Zhongyuan

doi:10.3969/j.issn.1006-2157.2023.05.013

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Intervention of Hashimoto disease with anti-allergic and regulating constitution therapy

TCM Constitutions | 更新时间：2023-06-05

- Intervention of Hashimoto disease with anti-allergic and regulating constitution therapy
- Journal of Beijing University of Traditional Chinese Medicine Vol. 46, Issue 5, Pages: 676-680(2023)
- 作者机构：
  
  1.北京中医药大学　北京　100029
  2.中日友好医院
- 作者简介：
  
  Prof. XIA Zhongyuan, Ph.D., Chief Physician, Doctoral Supervisor. China-Japan Friendship Hospital, No. 2, Yinghuayuan East Street, Chaoyang District, Beijing 100029.E-mail: 2718421708@qq.com
- 基金信息：
  
  National Natural Science Foundation of China(81973855)
- DOI：10.3969/j.issn.1006-2157.2023.05.013
  CLC： R265
- Received：16 September 2022，
  
  Published：30 May 2023
- 稿件说明：
移动端阅览
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：

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.

摘要

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。

Abstract

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.

关键词

Keywords

references

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