LIU Min's Experience in Treating Hashimoto's Thyroiditis from the Pathogenesis of Gallbladder Constraint Failing to Descend and Insufficient Heart-Qi
10.13359/j.cnki.gzxbtcm.2024.09.033
- VernacularTitle:刘敏从胆郁不降、心气不足论治桥本甲状腺炎的经验
- Author:
Zhi-Xuan SONG
1
;
Lu-Yao LIU
;
Xian-Feng QIN
;
Min LIU
Author Information
1. 广州中医药大学第一临床医学院,广东广州 510405
- Keywords:
Hashimoto's thyroiditis;
gallbladder constraint failing to descend;
insufficient heart-qi;
Chaihu Guizhi Decoction;
LIU Min
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2024;41(9):2457-2461
- CountryChina
- Language:Chinese
-
Abstract:
Hashimoto's thyroiditis(HT)is a common endocrine disease,which can be classified into the category of goiter disease in traditional Chinese medicine.Professor LIU Min believes that the pathogenesis of HT is closely related to the heart and gallbladder,and its pathogenesis is due to the gallbladder constraint failing to descend and the disturbance of pivot,together with insufficient heart-qi and the disharmony between the nutritive qi and the defensive qi.For the treatment of HT,the modified Chaihu Guizhi Decoction is often used,which is mainly composed of Bupleuri Radix,Cinnamomi Ramulus,Scutellariae Radix,Pinelliae Rhizoma Praeparatum,Ginseng Radix et Rhizoma Rubra,Glycyrrhizae Radix et Rhizoma Praeparata cum Melle,Jujubae Fructus,Paeoniae Radix Alba,Os Draconis,Ostreae Concha,and Zingiberis Rhizoma Recens.Chaihu Guizhi Decoction has the actions of soothing gallbladder and relieving depression,restoring the function of shaoyang pivot,regulating nutritive qi and the defensive qi,and benefiting heart spirit,which exactly accords with the HT's pathogenesis of gallbladder constraint failing to descend and insufficient heart-qi.In the clinical treatment of HT,the modification of the drugs should be performed according to the concurrent syndromes of the patients,and the dosage of the drugs should also be adjusted.In addition to drug treatment,the attention should also be addressed to the adjustment of patients'lifestyle and dietary habits and to the emotional counseling,thus to achieve significant effect.
