Exploration on Approach to Differentiating and Treating Hashimoto's Thyroiditis Based on the View of Regulation of Both Mind and Body
10.13359/j.cnki.gzxbtcm.2025.07.034
- VernacularTitle:基于"心身疏泄"理论辨治桥本甲状腺炎的思路探讨
- Author:
Xiaomei ZHONG
1
;
Jinghan XU
;
Lanyue ZHANG
;
Xuemin WU
Author Information
1. 广州中医药大学深圳医院(福田),广东 深圳 518034
- Keywords:
Hashimoto's thyroiditis;
regulation of both mind and body;
harmonizing emotions;
conveyance and dispersion function of zang-fu organs;
qi movement
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2025;42(7):1792-1797
- CountryChina
- Language:Chinese
-
Abstract:
Hashimoto's thyroiditis(HT)is an autoimmune thyroid disease characterized by diffuse enlargement of thyroid gland and elevated thyroid autoantibodies.HT is closely related to emotional factors,conveyance and dispersion function of the liver,and the qi movement of the five zang organs.This paper explores the approach to the differentiation and treatment of HT based on Professor Yang Shuyu's view of regulation of both mind and body.In the view of regulation of both mind and body,the regulation of mind is to harmonize emotions,and the regulation of body refers to the conveyance and dispersion function of zang-fu organs.Based on the view of regulation of both mind and body,the pathological changes of HT are characterized by the disordered conveyance and dispersion of qi movement,and the stable phase,hyperthyroid phase,and hypothyroid phase of HT correspond to obstructed conveyance and dispersion,excessive conveyance and dispersion,and insufficient conveyance and dispersion,respectively.The emotional disorders caused by the failure of mind regulation exist throughout the disease course.Therefore,the treatment of HT can be conducted by using the therapies of unblocking,suppressing,and tonifying separately for stable phase,hyperthyroid phase,and hypothyroid phase to address the root cause,and then the conveyance and dispersion of visceral qi movement are restored.Besides,the therapeutic method of resolution is used to alleviate symptoms by removing goiter and dissipating nodules.Simultaneously,emotional regulation therapy is incorporated to achieve a comprehensive efficacy for harmonizing physique-spirit and mind-body through the regulation of emotions,conveyance and dispersion of qi movement,and visceral functions.The view of regulation of both mind and body provides new methods and approaches for traditional Chinese medicine management of HT.
