The Study Of Professor Chen Ruquan’s Academic Thought About Hashimoto’s Thyroiditis And Clinical Application

Objective : Hashimoto’s(HT) thyroiditis is a common clinical thyroid disease. Traditional Chinese Medicine has its unique advantages and features in the treatment of HT.By summarizing Professor Chen Ruquan’s academic thoughts on treatment of HT,his experience in diagnosing and treating thyroid disease is inherited and developed. The ultimate goal is to provide guidance for the inheritance and clinical application of thyroid disease.Method:1. By attending Prof. Chen’s lectures, learning follow teacher, collecting medical records and reviewing literature, Prof. Chen’s main academic thought in treating HT and clinical administration features was analyzed. 2. A randomized controlled trial was completed enrolled a total of 60 patients, which were divided into two groups:30 cases in the experimental group(treated with Fufang Jiakang tablets) and 30 cases in the control group(treated with thiamazole tablets), and then compared the the effects and evaluated the safety of the two groups.Results:1.Prof.Chen thinks that HT’s disease name of traditional Chinese medicine should be named as Rou Ying or Ying Qi.2. Liver and kidney dysfunction is the main cause of HT. Besides liver,spleen and kidney, the disease is also related with the cardiac and lung.3.The differentiation of TCM in treating HT includes four types:Qi depression and phlegm obstruction, phlegm and blood stasis, deficiency of both qi and Yin,Yang deficiency of spleen and kidney.4.The treatment principle in Chinese medicine of HT includes strengthening spleen Qi, relieving the depressed liver, reducing phlegm and resolving masses, promoting blood circulation and removing blood stasis, warming yang, supplementing Qi and nourishing Yin and eliminating heat and purging fire.5.Prof.Chen has his original views on the treatment of hashimoto’s thyroiditis complicated with thyroid associated ophthalmopathy, thyroid nodules and subacute thyroiditis.6.FFJKTs and thiamazole tablets showed similar efficacy in the treatment of this disease. Clinical signs including thyroid volume and isthmus thickness were improved better in the FFJKTs group compared to the thiamazole tablets group. Although the level of Tg Ab and TPOAb was not significantly decreased, the level of Tg Ab had decreasing tendency. Long- term treatment may get better efficacy.Conclusion:1. Prof.Chen has plentiful clinical experience and has formed his specific medical style and feature in treating HT.2. Prof.Chen puts forward much thoughts of greet value in TCM disease name, etiology and pathogenesis, syndrome differentiation and treatment of HT.3. FFJKTs is safe and effective in treating HT with deficiency of both Qi and Yin.