The Method Of Pe Kidney Yang Hypothyroidism Patients TRH, TSH Secretion Levels Of Influence

Purpose: from theory and clinical two aspects: the temperature Yangfilling kidney treatments for spleen and kidney Yang typehypothyroidism theoretical foundation and clinical diagnosis andtreatment, observation Qi guangxi decoction "in the treatment of spleenand kidney Yang type hypothyroidism before and after patients withclinical signs, thyroid function (FT₃, FT₄, serum TSH level,thyroid-stimulating hormone release element (TRH) level, blood fat (TC,TG) variations, evaluate the clinical curative effect, through theobservation, kidney and liver function in the urine, electrocardiogram andappear adverse events, to its security make evaluation.Methods: select spleen and kidney Yang type hypothyroidism60cases ofpatients, according to the principle of randomized, controlled, accordingto1:1divided the patients into Qi guangxi optimal armour music grouptonga (i.e. traditional combination therapy group) and optimal armourmusic group (namely the western medicine control group), each group ofeach30cases. Two groups are in3weeks for a period of treatment, wereobserved a period of treatment. The main content of the observationbefore and after treatment for the signs and symptoms, abnormal changesof blood lipid levels of thyroid hormone and changes, etc.Results:(1) the improvement of symptoms and signs: traditionalcombination group symptoms improved patients,1course total effectiveness83.3%, western medicine group total effectiveness60%, thetraditional combination therapy for symptoms improve significantlybetter than western medicine in control group (P <0.05)(2) to theimprovement of the traditional thyroid function: treatment group iscombined with thyroid hormone level and before treatment issignificantly higher compared with statistical significance (P <0.01),compared with controls have significant difference (P <0.01). TraditionalChinese medicine combined treatment group patients after treatmentcompared with lower TSH before there was a significant difference (P <0.01), compared with controls have significant difference (P <0.01).Show Qi guangxi soup in combination with small dose of optimal armourto improve the thyroid music obviously better than simple small dose ofoptimal a joy, Qi guangxi soup improve with the function of the thyroidfunction.(3) thyroid-stimulating hormone release to the improvement ofthe element: traditional Chinese medicine combined treatment grouppatients after TRH level is significantly lower before treatment (P <0.01),compared with controls a statistically significant difference (P <0.05). Qidecoction can adjust that guangxi "hypothalamus-pituitary-adrenal axisthyroid function.(4) fall fat effect: traditional combination group patientsis significantly lower blood fat before treatment, compared with controlshas no significant difference (P>0.05). Patients with elevated blood fatJiaJian that basic reason is that the thyroid function, blood fat metabolism of the thyroid corrected returned to normal.(5) combination therapy intraditional group after taking the drug has not seen the obvious adversereaction.Conclusion: the method of PE kidney Yang Yang spleen and kidney typehypothyroidism patients can improve the clinical symptoms and thyroidhormone levels,"hypothalamus-pituitary-adrenal axis thyroid function,adjust the immune function. Curative effect is reliable, safe function, andhas a good clinical application value.