| Subacute thyroiditis (SAT) is one of the common clinical of thyroid disease, about0.5%-20%of all incidence of thyroid disease. Thyroid virus infection or virus infection is the cause, before the disease patients often systemic inflammation and upper respiratory infection symptoms, then have a thyroid local bag piece and pain, associated with fever,heart palpitations,lack of power. Although western medicine treatment with hormone prednisone can be quickly eliminate symptoms,but in clinical practice the healing process, some patients are recurrent after reduce or deactiate prednisone In the prednisone,so patients often don’t want to use prednisone any more. The Traditional Chinese Medicine treatmen is mainly based on syndrome differentiation, the treatment effect of the whole fine tune is certain, and the recurrence rate is low, no bad reaction,get the doctor-patient recognition.This topic through the acquisition ChenRuQuan retrospective and forward-looking outpatient service professor diagnosis and treatment of material, comprehensive review of the medical record, read the relevant papers, works, and with the teacher by outpatient service, seminars, medical record discussions way, detailed analysis and summarizes the subacute thyroid inflammation etiology, dialectical points type, treatment, and use formulas characteristics, and ChenRuQuan professor of combining traditional Chinese and western medicine treatment of thyroid inflammation academic thought subacute clinical experience, the system is summarized.Professor Chen think subacute thyroid disease because of inflammation of the temperature or wind hot, its basic pathological changes TanNing for gas stagnation blood stasis, lesions involving liver and spleen, especially the liver. Pathogenesis for more blood stasis and, hot and stomach. Clear liver promoting blood circulation is this disease’s rapeutic principles.Clinical classification mainly for:exogenous fever wind-heat, qidepression to blood stasis、biaoben huanjiaggregates hot、liver and gallbladder damp-heat、phlegmy heat mutual、phlegm and blood stasis.Fire excess from yin deficiency、qi deficiency to blood stasis、 TanNing Yang、Gas TanNing yu. Pathogenic wind hot type with breeze to clear away heat, acetani lide detumescence, party YinQiao SangJu drink with scattered or add and subtract; Qi stagnancy and blood stasis syndrome to cure ShuGan qi remove blood stasis, party wulingsan and with free and unfettered; Hot type to accumulate biaoben huanji with clear liver heat venting, invigorate the pain, party with Dan unfettered gd scattered; Courage to cure for different should be clear liver promoting blood circulation, remove cool blood, party with a tonic liver soup diarrhea; Phlegmy heat mutual "type to cure qingrejiedu, eliminating phlegm to invigorate the gall away, party with the gas expectorant pill; Phlegm and blood stasis syndrome with phlegm to qi, blood away gall, party with blood away gall soup; Yin deficiency fire to nourish "Yin" clear heat to type, clear swollen pain, party for Dan and consistent with heart Fried; Qi deficiency and blood stasis cure to benefit qi and activate blood circulation, eliminating phlegm to estate, party up with Yang also five soup; TanNing for warming yang type with phlegm, detumescence, party with Yang and soup;Gas TanNing type to ShuGan yu to qi, eliminating phlegm to disappear gall, party with four inverse scattered and two ChenShang.With the Shanghai type is not isolated, often each other and clip, such as pathogenic wind hot can hold concurrently TanNing yu have. Yin deficiency of both qi type can have phlegm and depressed and blood stasis syndrome. At the same time card type can be changed or and clip between more syndrome. Phlegmy heat mutual type can be converted into phlegm and blood stasis syndrome, sometimes can appear gas YuHua fire, suffered card with. In the whole of the traditional Chinese medicine dialectical basis, professor Chen presented, treatment and JiaYan "clear liver blood" land,keep ShunQi first of ancient precept, and disease differentiation and dialectical combination, dialectical point of view to give priori ty to, and in clinical got confirm, For the overall concept of traditional Chinese medicine, subacute thyroid inflammation syndrome differentiation and treatment of provided new direction.ChenRuQuan clinical medicine professor, according to patients with thyroid inflammation of the subacute and TanNing、blood stasis、dialectical features, aiming at different type suit the remedy to the case, along with the card to add and subtract, combine the features of the development of the disease differentiation of drug use. Commonly used free and unfettered ShuGan XieYu scattered, Yang and ShangWenYang expectorant,and three edges and shows traditional Chinese medicine do qi and activate blood circulation, eliminate phlegm and blood stasis resistance, and emphasize subacute thyroid inflammation recovery, disease long and blood stasis insufficiency, shuGan appropriate to the spleen, eliminating phlegm to blood circulation, that is in resolving phlegm and blood, must not forget to fill the gas of the spleen, consolidate of congenital this, one is to avoid remove evil too, two will benefit qi and activate blood circulation, to help the recovery of disease.This clinical study, professor Chen by combining traditional Chinese and western medicine treatment subacute thyroid inflammation in73cases, the results were satisfactory, and good safety, to prevent the disease rebounded appear especially, recurrent also have obvious function, can be used as the first choice of treatment subacute thyroiditis. |
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