| Objective:in terms of theory research, elaborated the academic thought origin Li Shipu director, and carries on the summary to the academic thoughts and clinical experience. In clinical studies, by observing the Li Shipu director of self Qingying Decoction on clinical efficacy and safety of subacute thyroiditis, for traditional Chinese medicine treatment of subacute thyroiditis provides a new idea and reference drugs.Methods:1 with the teacher, reading classics, do clinical. Take the form of teacher learning, independent clinical practice and theoretical study.2. The clinical research,60 cases of clinical diagnosis of TCM syndrome differentiation to the subacute thyroiditis to wind and heat type were randomly divided into two groups,30 cases in the treatment group were given with Qingying Decoction, the Chinese medicinal composition granules every second, once a package; 30 cases in the control group were treated with prednisone, daily 30 mg,10 mg once, 3 times a day, alleviate the symptoms gradually after the reduction, every 1 to 2 weeks reduction of 5mg to withdrawal. After 4 weeks treatment in two groups, observation curative effect, changes to the score of symptoms, syndrome curative effect, test indicators (thyroid function and antibodies) improve the indication, through changes were observed before and after treatment, evaluation of Qingying Decoction for subacute thyroiditis clinical curative effect and adverse reaction.Results:the director of Li Shipu academic thought and clinical experience are summarized:1 from the air temperature on the treatment of subacute thyroiditis.2 to pay attention to the application of activating blood circulation to remove blood stasis in the Department of internal medicine disease.3 proposed ofyiqiyangyinhuayu Dafa for the treatment of diabetes mellitus.4 create a winter Jintang treatment of urinary calculi.5 to the Chinese medicine "kidney" has the original opinion, thought that the kidney essence loses the possession and the cervical vertebra disease correlation.6 for today’s treatment, Li Lao put forward the idea of fuzhengkangai.7 applying the theory of "treating disease" in traditional Chinese medicine to guide clinical practice. Clinical research, proposed to the director of the Li Shipu dispersing wind, clearing away heat and detoxification eliminate gall method treatment of subacute thyroiditis clinical study. In terms of symptom score, syndrome curative effect, testing indicators, the treatment group than in the control group were significantly improved, by statistical analysis was significantly better than the control group and no obvious adverse events have significant differences.Conclusion:1. This paper summarizes the clinical experience and academic thought Li Shipu director, in the Department of Internal Medicine Diseases successes, as from wind and temperature on the treatment of subacute thyroiditis, for traditional Chinese medicine treatment of subacute thyroiditis provides a new idea and reference drugs.2. According to the director of the Li Shipu Qingying Decoction in the treatment of subacute thyroiditis and prednisone compared to the control group, not only the signs and symptoms have improved significantly, but also can effectively improve the thyroid function, of thyroglobulin antibody and thyroid peroxidase antibody also very good effect, can improve the cure rate, with little side effect. Li Shipu suggested that Qingying Jiedu Decoction in the treatment of subacute thyroiditis is safe and effective. |