基于“心身疏泄”理论辨治桥本甲状腺炎的思路探讨

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关键词：桥本甲状腺炎；心身疏泄；情志疏泄；脏腑疏泄；气机运动

中图分类号：R259.814 文献标志码：A 文章编号：1007-3213（2025）07-1792-06

DOI：10.13359/j.cnki. gzxbtcm.2025.07.034

Exploration on Approach to Differentiating and Treating Hashimoto's Thyroiditis Based on the View of Regulation of Both Mind and Body

ZHONG Xiaomei，XU Jinghan，ZHANG Lanyue，WU Xuemin（ShenzhenFutian Hospitalof Guangzhou University of Chinese Medicine，Shenzhen 518034Guangdong，China）

Abstract：Hashimoto'sthyroiditis（HT） isanautoimmune thyroid disease characterized bydifuse enlargementof thyroid glandandelevated thyroidautoantibodies.HTiscloselyrelatedtoemotional factors，conveyanceand dispersion function of the liver，and the qi movement of the five zang organs.This paper explores the approach to the differentiationand treatmentof HTbased on Professor Yang Shuyu’s view of regulation ofboth mind and body. In the viewof regulation of both mind andbody，the regulation of mind is to harmonizeemotions，and the regulation of body refers to theconveyance and dispersion function of zang-fu organs.Based on the view of regulation of both mind and body，the pathological changes of HTare characterized bythe disordered conveyance and dispersion of qi movement， and the stable phase，hyperthyroid phase， and hypothyroid phase of HT correspond to obstructed conveyance and dispersion，excesive conveyance and dispersion，and insuffcient conveyance and dispersion，respectively.The emotional disorders caused bythe 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 disspating nodules. Simultaneously，emotional regulation therapy is incorporated to achieveacomprehensive eficacy for harmonizing physique-spirit and mind-body through the regulation of emotions， conveyance and dispersion of qi movement， and visceral functions.Theview of regulation of both mindand bodyprovides new methods andapproaches for traditional Chinese medicine management of HT.

Keywords：Hashimoto’s thyroiditis；regulation of both mind and body；harmonizing emotions；conveyance and dispersion function of zang-fu organs；qi movement

桥本甲状腺炎（Hashimoto'sthyroiditis，HT）又称慢性淋巴细胞性甲状腺炎，以无痛性、弥漫性甲状腺肿大以及血清存在高滴度的甲状腺自身抗体为临床特征1，其临床分期主要包括稳定期、甲亢期、甲减期。（剩余7233字）