基于形气神理论探讨桥本甲状腺炎的发病机制及治疗思路

[关键词］形气神；桥本甲状腺炎；病机；治疗思路

[中图分类号］R249 ［文献标志码］A [文章编号]0256-7415（2025）07-0188-05

DOl：10.13457/j.cnki.jncm.2025.07.033

Discussion on Pathogenesis and Treatment Strategies of Hashimoto's Thyroiditis Based on Body-Qi-Spirit Theory

ZHAO Yihan’，LIN Bilan1，LIU Ying²，YAO Nanzhen³，REN Yifan¹，CHANG Ruchun 1 ，LIN Xuan1 1.TheEighthClinicalMedical Schol，GuangzhouUniversityofChinese Medicine，Foshan Guangdong528O0，China；2.Foshan GaomingDistrictTraditionalChineseMedicineHospital，FoshanGuangdong52850，China；3.FoshanHospitalofTraditioalCinese Medicine，FoshanGuangdong 52800o，China

Abstract：Hashimoto's thyroiditis is achronic，autoimmune，non-infectious inflammatory disease that targets thethyroid glandasanantigen.The body-qi-spirit iscloselyrelated totheetiologyand pathogenesisof Hashimoto's thyroiditis.Emotional factors are keypathogenic factors in Hashimoto'sthyroiditis，liver constraintandqistagnation is the fundamental cause of the disease，and the binding ofqi，blood，and phlegm is acritical factor in disease progression，ultimately leading to morphological changes in the thyroid such as size and texture.The treatmentof Hashimoto's thyroiditis should focusonregulating qi，calming the mind，and treating the body.Regulatingqi should emphasize the liver'sfunctionof governing the free flowofqi；calming the mind should focus onthe nourishment of the heart and liver；treating the bodyrequires both internal and external therapies to remove blood stasis，dissolve phlegm， anddispersegoiter.This articleexplores theconnectionbetweenthetrinityofbody-qi-spiritand Hashimoto'sthyroiditis and itsclinical diagnosis and treatment，aiming to provide new insights for clinical practice.

Keywords：Body-Qi-spirit；Hashimoto's thyroiditis；Pathogenesis；Treatment strategies

桥本甲状腺炎（HT），又称慢性淋巴细胞性甲状腺炎、自身免疫性甲状腺炎，以血清中抗甲状腺过氧化物酶抗体（TPOAb）、甲状腺球蛋白抗体（TGAb）指数升高为主要特征，是目前最多见的自身免疫性甲状腺疾病。（剩余7044字）