湖南中医药大学学报2025，Vol.45Issue(3)：553-557,5.DOI:10.3969/j.issn.1674-070X.2025.03.026
龚旭初"消、托、补"三法分期论治桥本甲状腺炎经验
GONG Xuchu's experience in staged treatment of Hashimoto thyroiditis with three methods of"resolving,supporting,and tonifying"
摘要
Abstract
Hashimoto thyroiditis(HT)is a chronic autoimmune thyroid disease characterized pathologically by lymphocyte infiltration,leading to gradual atrophy and fibrosis of the thyroid gland.In the early stages,due to excessive destruction of thyroid follicular cells,hyperthyroidism may occur,ultimately progressing to hypothyroidism as a result of thyroid depletion.The onset of the disease is insidious,with a high incidence rate,and it is difficult to cure completely.Western medicine lacks effective treatment options,and long-term thyroid hormone replacement therapy is associated with adverse reactions such as palpitations and osteoporosis.Professor GONG Xuchu believes that the pathogenesis of this disease is mostly attributed to deficiency of spleen and kidney yang,as well as imbalance between the liver and spleen.The pathological factors include qi stagnation,phlegm coagulation,and blood stasis,with the disease nature being deficiency in root and excess in manifestation.In treatment,Professor GONG has adopted the academic thought of Wai Ke Zheng ZONG(Orthodox Lineage of External Medicine)by CHEN Shigong,and has combined it with the pathogenic characteristics of HT,applying the three methods of"resolving,supporting,and tonifying",which are used in treating sores and ulcers,to different stages of HT.He has emphasized the importance of staged treatment based on pattern identification according to patients'symptoms,signs,thyroid hormone levels,and antibody levels.By appropriately combining this method with Western medicine,the treatment cycle can be shortened,recurrences can be reduced,and good clinical efficacy can be achieved,making it worthy of promotion.关键词
消法/托法/补法/桥本甲状腺炎/《外科正宗》/学术经验/龚旭初Key words
resolving method/supporting method/tonifying method/Hashimoto thyroiditis/Wai Ke Zheng ZONG(Ortho-dox Lineage of External Medicine)/academic experience/GONG Xuchu分类
医药卫生引用本文复制引用
陈海东,龚旭初..龚旭初"消、托、补"三法分期论治桥本甲状腺炎经验[J].湖南中医药大学学报,2025,45(3):553-557,5.基金项目
第七批全国名老中医师承项目(国中医药人教函[2022]76号) （国中医药人教函[2022]76号）
国家中医药管理局重点专科项目(国中医药办医政函[2019]210号) （国中医药办医政函[2019]210号）
南通市"十四五"科教强卫工程临床医学中心及青年医学重点人才项目(通卫科教[2021]15号). （通卫科教[2021]15号）
