摘要
Abstract
Subacute thyroiditis(SAT)is a self-limiting thyroiditis associated with viral infections,representing a clinically common and recurrent painful thyroid disorder.The Qing Dynasty physician WANG Xugao,inherited classic medicine works such as Huangdi Neijing(《黄帝内经》)and Shanghan Lun(《伤寒论》),combined with his clinical experience to formulated the"thirty methods for treating liver disorders".This framework comprehensively expounds on the physiological and pathological changes of the liver,clinical approaches to liver treatment,and the dynamic interactions between the liver and other organs according to the principles of generation and restriction in traditional Chinese medicine(TCM).TCM theory holds that the liver stores blood,governs dispersion and regulates Qi(气)movement.It is structurally Yin(阴)but functionally Yang(阳),with its meridian connecting the head and feet,linking the internal organs,and traversing the entire body.As described in Huangdi Neijing"The Liver Meridian of Foot-Jueyin(厥 阴)originates from the dorsal hairy margin of the great toe…ascends along the posterior aspect of the throat,entering the nasopharynx."Therefore,SAT is closely related to the liver,and its clinical management should adhere to the principle of"diagnosing,analyzing and treating from the liver perspective".The"thirty methods for treating liver disorders"categorizes liver disease treatment into patterns including liver Qi disorders,liver fire disorders,liver wind disorders,and liver cold/deficiency disorders.It elaborates on the dynamic progression among liver Qi stagnation,liver fire hyperactivity and liver wind stirring,with liver deficiency and cold serving as key pathological entry points.These patterns involve imbalances of Qi,blood,Yin and Yang,while dysfunction of other organs due to liver involvement represents an important disease transmission pathway.Based on this methodology,clinical treatment should focus on the liver's pathological characteristics.For SAT patients with liver Qi stagnation,the approach involves soothing the liver and regulating Qi;for those with liver fire hyperactivity,clearing and draining liver fire;for cases complicated by spleen deficiency,applying the strategy of draining wood(liver)and reinforcing earth(spleen).And for collateral obstruction,dredging liver collaterals.Throughout treatment,it is essential to harmonize the liver's Qi,blood,Yin and Yang while coordinating with affected organs for systemic regulation.These comprehensive approaches can effectively alleviate SAT symptoms and reduce recurrence risk.关键词
亚急性甲状腺炎/肝/中医治疗Key words
Subacute thyroiditis/Liver/Traditional Chinese medicine therapy分类
医药卫生
