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从"温清并用"法探讨甲状腺相关眼病的治疗思路

王佳兴 王莹 赵成思 王书臣 杨玉霞

中国中医眼科杂志2026,Vol.36Issue(8):756-759,765,5.
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中国中医眼科杂志2026,Vol.36Issue(8):756-759,765,5.DOI:10.13444/j.cnki.zgzyykzz.2026.08.009

从"温清并用"法探讨甲状腺相关眼病的治疗思路

Treatment Thoughts on Thyroid Eye Disease from the Perspective of Combined Warming and Clearing Method

王佳兴 1王莹 1赵成思 1王书臣 1杨玉霞1

作者信息

  • 1. 中国中医科学院眼科医院,北京 100040
  • 折叠

摘要

Abstract

Thyroid eye disease(TED)is currently one of the common orbital diseases and represents a challenging area in the treatment of ophthalmic conditions.This disease is not a simple ocular lesion,but rather an ocular manifestation of a systemic disorder triggered by autoimmune dysregulation,and most patients have concurrent thyroid dysfunction.Clinical treatment of this disease should not be limited to single symptomatic ophthalmic interventions.It is necessary to simultaneously address the regulation and treatment of the primary thyroid disease,stabilize the body's thyroid hormone levels,and avoid significant fluctuations that would cause continuous stimulation to the ocular lesions,so as to curb the progression of the disease from its root.At present,clinical approaches mostly include glucocorticoid pulse therapy,immunomodulation,and surgical correction,but these have shortcomings such as obvious side effects and limited long-term efficacy.Based on the pathogenic characteristics,core pathogenesis,and disease course evolution patterns of TED,this article takes the combined warming and clearing method of Traditional Chinese Medicine(TCM)as the core treatment thought,and systematically summarizes the unique advantages of treatment based on pattern differentiation and holistic regulation under the guidance of this method,aiming to improve patients'ocular symptoms and overall constitution,and enhance the clinical diagnosis and treatment outcomes of TED.

关键词

甲状腺相关眼病/温清并用/治疗思路

Key words

thyroid eye disease/combined warming and clearing/treatment thoughts

分类

医药卫生

引用本文复制引用

王佳兴,王莹,赵成思,王书臣,杨玉霞..从"温清并用"法探讨甲状腺相关眼病的治疗思路[J].中国中医眼科杂志,2026,36(8):756-759,765,5.

基金项目

第七批全国老中医药专家学术经验继承项目(010200018) (010200018)

中国中医眼科杂志

1002-4379

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