林兰治疗甲亢突眼

包银兰; 林兰; 倪青; 王立军; 陈岩

doi:10.13463/j.cnki.cczyy.2021.02.017

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林兰治疗甲亢突眼

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林兰治疗甲亢突眼
Professor Lin Lan’s experience in the treatment of hyperthyroidism exophthalmos
1.中国中医科学院望京医院眼科，北京　100102；
2.中国中医科学院广安门医院内分泌科，北京　100053；
3.中国中医科学院广安门医院推拿科，北京　100053；
4.中国中医科学院广安门医院国际医疗部，北京　100053
DOI：10.13463/j.cnki.cczyy.2021.02.017

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包银兰, 林兰, 倪青, 等. 林兰治疗甲亢突眼[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13463/j.cnki.cczyy.2021.02.017

BAO Yinlan, LIN Lan, NI Qing, et al. Professor Lin Lan’s experience in the treatment of hyperthyroidism exophthalmos[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13463/j.cnki.cczyy.2021.02.017
包银兰, 林兰, 倪青, 等. 林兰治疗甲亢突眼[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13463/j.cnki.cczyy.2021.02.017 DOI：

BAO Yinlan, LIN Lan, NI Qing, et al. Professor Lin Lan’s experience in the treatment of hyperthyroidism exophthalmos[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13463/j.cnki.cczyy.2021.02.017 DOI：

摘要

林兰教授认为，甲亢突眼可分三期进行辨证治疗。初期以实为主，常见肝郁气滞，中期虚实夹杂，见肝火伤阴，后期以虚为主，多见脾肾亏虚，其病因病机较复杂，而与情志失调尤为相关。林兰教授提出，“甲状腺属于奇恒之腑”，其助肝疏泄功能失调，津液失于输布，痰凝气结，目络受阻导致突眼。治疗原则主张中西医并用，灵活辨证，以疏肝理气，化痰散结为主，兼以滋阴清热，开郁散结，健脾化湿，温补肾阳。遣方用药时紧抓突眼之根本，随症加减，合理用药，为甲亢突眼的中西医临床治疗提供独特见解和思路。

Abstract

Professor Lin Lan believes that hyperthyroidism exophthalmos can be differentiated and treated in three phases. In the early stage, it is mainly caused by excess, commonly manifested by the syndrome of liver depression and qi stagnation. In the middle stage, the disease is due to intermingled def i ciency and excess, with impaired yin by liver f i re as its manifestation. In the later stage, the disease is mainly caused by def i ciency, more commonly manifested by the def i ciency of spleen and kidney. Its etiology and pathogenesis are rather complex, particularly related to emotional disorders. Professor Lin Lan maintains that thyroid gland belongs to extraordinary fu-viscera, and when it fails to assist the liver to perform its primary function of conveyance and dispersing, f l uid can not be properly transported and transformed, with phlegm being coagulated and qi being congealed, leading to obstructed eye collaterals and exophthalmos. The principle of treatment is advocated to combine traditional Chinese medicine with western medicine, to f l exibly conduct syndrome differentiation, mainly focusing on soothing the liver and regulating qi, dissipating phlegm and dispersing masses, supplemented by nourishing yin and clearing away heat, relieving liver depression, invigorating the spleen and resolving dampness, warming and tonifying kidney yang. The symptom of exophthalmos should be paid close attention to when formulating prescriptions by adding or subtracting drugs rationally according to the symptoms.

关键词

甲亢突眼奇恒之腑林兰

Keywords

hyperthyroidism exophthalmosextraordinary fu-visceraLin Lan

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