甘双双 邵迎新 谭爱华

    【摘 要】 桥本甲状腺炎是常见的自身免疫性甲状腺疾病，目前尚无法根治，长期激素替代治疗存在一定的副作用。中医药治疗在缓解临床症状、缩小甲状腺肿大和甲状腺结节等方面有一定的优势。文章总结了邵迎新教授治疗桥本甲状腺炎的临证经验，邵迎新教授认为桥本甲状腺炎的基本病机为阳化气不足、阴成形太过，导致痰湿瘀血等阴邪暗生，日久气滞痰凝血瘀壅结颈前为患，属本虚标实之证。自拟的益气化瘀方具有健脾益气以温阳，理气化瘀以消阴的作用，临床疗效满意，可借鉴使用。

    【关键词】 桥本甲状腺炎；阳化气不足，阴成形太过；邵迎新；益气化瘀方

    【中图分类号】R581.4 【文献标志码】 A【文章编号】1007-8517(2024)04-0084-03

    DOI：10.3969/j.issn.1007-8517.2024.04.zgmzmjyyzz202404018

    Case Example of Hashimotos Thyroiditis Based on the Theory of “Yang Transforming Qi and Yin Forming”

    GAN Shuangshuang1，2 SHAO Yingxin2* TAN Aihua2，3

    Abstract：Hashimotos thyroiditis is a common autoimmune thyroid disease that is not yet curable， and long-term hormone replacement therapy has certain side effects. Chinese medicine treatment has certain advantages in relieving clinical symptoms and reducing the size of goiter and thyroid nodules. The article summarizes Prof. Shao Yingxins clinical experience in treating Hashimotos thyroiditis. Prof. Shao believes that the basic pathogenesis of Hashimotos thyroiditis is the deficiency of yang to transform qi and too much yin to form ......