李超琳 姜德友

    [摘要] “诸躁狂越，皆属于火”出自《黄帝内经》病机十九条，至今仍为分析疾病病机的重要理论依据。根据甲亢临床特征分析其病机与火邪密切相关，甲亢初期火邪为患，日久伤阴，为本虚标实之证，在整个发病过程火邪皆参与其中。本文分析总结近年临床上多位医家治疗甲亢的方法，皆以“诸躁狂越，皆属于火”作为病机理论指导甲亢的治疗，无论是分型论治、分期论治亦或是验方论治甲亢，均以清热泻火、滋阴降火为主要治疗原则，为日后临床以火论治甲亢提供参考。

    [关键词] 甲亢;病机十九条;火邪;治疗;应用进展

    [中图分类号] R581.1? ? ? ? ? [文献标识码] A? ? ? ? ? [文章编号] 1673-7210(2020)10(b)-0052-04

    [Abstract] “All manic and all belong to fire” comes from the nineteenth items of pathogenesis in Huangdi Neijing， which is still an important theoretical basis for the analysis of pathogenesis. According to clinical characteristics of hyperthyroidism， the pathogenesis is closely related to fire pathogen. Fire pathogen is the disease in the early stage of hyperthyroidism， and it damages yin for a long time. It is the syndrome of deficiency and excess， and fire evil is involved in the whole pathogenesis. This paper analyzes and summarizes the methods of treating hyperthyroidism by many doctors in recent years. All of them take the theory of “all manic and all belong to fire” as the pathogenesis theory to guide the treatment of hyperthyroidism. Whether it is classified and treated by stages ......