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范冠杰以“动-定序贯范氏八法”辨治甲状腺功能亢进症经验撷要

Fan Guanjie’s experience in treatment of hyperthyroidism by“Fan’s eight development-regularity sequential method”

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【作者】 吴丽燕; 范冠杰; 何嘉莉; 梁庆顺; 刘振杰;

【Author】 WU Liyan;FAN Guanjie;HE Jiali;LIANG Qingshun;LIU Zhenjie;Second Affiliated Hospital of Guangzhou University of Chinese Medicine;

【通讯作者】 范冠杰;

【机构】 广州中医药大学第二附属医院;

【摘要】 介绍范冠杰教授运用“动-定序贯范氏八法”辨治甲状腺功能亢进症的临床经验。认为应从核心症状辨识核心病机,进而辨证论治。其中核心病机为气滞、火旺、痰凝、血瘀、气阴两虚、肝阴虚、肾虚、脾虚,分别治以疏肝解郁、清热泻火、化痰利湿、活血化瘀、益气养阴、养肝阴、补肾固本、健脾。注重疾病发展和治疗的序贯性,强调肝的重要性,组方用药多以“药串”为主进行加减。并举验案1则。

【Abstract】 The purpose of this paper is to introduce the experience of Professor Fan Guanjie in the treatment of hyperthyroidism by using the“Fan’s eight development-regularity sequential method”. It is believed that the treatment of hyperthyroidism should identify the core pathogenesis from the key symptoms,and then treat the disease based on syndrome differentiation. The core pathogenesis are qi stagnation,effulgent fire,phlegm congelation,blood stasis,deficiency of both qi and yin,liver yin deficiency,kidney deficiency and spleen deficiency,which are treated by the methods of soothing the liver and regulating qi,clearing heat and purging fire,resolving phlegm and resolving dampness,activating blood and resolving stasis,replenishing qi and enriching yin,enriching liver yin,tonifying the kidney and securing the root,and fortifying the spleen respectively. The prescriptions mainly include a series of Chinese medicines and are modified focused on the law of disease development,the sequence of treatment and the importance of the liver. And one proven case is presented.

【基金】 广东省科技厅基金项目(2014A020221025
  • 【文献出处】 上海中医药杂志 ,Shanghai Journal of Traditional Chinese Medicine , 编辑部邮箱 ,2022年05期
  • 【分类号】R259;R249
  • 【下载频次】153
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