1.中国中医科学院广安门医院南区，北京 102600；2.首都医科大学中医药学院，北京 100069摘要：甲状腺相关性眼病属自身免疫性疾病，其发病与肝、脾、肾三脏关系尤为密切，故宜从肝、脾、肾立论。辨证以虚定型，以实定候，肝、脾、肾亏虚为本，湿痰瘀阻为标，故治以滋阴清肝、补益脾肾、利湿化痰、活血化瘀为主，同时结合整体与局部眼部改变，统筹遣方施药，可取得良好疗效。关键词：甲状腺相关性眼病；肝脾肾立论；湿痰瘀为标；辨证论治
中图分类号：R276.71 文献标识码：A 文章编号：1005-5304(2018)03-0112-03
Thoughts of TCM Syndrome Differentiation and Treatment of Thyroid-Associated Ophthalmopathy
LI Qin1, GAO Yan-bin2, XIE Bing-xin1, WANG Jing-ru1
1. South District of Guang’anmen Hosptial, China Academy of Chinese Medical Sciences, Beijing 102600, China;
2. School of Traditional Chinese Medicine,Capital Medical University, Beijing 100069, China
Abstract: Thyroid-associated ophthalmopathy (TAO) belongs to autoimmun diseases, which is particularly closely related to the liver, spleen and kidney. Using these three organs as the theoretical foundation, the root of the disease can be grasped. Using syndrome differentiation, deficiency is the basic pattern and excess is the syndrome. The main reason for TAO is liver, spleen and kidney deficiency, while dampness, phlegm-blood stagnation in the eyes are pathogen. The rules of treatments are nourishing yin and clearing liver, supplementing and nourishing liver and kidney, removing dampness and phlegm, eliminating blood stasis and promoting circulation. By combining overall symptoms with ocular region changes, together with dynamic differentiation and flexible treatment, satisfactory results have been obtained in clinical practice.
Keywords: thyroid-associated ophthalmopathy; theoretical foundation of the liver, spleen and kidney; dampness and phlegm-blood stagnation as pathogen; syndrome differentiation and treatment