自身免疫性甲状腺炎是最常见的甲状腺疾病之一，近年来患病率不断上升。现代医学尚无针对其病因的治疗方法，以对症治疗为主，疗效有限，并有一定的副作用。中医药通过多靶点、协同增效，改善各脏腑功能，调节自身免疫以降低甲状腺抗体滴度水平、减轻病理损伤来控制病情进展。同时可以纠正异常的甲功，有效改善患者的症状，提高生活质量。深入研究自身免疫性甲状腺炎的中医药治疗具有重要的临床价值及社会意义。刘铜华教授在长期的临床和科研工作中对于本病有着深刻的理解：认为本病多起于情志内伤，以气郁为先导，痰凝、瘀阻贯穿疾病始终，气、痰、瘀壅滞颈前而为病。治以理气解郁、化痰祛瘀、消瘿散结。同时防治结合，既病防变，兼顾正气。在此基础上创立了疗效确切的经验方甲炎康泰方。传承疗效确切的临床经验和学术思想并不断创新，能够有力推动中医药的发展。本文对刘铜华教授治疗自身免疫性甲状腺炎的临床经验进行论述总结。

Autoimmune thyroiditis is one of the most common thyroid diseases, and the prevalence rate has been increasing in recent years. In modern medicine, there is no treatment for its etiology but mainly symptomatic treatment, whose efficacy is limited, and it has certain side effects. Traditional Chinese medicine through multi-targets and synergism, improves functions of various zang-fu viscera and regulates autoimmunity to reduce the titer of thyroid antibody and reduce pathological damage, so as to control progress of the disease. At the same time, it can correct abnormal thyroid function, effectively improve symptoms in patients and improve quality of life. In-depth study on traditional Chinese medicine treatment for autoimmune thyroiditis has important clinical value and social significance. Professor Liu Tonghua has a deep understanding of this disease in his long-term clinical and scientific research work. He thinks that the disease often occurs in emotional injury. It starts from qi depression, with phlegm coagulation and blood stasis throughout the disease, and qi, phlegm and static blood congest and stagnate in front of the neck to cause the disease. The treatment is mainly regulating qi and resolving depression, resolving phlegm and removing blood stasis, as well as eliminating goiter and resolving hard mass. At the same time, combine prevention and treatment, prevent change after falling ill, and take into account vital qi. On this basis, an empirical prescription Jiayan Kangtai Formula with definite efficacy was established. Inheriting clinical experience and academic ideas with definite efficacy and continuous innovation can effectively promote development of traditional Chinese medicine. This paper discusses and summarizes Professor Liu Tonghua"s clinical experience in the treatment of autoimmune thyroiditis.

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中医药防治内分泌代谢病平台建设与创新中药和保健产品研发