基于“阴平阳秘”理论探讨肠道菌群对桥本甲状腺炎的影响*

作者：娄文凤1，2，胡铁琳1，严泽雯1，祁 烁2，丁治国2

单位：1.北京中医药大学东直门医院，北京 100700； 2.北京中医药大学孙思邈医院，陕西 铜川 727100

引用：引用：娄文凤，胡铁琳，严泽雯，祁烁，丁治国.基于“阴平阳秘”理论探讨肠道菌群对桥本甲状腺炎的影响[J].中医药导报,2025,31(2):179-183.

DOI：10.13862/j.cn43-1446/r.2025.02.035

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摘要：

肠道菌群失衡与桥本甲状腺炎的发生发展密切相关。中医“阴平阳秘”理论是调节机体内环境平衡的重要基础，而桥本甲状腺炎和肠道微生态的稳态失衡正是该理论的外在体现，但目前仍缺乏系统的理论阐述其科学内涵及诊治体系。本文基于“阴平阳秘”理论，探讨肠道微生态对桥本甲状腺炎的影响及其临床应用。中医针药疗法通过调节肠道菌群平衡，维持“阴平阳秘”状态能够帮助恢复机体内环境的动态平衡，并在桥本甲状腺炎的预防和治疗中发挥着重要作用。

关键词：桥本甲状腺炎；阴平阳秘；肠道微生态；自身免疫性甲状腺炎；肠道菌群；动态平衡

Abstract：

The imbalance of gut microbiota is closely related to the occurrence and development of Hashimoto's thyroiditis. The traditional Chinese medicine (TCM) theory of "relative equilibrium of Yin-Yang" is an important basis for regulating the body's internal environment balance. The imbalance of homeostasis in Hashimoto's thyroiditis and gut microbiota is precisely an external manifestation of this theory. However, there is currently a lack of a systematic theory to expound its scientific connotation and diagnosis-treatment system. Based on the theory of "relative equilibrium of Yin-Yang", this paper explores the impact of gut microbiota on Hashimoto's thyroiditis and its clinical applications. TCM acupuncture and herbal medicine therapies can help restore the dynamic balance of the body's internal environment by regulating the balance of gut microbiota and maintaining the state of "relative equilibrium of Yin-Yang", and play an important role in the prevention and treatment of Hashimoto's thyroiditis.

Key words：Hashimoto's thyroiditis; relative equilibrium of Yin-Yang; gut microbiota; autoimmune thyroiditis; intestinal microbiota; homeostasis balance

发布时间：2025-12-13

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