甲狀腺問題與心臟的關聯：中醫師的觀點

現如今甲狀腺疾病非常多見，常見的有甲狀腺功能減退症（甲減）、甲狀腺功能亢進症（甲亢）、甲狀腺結節和甲狀腺癌等。據調查，中國現有約一億甲減患者，甲亢患者和甲狀腺癌患者也都超過了一千萬；有甲狀腺結節的人更多，超過了二億。

我有一個私交很好的西醫朋友。這個朋友姓鄧，是北京一所著名的三甲醫院的心內科主任醫師，醫德很好，對患者很是負責。我們經常交流不同病症中西醫的認識和治療。

有一次我們談起甲狀腺的問題，他告訴我，在一般的西醫醫院裡，此類疾病漏診率特別高，整體治療率不到十分之一的樣子。而且，他在心內科工作這十幾年裡，遇到很多甲狀腺疾病患者，但一開始臨床表現的卻是心臟問題，患者不明就裡，來到心內科做各種檢查治療，效果卻並不理想。因為經驗豐富，遇到這種情況，他就讓這些患者去做甲狀腺檢查。結果這些患者十之八九都查出來確實是甲狀腺的問題，而且病人大多是女性。所以，女性朋友請格外關照一下自己的甲狀腺問題。

甲狀腺

他告訴我，上一週就有兩個病例，一個六十多歲的女士多年胸悶卻一直查不出原因，很多年都治不好，最後到他們醫院心內科就診。鄧醫生檢查過後，建議患者先去檢查甲狀腺，結果真的查出了甲減。另一位女士五十多歲，經常心悸、房顫，之前都按心臟病的方式治療，效果卻一直不好，鄧醫生也讓她去化驗甲狀腺，結果查出了甲亢。

鄧醫生說，在他們西醫來看，甲狀腺機能衰退會導致心臟病，尤其以心力衰竭最為常見。這主要是因為甲狀腺分泌的甲狀腺激素有控制心臟活動的功能，對心跳、血液迴圈、心臟收縮都起著調節作用。甲亢會引起心動過速和房顫等心臟異常，也會造成冠心病，加速心力衰竭。甲減會導致心跳緩慢或心律不整，嚴重的還可導致心臟驟停。所以很多時候病人表現出心臟不適，但以心臟病治療總是治不好的時候，他就推薦病人去檢查甲狀腺，看看是不是甲狀腺出了問題，才會導致心臟方面的疾病。

鄧醫生的話讓我很受啟發，我也和他分享我對於甲狀腺問題的看法。甲狀腺疾病雖虛實夾雜、傷累多臟，本質卻在心虛。心動力不足，血行不暢，才會出現陽虛氣耗，陰虛血虧，傷及五臟，表現出甲狀腺的各種異常。甲狀腺出了問題一定要補心，心氣足了，心神寧了，心血旺了，甲狀腺的問題自然也就解決了。所以在治療上，除了針灸，我一般多用補心的方法治療甲狀腺的問題。總之，是以十全大補湯加減治療甲減，天王補心丹打底治療甲亢。在這兩種著名的補心、養心的方劑基礎上治療甲狀腺的問題，臨床上都有不錯的效果。有甲狀腺疾病的患者也可以在醫生的指導下，酌情服用這兩種中成藥。

此外，就是情志的因素。臨床上引起甲狀腺疾病的一個非常重要的因素就是情緒問題。這也就解釋了為什麼女性和性格偏內向的人容易有此類疾病。我的一個侄女就是因為和男朋友分手了，經常情緒抑鬱，才得了甲狀腺結節。

容易發病的人多是遇事不善表達，常暗自反覆思量，愛生悶氣，都是思慮過度傷了心血。而心是身體的君主之官，心血虧虛，五臟受損，過多的氣、痰、瘀無法化解，堆在身體裡，也會導致甲狀腺的問題，所以治療這一類的問題，需要解開病人的心結，心結打開了，病就去了一半。

前面說了這麼多，主要是想告訴大家，若心臟有問題，久治不癒時要記得檢查甲狀腺，有了甲狀腺的問題也要注意養心，解開心結。

| 疾病 | 症狀 |
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"人物,心靈,醫療"
"久病不癒心臟問題？中醫師：很可能與甲狀腺有關！"