摘要
瘿病形如缨络,由此得名,瘿病之状如缨络,在颈绕喉,以地理环境和精神因素为发病原因,其病机不外乎气滞、痰凝,血瘀、肝火郁结。临床治疗采用辨证分型,痰浊阻滞证治法为化痰软坚,消瘿散结,首选软坚散结类药物如海藻、昆布、海带等;肝郁气滞证治法为疏肝理气消瘿,当用陈皮、柴胡、槟榔、青皮、香附、木香等疏肝理气药;痰结血瘀证治法为理气活血,化痰消瘿,方中多用当归、川芎、青皮、陈皮等理气活血化痰药物;肝火旺盛证治法为清肝泻火,消瘿散结,古代医家喜用苦寒药物如龙胆草、黄芩、栀子、夏枯草等以泻其火,同时配用清热解毒药如白蔹、白头翁、连翘、水牛角、松萝等来消痈散结;心肝阴虚证治法为滋阴降火,宁心柔肝,选药多为滋阴降火散结类;气阴两虚证治法为益气养阴,用药多为人参、黄芪、茯苓。在中药治疗的同时历代医家也将针灸运用于治疗瘿病,每获良效。
For goiter,the geographical conditions and mental factors are the causes of the disease. The pathogenesis lies in qi stag- nation, phlegm accumulation,blood stasis and liver fire depression. Clinically, syndrome differentiation and treatment is conducted. The therapeutic method for phlegm and turbidity obstruction is to resolve phlegm, soften hardness, eliminating goiter and dissipate stagnation. The drugs with effects of softening hardness and dissipating stagnation include Haizao （ Sargassum ）, Kunbu （Thallus Laminariae） .Haidai （Herba Zosterae Marinae） ,etc. The therapeutic method for liver qi depression is to disperse liver qi, eliminate goiter with drugs of Chenpi （ Pericarpium Cirri Reticulatae ）, Chaihu （ Radix Bupleuri ）, Binglang （ Semen Arecae）, Qingpi （ Pericarpium Citri Reticulatae Viride ） , Xiangfu （ Rhizoma Cyperi ） , Muxiang （ Radix Aucklandiae ） , etc. The therapeutic method for the syndrome of liver fire hyperactivity is to clear liver and purge fire, eliminate goiter and dissipate stagnation. The therapeutic method for the syndrome of liver and heart yin deficiency is to nourish yin and reduce fire. calm mind and soften liver with commonly-used drugs with effects of nourishing yln, purging fire and dissipating stagnation. The therapeutic method for the syndrome of qi and yin deficiency, the commonly used drugs include Renshen （Radix et Rhizoma Ginseng）,Huangqi （Radix Astragali ）, Fuling （Poria）. Some doctors apply acupuncture and moxibustion for the treatment. For the prevention of goiter, Zhang Zihe proposed that ＂put Haizao （Sargassum） and Kunbu （ Thallus Laminariae） into the water jar for usual intake＂ to improve the water quality.
出处
《河南中医》
2016年第7期1237-1239,共3页
Henan Traditional Chinese Medicine
关键词
瘿病
痰浊阻滞证
肝郁气滞证
痰结血瘀证
肝火旺盛证
心肝阴虚证
气阴两虚证
goiter
syndrome of phlegm and turbidity obstruction
syndrome of liver qi depression
syndrome of phlegm and blood stasis accumulation
syndrome of hyperactive liver fire
syndrome of yin deficiency of the heart and liver
syndrome of qi and yin deficiency
