摘要
甲状腺结节是内分泌科医师所熟知的常见病、多发病之一,临床因合并各类轻重不同的甲状腺疾病而症状迥然。“窠囊”最初被称为“癖囊”,始于宋代许叔微“湿痰、痰饮成癖囊”之论,发展于元代朱丹溪“痰挟瘀血,遂成窠囊”之说,明清时期得到不断补充与完善。本文结合元代朱丹溪较为完善的痰瘀窠囊理论论述甲状腺结节形成,以突出该病的慢性病程、多发、难治的病变特点,并为甲状腺结节形成的辨证施治提供依据及相应的药物作为选择及参考使用。
Thyroid nodules is one of a common and frequently occurring diseases in endocrine department.Its clinical symptoms may vary due to combined with various thyroid diseases.“Kenang”theory originated from XU Shuwei’s theory of“wet phlegm and phlegm drinking become Pinang”in the Song Dynasty,and developed from ZHU Danxi’s theory of“phlegm with blood stasis,then become Kenang”in the Yuan Dynasty,which was continuously supplemented and improved in the Ming and Qing Dynasties.This paper discusses the formation of thyroid nodule based on ZHU Danxi’s relatively perfect theory of phlegm and blood stasis capsule in Yuan Dynasty,in order to highlight the chronic course,multiple and refractory pathological features of the disease,and to provide reference and corresponding drug selection for the dialectical treatment of thyroid nodule formation.
作者
范秋宏
周慧
胡淑珍
刘玲玉
陈沛
李朝敏
FAN Qiuhong;ZHOU Hui;HU Shuzhen(The Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu Sichuan 610000,China)
出处
《四川中医》
2020年第12期32-35,共4页
Journal of Sichuan of Traditional Chinese Medicine
关键词
甲状腺结节
痰瘀
窠囊
病因病机
Thyroid nodules
Phlegm and blood stasis
Kenang
Etiology and pathogenesis
