摘要
甲状腺结节是临床常见疾病,中医按照其临床症状将之归结为“瘿”病范畴。关于“瘿”的病因病机,历来说法不一,本文认为甲状腺结节的发病以阳气微虚,少阳气机郁结为核心病机,痰阻和瘀停为甲状腺结节的基本特征。本文将结合对《伤寒论》“阳微结”的理解探讨甲状腺结节的病机。治疗方面,提出甲状腺结节临床治疗以扶正、疏利少阳气机为根本治疗大法,并兼用化痰散结、化瘀通络、调畅情志等治疗方法,以期为中医药治疗甲状腺结节提供新的思路。
Thyroid nodule is a common clinical disease,which is classified as"goiter"disease by TCM according to its clinical symptoms.There have been different opinions on the etiology and pathogenesis of"goiter".It is believed in this paper that the core pathogenesis of thyroid nodules is deficiency of Yang,stagnation of Shaoyang qi,and phl egm obstruction and stasis stagnation are the basic feat ures of thyroid nodules.The pathogenesis of thyroid nodules will be investigated in this paper based on the understanding of"slight accumulation of Yang"in Treatise on Febrile Diseases.In terms of treatment,it is proposed that the clinical treatment of thyroid nodules should be based on strengthening the body resistance,dredging the Shaoyang qi.Meanwhile,other treatment methods,such as resolving phlegm and dispersing stagnation,removing blood stasis and dredging collaterals,and regulating mood and emotion,shall be combined,so as to provide new ideas for the treatment of thyroid nodules with traditional Chinese medicine.
作者
周青山
黄帅
陈茜
唐小姝
陈中沛
ZHOU Qingshan;HUANG Shuai;CHEN Qian;TANG Xiaoshu;CHEN Zhongpei(Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Sichuan,Chengdu 610075,China;Chongqing Traditional Chinese Medicine Hospital,Chongqing 400010,China)
出处
《中国医药科学》
2023年第7期121-124,132,共5页
China Medicine And Pharmacy
基金
陈中沛西俭脉法市级技能大师工作室(CQSZYY1590)。
关键词
阳微结
小柴胡汤
甲状腺结节
少阳
Slight accumulation of Yang
Xiaochaihu Decoction
Thyroid nod ule
Shaoyang
