摘要
甲状腺结节为临床常见内分泌系统疾病,起病多与情志内伤相关,其核心病机是肝失条达、木郁不舒,主要病理变化为气滞、痰浊、血瘀。体质秉承于先天,滋养于后天,与疾病的发生、证候的转化、疾病的传变等密切相关。柴胡体质是指适合长期服用柴胡及柴胡类方的体质类型,临床上柴胡体质患者与甲状腺结节患者体质特点较为类似,发生甲状腺结节的风险更高,柴胡体质是甲状腺结节发病的内在基础。临床治疗属于柴胡体质的甲状腺结节患者应突显柴胡的主导地位,灵活应用柴胡及柴胡类方,柴胡剂量多在6~15 g,并针对病机的变化随证配伍疏肝行气、化痰祛浊、活血化瘀等中药,以预防甲状腺结节的发生与发展。
Thyroid nodule is a common endocrine system disease in clinic.Its onset is mostly related to affect-mind internal damage.The core pathogenesis is dysfunction of the liver and liver-qi stagnation,and the main pathological changes are qi stagnation,phlegm turbidity and blood stasis.Constitution is inherited from the natural factors and nourished from the postnatal factors,which is closely related to the occurrence of diseases,the transformation of syndromes and the transmission of diseases.Chaihu constitution refers to the type of constitution suitable for long-term use of Bupleuri Radix and prescriptions about Bupleuri Radix.The characteristics of patients with Chaihu constitution are similar to those of patients with thyroid nodules in clinic,and the risk of developing thyroid nodules is higher.Chaihu constitution is the internal basis of thyroid nodules.When treating thyroid nodule patients with Chaihu constitution,the dominant position of Bupleuri Radix should be highlighted,and Bupleuri Radix and prescriptions about Bupleuri Radix should be used flexibly.The dosage of Bupleuri Radix is mostly between 6-15 g,and according to the change of pathogenesis,it is often combined with Chinese materia medica with the efficacy of soothing liver and promoting qi,resolving phlegm and removing turbidity,promoting blood circulation and removing blood stasis,in order to prevent the occurrence and development of thyroid nodules.
作者
史佩玉
郝晓晖
张美珍
刘旭菲
倪青
Peiyu Shi;Xiaohui Hao;Meizhen Zhang;Xufei Liu;Qing Ni(Department of Endocrinology,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)
出处
《国际中医中药杂志》
2023年第6期663-666,共4页
International Journal of Traditional Chinese Medicine
基金
北京市中医药科技发展资金项目(JCZX-2020-08)。
关键词
甲状腺结节
柴胡体质
柴胡
柴胡类方
Thyroid nodule
Chaihu constitution
Bupleuri Radix
Prescriptions about Bupleuri Radix
