名老中医郑伟达治疗甲状腺癌经验探析

Discussion on Treatment Experience of Prominent TCM doctor ZHENG Wei-da for Thyroid Cancer

甲状腺癌的发病率较低,甲状腺癌可发生于任何年龄组,儿童和青少年曾接触过放射线的,成人期易出现甲状腺癌。甲状腺癌依其病理形态和生物学特征,可以分为四型。即:乳头状癌、滤泡癌、髓样癌、未分化癌。甲状腺癌多因情志不疏,肝郁气滞,痰湿凝聚引起。中医辨证分型为肝郁痰湿型(多见于初期)、阴虚肝旺型(多见于癌肿累及喉返神经,或放疗、手术后)、气血双亏型(多见于后期,或放疗后复发者),治宜化瘀解毒、理气化痰、养阴平肝、益气养血。郑教授以多年丰富的临床经验,运用慈丹胶囊等国家准字号中成药、经验方随证加减,灵活用药,取得显著疗效。另总结并强调以药物治疗为主或以手术治疗为主的中西医结合治疗的重要性及具体操作事项。

The incidence of thyroid cancer is low but thyroid cancer can occur at any age group.The children and young people who have been exposed to radiation are prone to thyroid cancer during their adulthood period. Thyroid cancer can be divided into four types according to their pathological and biological characteristics named as papillary carcinoma, follicular carcinoma, medullary carcinoma and undifferentiated carcinoma. Thyroid cancer usually caused by depression,Qi stagnation,which can be divided into phlegm condensation resulted to liver depression and phlegm （more common in the early stage）,Yin deficiency and liver heat excession type （more common in cancer involving the recurrent laryngeal nerve, or radiotherapy,surgery）,deficiency of Qi and blood type （more common in late or radiotherapy after relapse）.It can be treated with methods of repelling stasis and disintoxication, smoothing Qi and removing phlegm, tonifying Yin and smoothing the liver,nourishing Qi and blood.Professor ZHENG treated this disease with quasi-famous Chinese medicine Cidan capsules according to the clinical symptoms based on many years of extensive clinical experience and achieved remarkable results. He also stressed the importance of integrated Chinese and western medicine as drug treatment or surgical treatment and the specific operational issues.