从络病辨治甲状腺瘤

from Disease Treatment of Thyroid Tumor

甲状腺瘤属"瘿病"范畴,根据吴以岭院士独创络病理论,系痰瘀阻络(痰湿、血瘀)、病久入络、易积成形,辨证分型、通络散结为主,化瘀通络、祛痰通络、散结通络,化瘀通络用当归、丹参;祛痰通络可用白芥子、浙贝母、半夏、南星等;散结通络用莪术、夏枯草。历代均用含碘中药治疗瘿病,包括瘿瘤,常用海藻、昆布、海带、海蛤,海藻玉壶汤、四海舒郁丸等。近年国内学者逐渐认识应用含碘中药弊病,如海藻、昆布、海带等促进甲状腺瘤生长,加重甲状腺机能亢进症病情,只适用于单纯地方性甲状腺肿。继承应用古人经验时,须有发扬,也要有所摒弃。

Thyroid tumor is ＂gall disease＂ category, according to academician WU Yiling original theory of collateral diseases, department of phlegm and blood stasis （phlegm and blood stasis）, long disease collaterals, easy deposition, syndrome differentiation, Tongluosanjie, Huayutongluo, expectorant Tongluo Sanjie Tongluo Huayu Tongluo, angelica, Danshen qutantongluo; available white mustard, fritillaria thunbergii, pinellia, Arisaema; Tongluo Sanjie with zedoary, Prunella vulgaris. The history of Chinese medicine treatment with iodine gall disease, including common gall, seaweed, kelp, seaweed, sea clams, haizaoyuhutang, Sihai Shuyu pill. In recent years, domestic scholars gradually realize the application of TCM iodine ills such as kelp, kelp, seaweed, etc. to promote the growth of thyroid tumors, aggravation of hyperthyroidism disease, is only applicable to simple goiter. The inheritance of application experience, must develop, must be abandoned.