基于周仲瑛教授瘀热理论辨治甲状腺癌

Treating Thyroid Cancer on the Base of Professor ZHOU Zhongying's Pathogenesis Theory of Blood Stasis and Heat

基于周仲瑛教授提出的瘀热病机理论,总结出瘀热交结是甲状腺癌患者正气受损、肿瘤发生、进展、复发、转移的基本病机。治疗当清热散瘀而顾护正气,选方上常用清热解毒之五味消毒饮、银翘散,清热凉血之犀角地黄汤,软坚散结之消瘰丸,养阴润燥之沙参麦冬汤,以及化痰散结之贝母瓜蒌散。药组配伍特点有:银花、菊花、夏枯草相配清热以凉血散瘀;百合、沙参、鲜石斛相配养阴以清虚热;三棱、莪术、石见穿相配理气以活血;全蝎、白芍、延胡索相配活血以止痛。

On the base of Professor ZHOU Zhongying＇s pathogenesis theory of blood stasis and heat, this paper put forward that mixture of blood stasis and heat is the cause of occurrence, development, recurrence and metastasis of thyroid cancer. The treatment is clearing away the heat and removing blood stasis to protect vital qi. In detail, Wuwei Xiaodu decoction and Yinqiao powder are applied to clear away the heat and detoxificate, Xijiao Dihuang decoction is applied to clear away the heat and cool the blood, Xiaoluo pill is applied to soften the hardness and dissolve the nodes, Shashen Maidong decoction is applied to nourish yin and clear away the deficiency-heat, and Beimu Gualou powder is applied to remove phlegm and dissolve the nodes. The commonly used medicinal teams such as the team of Flos Lonicerae, Flos Chrysanthemi and Spica Prunellae is for clearing a- way heat and detoxifieation, the team of Bulbus Lilii, Radiw Glehniae and fresh Caulis Dendrobii is for nourishing yin and body fluid, the team of Rhizoma Sparganii, Rhizorna Curcumae and Herba Salviae Chinensis is for anti-metastasis, and the team of Scorpio, Radix Paeoniae Alba and Rhizoma Corydalis is for relieving pain.