林兰扶正祛邪法治疗甲状腺癌术后经验

Experience of LIN Lan in Treating Thyroid Carcinoma with Fuzheng Quxie Method

近年来,甲状腺癌在全球发病率明显上升,增长幅度位列恶性肿瘤首位,饮食不当、情志失调、放射线照射皆可为其诱因。甲状腺癌属中医“瘿病”中的石瘿,西医治疗主要采用手术切除,术后同位素治疗、促甲状腺激素抑制等治疗,有损伤喉返神经、唾液腺及增加心血管系统疾病危险性及骨折等风险,中医药对于甲状腺癌的诊治,特别是在术后调养和放化疗增效减毒等方面可以发挥积极作用。甲状腺癌患者行手术切除或者行同位素治疗后,多导致气阴亏虚,阴阳两虚证,同时兼夹痰浊、瘀血、热毒等,出现虚实夹杂的特点。著名内分泌专家林兰教授在治疗甲状腺癌术后方面强调中西医结合,治疗上林教授多采用攻补兼施的方法,强调扶正祛邪对缓解患者术后不适及复发有很好的疗效,并强调情志调节改善预后,对甲状腺癌术后患者效果理想。

In recent years,the global incidence of thyroid cancer has increased significantly,and the growth rate ranks first among malignant tumors.Improper diet,emotional disorders,and radiation exposure can all be causes.Thyroid cancer is the stone gall in the“gall disease”of traditional Chinese medicine.Western medicine treatment mainly uses surgical resection,postoperative isotope therapy,thyroid-stimulating hormone suppression and other treatments,which can damage the recurrent laryngeal nerve,salivary glands,increase the risk of cardiovascular diseases and fractures,etc.Risks,traditional Chinese medicine can play an active role in the diagnosis and treatment of thyroid cancer,especially in postoperative care and radiotherapy and chemotherapy.After surgical resection or isotope therapy in patients with thyroid cancer,it often leads to deficiency of Qi and Yin,deficiency of both Yin and Yang,as well as turbid phlegm,blood stasis,and heat toxin,which are characterized by mixed deficiency and excess.Professor LIN Lan,a well-known endocrinologist,emphasizes the combination of traditional Chinese and Western medicine in the treatment of thyroid cancer.LIN Lan usually adopts the method of attacking and supplementing,and emphasizing that strengthening the body and eliminating evil has a good effect on alleviating the postoperative discomfort and recurrence of patients.Emphasizing emotional adjustment to improve the prognosis,the effect is ideal for patients after thyroid cancer.