方朝晖从肝脾论治甲状腺结节临床经验

Professor Fang Zhaohui’s Clinical Experience in Treating Thyroid Nodules from Liver and Spleen

甲状腺结节中医属于"瘿病、瘿瘤"范畴。方朝晖教授认为本病多起病于肝,与肝脾相关。因此,方朝晖教授认为从肝脾论治甲状腺结节,在临床辨证论治中具有重要的意义。方朝晖教授以经方"小柴胡汤合六君子汤"加减治疗桥本氏甲状腺炎伴甲状腺结节,以"栀子清肝汤合六君子汤"加减治疗亚急性甲状腺炎伴甲状腺结节,另外方朝晖教授以自制方夏慈消结软膏外敷甲状腺处,均可使甲状腺结节缩小或消失,或甲状腺结节数量减少,并改善临床症状。甲状腺结节的治疗应辨证论治,病证结合,注重中医个体化治疗的优势,注重饮食调摄和情志调护。

thyroid nodules belong to the category of "gall disease and gall tumor" in traditional Chinese medicine.Professor Fang Chaohui believes that most of the clinical onset of this disease is in the liver,the basic location of the disease is in the liver and spleen,Therefore,Professor Fang Chaohui believes that the treatment of thyroid nodules from liver and spleen is of great significance in clinical differentiation and treatment.Professor Fang Chaohui treated Hashimoto’s thyroiditis with thyroid nodule with modified Xiaochaihu Decoction and Liujunzi Decoction,and subacute thyroiditis with thyroid nodule with modified Zhiziqinggan Decoction and Liujunzi Decoction.In addition,Professor Fang Chaohui used self-made xiacixiaojie ointment to apply to the thyroid,which could make the thyroid nodule shrink or disappear,or reduce the number of thyroid nodule,And improve the clinical symptoms.The treatment of thyroid nodules should combine disease differentiation with syndrome differentiation,pay attention to the advantages of individualized treatment of traditional Chinese medicine,and pay attention to prevention and care.