盛灿若针药结合治疗甲状腺肿大经验撷英

SHENG Can-ruo’s experience in treatment of goiter with integrated acupuncture and herbal medication

介绍盛灿若教授针药结合治疗甲状腺肿大经验。认为本病病因多为情志内伤、饮食失节及水土失宜,与体质因素密切相关;气机凝滞、痰浊凝聚、瘀血凝滞、痰瘀互结是其关键病机,针与药均应从“痰瘀”论治。衷中参西,按西医甲状腺Ⅰ、Ⅱ、Ⅲ度肿大将病机归类,分度论治。独创“咽四穴”以消局部之肿结,配合远端穴位针刺;拟定基础中药方,辨证加减药对。针药结合,调畅情志,综合全面治疗甲状腺肿大。

The paper introduces professor SHENG Can-ruo’s experience in treatment of goiter with the combination of acupuncture and herbal medication.Professor SHENG believes that this disease is mostly related with emotional injury,improper diet and geographical and climatic factors,as well as body constitution.Qi stagnation,phlegm retention,blood stagnation and interaction of phlegm and stasis are the essential pathogenesis of goiter.Either acupuncture or herbal medication should focus on"phlegm and stasis"in treatment.Besides,the theory of western medicine should also be considered.In western medicine,thyroid enlargement is classified intoⅠ,ⅡandⅢdegrees of struma,thus,the pathogenesis and treatment with Chinese medicine should be adjusted accordingly.The created"four throat points",combined with acupuncture at distal points,relieve the local masses.The basic herbal formula is prepared and the couplet medicines are modified based on syndrome differentiation.The integrated acupuncture and herbal medication regulates emotions and provides a comprehensive treatment for goiter.