从睡眠角度论述甲状腺结节与乳腺结节的相关性

Discussion on the Correlation Between Thyroid Nodules and Breast Nodules from the Perspective of Sleep

甲状腺结节与乳腺结节是育龄期女性的多发病,二者可独立出现,也常常合并发病。作者在跟师学习期间,发现患有甲状腺结节或乳腺结节者,多合并有睡眠问题,而肝郁气滞、痰凝血瘀为其关键病机,二者的发病与肝经关系密切,在治疗上常以疏肝理气、化痰散瘀为首要思路,现代医学认为,下丘脑-腺垂体轴功能失调可能成为甲状腺结节与乳腺结节发生的共同生理病理基础,并且能够对睡眠产生影响。此篇从睡眠角度出发,讨论两者中西医发病机制以及治疗的相关性,以期更好地指导临床,实现未病先防,既病防变。

Thyroid nodules and breast nodules are frequently-occurring diseases in women of childbearing age.They can occur independently or in combination.During the period of studying with the teacher,the author found that patients with thyroid nodules or breast nodules often have sleep problems,and liver depression and Qi stagnation,phlegm coagulation and blood stasis are the key pathogenesis.The onset of the two is closely related to the liver meridian.In terms of treatment,soothing the liver and regulating Qi,resolving phlegm and dissipating blood stasis are often the primary ideas.Modern medicine believes that dysfunction of the hypothalamus-pituitary axis may become the common physiological and pathological basis of thyroid nodules and breast nodules,and it can also affect sleep.Influence.From the perspective of sleep,this article discusses the correlation between the pathogenesis and treatment of both Chinese and Western medicine,in order to better guide the clinical practice,to prevent disease before it occurs,and to prevent disease from becoming worse.