基于“木郁达之”探讨甲状腺结节病机及风药的应用

Discussion on the pathogenesis of thyroid nodules and the application of wind medicine based on “Muyu Dazhi”

甲状腺结节是临床最常见的甲状腺疾病。笔者基于“木郁达之”理论探讨甲状腺结节的发病机制及风药在甲状腺结节中的应用,并提出“木郁”是对五行属木之脏腑结构及功能运行失衡、阻滞的概括,“达之”则是通过“宣吐”“升降”“疏泄”使肝脏等相关脏腑结构及功能相适的方法总称。据此笔者提出“木郁”是甲状腺结节发生发展的病机总括,肝脏的功能之郁及结构之郁是甲状腺结节发生发展的重要因素。风药可开透微观结构、调复功能状态,在甲状腺结节的治疗中可发挥重要作用,临证治疗时可适当配伍。

Thyroid nodules are the most common clinical thyroid disease.We discusses the mechanism of thyroid nodules and the application of wind medicine in thyroid nodules based on the theory of“Muyu Dazhi”.It is also proposed that“Muyu”is an overview of the imbalance and obstruction in the structure and function of the internal organs of the five elements of Mu,while“Dazhi”is a general term for the method of adapting the structure and function of the liver and other related internal organs through“Xuantu”,“Shengjiang”and“Shuxie”.Accordingly,we proposes that“Muyu”is a general description of the pathogenesis of thyroid nodules,and that the functional and structural Yu of the liver are two important factors in the development of thyroid nodules.Wind medicine can open up the microscopic structure and regulate the functional state.It can play an important role in the treatment of thyroid nodule,and can be properly compatible in clinical treatment.