中医辨治甲状腺结节研究

Research on the Identification and Treatment of Thyroid Nodules in Traditional Chinese Medicine

探究了甲状腺结节形成的病因病机。甲状腺结节病位主要在肝,又与脾肾密切相关,根本病机与肝失疏泄、脾失健运、肾主水功能失司有关,在整个病程中多表现为虚实夹杂、气血同病。其辨治要点在于滋阴清热、理气化痰、肝肾同补,在注重扶正的同时,还需要发挥中医的优势,贯彻“治未病”理念,在施用治疗甲状腺结节用药的基础上,加入具有抗癌功效的中药,以截断病势,预防恶变,并嘱患者忌口。临床在应用化痰理气、补益肝肾药物的同时,还应强调综合多重因素、坚持个性化用药,且注重虫类药物的运用,并以验案一则举例说明。

The etiology of thyroid nodule formation was investigated.Thyroid sarcoidosis is mainly located in the liver,and is closely related to the spleen and kidney,and the underlying pathogenesis is related to liver leakage,spleen loss of health and luck,and loss of kidney main water function.While paying attention to the righteousness,it is also necessary to give full play to the advantages of traditional Chinese medicine,implement the concept of“treating diseases before they occur”,and add traditional Chinese medicines with anti-cancer effects on the basis of administering drugs for the treatment of thyroid nodules to truncate the disease,prevent malignant changes,and advise patients to refrain from mouth.While applying phlegm and qi and liver and kidney nourishing drugs,it should also emphasize the combination of multiple factors,adhere to personalized medication,and pay attention to the use of insect drugs.