张念志教授治疗甲状腺结节药对经验举隅

Professor Zhang Nianzhi's Experience in Treating Thyroid Nodules

甲状腺结节属于中医“瘿病”的范畴,目前对甲状腺结节的诊疗多依靠FAN的结果,而FNA存在假阴性率,手术治疗也会造成血肿、感染等问题。中医药治疗甲状腺结节有着悠久的历史,可以避免手术造成的副作用,消除患者的恐惧心理,大量文献古籍记载了相关内容且经过临床实践,疗效甚佳。文章总结了张教授业医30余载,通过大量的实践经验及临床总结,详加辨证施治,着眼于甲状腺结节“气郁、血瘀、痰浊”的病机特点,采用或祛邪扶正的治疗原则,治疗甲状腺结节临床效果显著。

Thyroid nodules belong to the category of“gall disease”in traditional Chinese medicine.At present,the diagnosis and treatment of thyroid nodules mostly rely on the results of FAN,while FNA has a false negative rate,and surgical treatment will also cause hematoma,infection and other problems.Traditional Chinese medicine has a long history in treating thyroid nodules,which can avoid the side effects caused by surgery and eliminate people's fear.A large number of documents and ancient books have recorded relevant contents,and through clinical practice,the curative effect is very good.The article summarizes Zhang Jiao's teaching of medicine for more than 30 years.Through a large number of practical experience and clinical summary,the treatment of thyroid nodules is based on syndrome differentiation,focusing on the pathogenesis characteristics of“qi stagnation,blood stasis,phlegm turbidity”,and adopting the treatment principle of eliminating evil and strengthening the right,the clinical effect of treating thyroid nodules is remarkable.