夏仲元教授基于颈部经络循行治疗甲状腺疾病的经验

Professor Xia Zhongyuan’s experience in treating thyroid diseases based on the circulation of neck meridians

近年来,甲状腺疾病发病率明显升高。甲状腺位于颈部经络汇集之处,其周围的解剖结构较为复杂,且与多条经络关系密切。从病机方面,甲状腺功能亢进与甲状腺功能减退分别与阳明经、少阴经关联密切,甲状腺结节与少阳经、厥阴经相关,经络辨治不失为一种新思路。针对不同甲状腺疾病,夏仲元教授擅于从经络辨治,效果明显。治疗甲状腺功能亢进以阳明经为主;治疗甲状腺功能减退以手、足少阴经为主,补气温阳;治疗甲状腺结节从少阳经、厥阴经入手,调畅情志,理气散结。对于甲状腺疾病引起的水液代谢失调,主要从太阳经入手,通经利水。在临床中强调脏腑辨证与经络辨证相结合,内外治法兼顾,往往能取得较好的效果。

In recent years,the incidence of thyroid diseases has significantly increased.The thyroid is located at the convergence of the neck meridians,with its surrounding anatomical structures being relatively complex and closely related to multiple meridians.In terms of pathogenesis,the hyperthyroidism and hypothyroidism are closely associated with the yangming meridian and shaoyin meridian,respectively.Thyroid nodules are related to the shaoyang meridian and jueyin meridian,and the differentiation and treatment of meridians are a new train of thought.Professor Xia Zhongyuan is adept at treating different thyroid diseases by differentiation and treatment of meridians,with significant effects.The treatment of hyper-thyroidism mainly focuses on the yangming meridian;the treatment of hypothyroidism primarily focuses on the hand and foot shaoyin meridians,supplementing qi and warming yang;the treatment of thyroid nodules starts from the shaoyang meridian and jueyin meridian,regulating emotions,and resolving qi stasis.For the water and fluid metabolism imbalance caused by thyroid diseases,the focus is primarily on the taiyang meridian,promoting meridian flow and water metabolism.Emphasizing the combination of zang-fu differentiation and meridian differentiation,and considering both internal and external treatments in clinical practice,often yields better results.