瘿病原道说解  

Original concept of goiter in TCM

作　　者：梁苹茂[1] 黄梦哲[2] 刘倩[2] 赵娜[2] 李海松[2] 

机构地区：[1]天津中医药大学第一附属医院,天津300193 [2]天津中医药大学,天津300193

出　　处：《中华中医药杂志》2011年第9期1943-1946,共4页China Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：整理中医古典文献关于瘿病病因、症状、治疗等内容,以此为依据,对瘿病及其分类进行了现代医学释名。瘿病是一种发生于颈部的慢性疾患,与缺碘密切相关,用富含碘的药物治疗效果较好,这类瘿病相当于现代医学所称的地方性甲状腺肿。另有一部分应用动物甲状腺治疗可以获得良好疗效,推测此类瘿病应该属于桥本氏甲状腺炎或甲状腺肿瘤导致的原发性甲状腺功能减退症。瘿病在中医文献上分为气瘿、肉瘿、血瘿、筋瘿、石瘿等,目前临床常见的多为气瘿、肉瘿、石瘿。气瘿相当于地方性甲状腺肿;肉瘿相当于甲状腺腺瘤、甲状腺结节、慢性淋巴细胞性甲状腺炎;石瘿相当于甲状腺癌。因此中医古籍记载的瘿病大多不是甲状腺功能亢进症,所以在一般情况下甲亢不能按瘿病辨证治疗。Goiter in TCM is similar to but not the same as that in modern medicine.We tried to clarify and classify the original concept of it according to the differentiation of pathogeneses,symptoms and treatment in Chinese medical classics.Goiter is a chronic cervical disease.Those closely related with iodine deficiency and effective to material medicine rich of iodine are equivalent to endemic goiter;while those effective to animal thyroid are equivalent to primary hypothyroidism caused by Hashimoto disease or thyroid nodules.Goiter in TCM consists of Qi-goiter,fleshy-goiter,blood-goiter,varicose goiter and stony goiter,etc.The most commonly clinical goiter are Qi-goiter equivalent to endemic goiter;fleshy-goiter comprising thyroid adenoma,thyroid nodule and hashimoto disease;and stony-goiter equivalent to thyroid cancer.Hyperthyroidism is not recommended to be treated with the principle of treating goiter for most of description of goiter in Chinese medical classics doesn＇t involve hyperthyroidism.

关 键 词：瘿病 甲状腺疾病 现代医学释名 

分 类 号：R265[医药卫生—中医外科学]