基于肝主疏泄探讨子宫内膜异位症与良性乳腺结节、甲状腺结节发病机制的相关性  

Discussion on Correlation of Mechanism of Endometriosis,Breast Nodules and Thyroid Nodules based on the Theory of “The Liver Governs the Free Flow of Qi”

作　　者：时光 孙文杰 赵瑞华[1] SHI Guang;SUN Wenjie;ZHAO Ruihua(Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing,100053;Beijing University of Chinese Medicine)

机构地区：[1]中国中医科学院广安门医院,北京市西城区100053 [2]北京中医药大学

出　　处：《中医杂志》2021年第20期1776-1779,共4页Journal of Traditional Chinese Medicine

摘　　要：子宫内膜异位症是育龄期女性的常见病、多发病,子宫内膜异位症患者常合并良性乳腺疾病、甲状腺结节。认为子宫内膜异位症、良性乳腺疾病、甲状腺结节三者均可归属于中医学"癥瘕"范畴,肝失疏泄为其共同主要病机,现代医学研究亦证实局部雌激素表达异常为其发病的共同因素。从肝主疏泄理论入手,探讨子宫内膜异位症与乳腺结节、甲状腺结节的发病机制,主张临证治疗以疏肝解郁为主,辅以化痰活血、消癥散结,体现中医异病同治的观点。Endometriosis is a common endocrine disorder in the women of childbearing age,and is often complicated with benign breast diseases and thyroid nodules.It is believed that endometriosis,benign breast diseases,and thyroid nodules are all ascribed to the category of"concretions and conglomerations",for which"liver failing to govern the free flow of qi"is the common pathogenesis,and abnormal local estrogen expression is approved to be the common cause by modern researches.This paper explores the disease mechanism of endometriosis,breast nodules and thyroid nodules from the perspective of"the liver governs the free flow of qi",and suggests soothing the liver and resolving constraint in clinical practice;simultaneously,methods of dissolving phlegm and invigorating blood,dispersing concretions and dissipating masses can be used,reflecting the point of treating many different diseases in the same way in traditional Chinese medicine.

关 键 词：子宫内膜异位症 乳腺结节 甲状腺结节 癥瘕 疏肝解郁 消癥散结 

分 类 号：R271.9[医药卫生—中西医结合] R259[医药卫生—中医妇科学]