杨宏杰治疗桥本甲状腺炎合并甲状腺结节经验介绍  

Experience of YANG Hongjie in Treating Hashimoto's Thyroiditis Complicated with Thyroid Nodules

作　　者：周海姗 姚卫国 袁莎莎[1] 杨宏杰(指导)[1] ZHOU Haishan;YAO Weiguo;YUAN Shasha;YANG Hongjie

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海200437 [2]上海市第六人民医院金山分院,上海201599

出　　处：《新中医》2023年第8期210-213,共4页New Chinese Medicine

基　　金：海申康医院发展中心临床创新三年行动计划资助(SHDC12019124);上海市金山区基层中医药适宜技术推广项目(JSZY-SYJS-202008);上海市卫生健康委员会科研资助项目(202040217)。

摘　　要：介绍杨宏杰教授治疗桥本甲状腺炎合并甲状腺结节的临床经验。杨宏杰教授认为,桥本甲状腺炎合并甲状腺结节属中医瘿病范畴,该病与情志不遂、忧思郁结、气滞血瘀、痰凝瘀毒等因素有关。临床善从肝脾肾辨证论治,重视肝主疏泄功能的调节,采用专病专方抗甲方为基础方,依据结节不同风险因素(回声边缘、钙化及血流量等)加减运用益气养阴、理气止痛、疏经养血等药,随症治之,每多有良效。This paper introduces Prof.YANG Hongjie's clinical experience in treating Hashimoto's thyroiditis complicated with thyroid nodules.Prof.YANG believes that Hashimoto's thyroiditis complicated with thyroid nodule belongs to the category of goiter disease in traditional Chinese medicine.The disease is associated with unsatisfied emotions,binding constraint of grief and thought,qi stagnation and blood stasis,phlegm,coagulation,stasis and toxin.In clinical practice,he is good at treating from the liver,spleen and kidney based on syndrome differentiation,and pays attention to the liver's function of governing the free flow of qi.He adopts disease-specific formulas like Kangjia Formula as the basic prescription,and modifies medicines to boost qi and nourish yin,regulate qi and relieve pain,and dredge the channels and nourish the blood according to different risk factors of nodules(echo edge,calcification and blood flow,etc.).He treats the disease according to the syndromes,which always leads to a great therapeutic effect.

关 键 词：桥本甲状腺炎 甲状腺结节 从肝脾肾论治 抗甲方 

分 类 号：R581.4[医药卫生—内分泌]