从肝脾论治甲状腺良性结节研究进展  

Research progress in treating benign thyroid nodules based on the theory of liver and spleen treatment

作　　者：张倩[1] 庞雨 甄林强 赵璐[2] ZHANG Qian;PANG Yu;ZHEN Linqiang;ZHAO Lu(Henan University of Traditional Chinese Medicine,Zhengzhou 450000,China;The Third Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450003,China)

机构地区：[1]河南中医药大学,郑州450000 [2]河南中医药大学第三附属医院,郑州450003

出　　处：《长春中医药大学学报》2024年第4期468-472,共5页Journal of Changchun University of Chinese Medicine

基　　金：河南省中医药科学研究专项课题项目(2022ZYZD23)。

摘　　要：甲状腺结节为常见的内分泌系统疾病,多为良性结节。西医对于甲状腺结节缺乏有效的治疗措施,对于部分病情严重的患者可进行手术治疗,但相关并发症较多。中医认为,甲状腺结节的发生与患者情志失调密切相关,而情志畅达与肝脏气机调畅密切相关,患者情志抑郁可致肝气郁结,日久使得脾胃生化功能失调,肝郁脾虚则水液输布失常,痰气瘀结于颈前而发为“瘿病”,因此,从疏肝理气、健脾利水、化痰消瘀为基本原则,治疗甲状腺结节能取得良好的效果。Thyroid nodules are common endocrine system diseases,mostly benign nodules.Western medicine lacks effective treatment measures for thyroid nodules,and some patients with serious illness can be treated by surgery,but there are many related complications.Traditional Chinese medicine believes that the occurrence of thyroid nodules is closely related to the emotional disorder of patients,and emotional fluency is closely related to the smooth activity of liver qi.Depressed mood of patients can lead to stagnation of liver qi,which can cause biochemical dysfunction of spleen and stomach if it persists for a long time.Stagnation of liver qi and spleen deficiency can lead to abnormal transportion and delivery of water and liquid,and phlegm-qi stagnation and binding in the front of the neck may cause"thyroid disease".Therefore,treating thyroid nodules based on the basic principles of dispersing liver and regulating qi,invigorating spleen for diuresis,dissipating phlegm and eliminating blood stasis can achieve good therapeutic effects.

关 键 词：从肝脾论治 肝郁脾虚 良性甲状腺结节 研究进展 

分 类 号：R581[医药卫生—内分泌]