黄平从脾肺-标本论治甲状腺癌术后声音嘶哑经验介绍  

Experience of HUANG Ping in Treating Hoarseness After Thyroid Cancer Surgery from Spleen and Lung-Root and Branch Based on Syndrome Differentiation and Treatment

作　　者：骆淳 高天 李铭乐 黄平 LUO Chun;GAO Tian;LI Mingle;HUANG Ping(The First Clinical Medical School of Zhejiang Chinese Medical University,Hangzhou Zhejiang 310053,China;Department of Endocrinology,The Second Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou Zhejiang 310005,China)

机构地区：[1]浙江中医药大学第一临床医学院,浙江杭州310053 [2]浙江中医药大学附属第二医院内分泌科,浙江杭州310005

出　　处：《新中医》2024年第6期130-133,共4页New Chinese Medicine

基　　金：国家中医药管理局第三届国医大师传承工作室建设项目(国中医药办人教函[2018]119号);浙江省黄平名老中医专家传承工作室项目(GZS2020024)。

摘　　要：介绍黄平教授从脾肺-标本论治甲状腺术后声音嘶哑的临床经验。声音嘶哑是甲状腺癌术后的常见并发症。黄平教授认为,基于藏象经络关系,咽喉与脾(胃)肺关系密切,是从脾肺论治甲状腺癌术后声音嘶哑的理论依据。术前瘿瘤造成的虚劳状态,术中切割、缝合导致的经脉损伤、出血,术后核素放疗,加上顾护失当,均可致气血津液损耗。甲状腺癌术后声音嘶哑可从发声脏腑入手,以脾肺为核心,以声音嘶哑为标,以正虚邪恋为本治疗原则,以补中益气汤或麦门冬汤为基础进行辨证施治,多能获得良效。This paper introduces Professor HUANG Ping's clinical experience in treating hoarseness after thyroid cancer surgery from the spleen and lung-the root and branch based on syndrome differentiation and treatment.Hoarseness is a common complication after thyroid cancer surgery.Professor HUANG Ping believes that the throat is closely related to the spleen(stomach)and the lung based on the relationship between the manifestation of zang organs and channels and collaterals,which is the theoretical basis for treating hoarseness after thyroid cancer surgery from the spleen and lung based on syndrome differentiation and treatment.Sthenia caused by goiter before surgery,channels injury and bleeding caused by incision and suture during surgery,radionuclide radiotherapy after surgery,and improper care can all cause consumption of qi,blood and body fluids.The treatment of hoarseness after thyroid cancer surgery can start from the viscera of the voices under the treatment principle of spleen and lung as the core,hoarseness as the branch,and deficient healthy qi and lingering pathogenic qi as the root;syndrome differentiation and treatment should be carried out based on Buzhong Yiqi Decoction and Maimendong Decoction.In this way,significant therapeutic effect can be achieved.

关 键 词：甲状腺癌 声音嘶哑 脾肺 标本同治 黄平 

分 类 号：R249[医药卫生—中医临床基础]