经方寒热并用法治疗甲状腺结节临证初探  

Clinical Experience of Combination of Cold and Heat Therapy in Treating Thyroid Nodules by Using Classic Prescriptions

作　　者：王婕[1] WANG Jie(Department of Traditional Chinese Medicine,Tianjin Hospital,Tianjin 300211,China)

机构地区：[1]天津市天津医院中医科,天津300211

出　　处：《光明中医》2024年第15期3118-3121,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

摘　　要：甲状腺结节常由多种因素相互影响所致,其病因病机错综复杂,多寒热并存,可通过调整寒热,施以寒热并用之法。医圣张仲景立经方,将方药寒热并用法首现于临床。借鉴张仲景的经方思路,在临床实践中,以寒热经方为基础,结合脏腑寒热,运用柴胡桂枝干姜汤、乌梅丸、栀子干姜汤等,治疗甲状腺结节,疗效显著,能有效减轻患者症状,提高生活质量。Thyroid nodules are often caused by multiple factors that interact with each other,and their etiology and pathogenesis are complex,with multiple cold and heat coexisting.They can be adjusted by applying a combination of cold and heat.The medical sage Zhang Zhongjing established a classic formula,which first appeared in clinical practice by combining cold and hot herbs.Drawing on Zhang Zhongjing’s classic formula ideas,in clinical practice,based on the cold and heat meridians,combined with the cold and heat of the organs,using Chaihu Guizhi Ganjiang decoction,Wumei pill,Zhizi Ganjiang decoction,etc.,to treat thyroid nodules has significant therapeutic effects,can effectively alleviate symptoms,and improve quality of life.

关 键 词：瘿病 甲状腺结节 寒热并用 经方 临证经验 

分 类 号：R259[医药卫生—中西医结合]