海藻玉壶汤治疗甲状腺结节的疗效与争议概述  

Overview of Curative Efficacy and Controversy of Haizao Yuhu Decoction(海藻玉壶汤)in Treating Thyroid Nodule

作　　者：黄薇瑾 曲笑啸 何燕铭[1] 张丹[1] 杨宏杰[1] HUANG Weijin;QU Xiaoxiao;HE Yanming;ZHANG Dan;YANG Hongjie(Endocrinology Department,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院内分泌科,上海200437

出　　处：《山东中医杂志》2024年第10期1164-1168,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：上海市申康促进市级医院临床技能与临床创新三年行动计划-研究型医师创新转化能力培训项目(编号:SHDC2022CRD009)。

摘　　要：甲状腺结节属中医学瘿病范畴,海藻玉壶汤是治疗瘿病的代表方之一。研究发现,海藻玉壶汤可以缩小甲状腺结节,改善患者临床症状。然而,由于碘盐普及后群众碘摄入量提高,甲状腺疾病谱发生了相应变化,临床对于是否能用以海藻玉壶汤为代表的富碘复方治疗甲状腺结节颇有争议。本文对相关内容进行综述,为临床应用海藻玉壶汤治疗甲状腺结节提供参考。参考文献52篇。The thyroid nodule belongs to the category of goiter disease in traditional Chinese medicine,and Haizao Yuhu Decoction(海藻玉壶汤)is one of the representative prescriptions for treating goiter disease.Studies have found that Haizao Yuhu Decoction can reduce the size of thyroid nodule and improve the clinical symptoms of patients.However,with the increased intake of iodine among the general population due to the widespread use of iodized salt,there have been corresponding changes in the spectrum of thyroid diseases.There is considerable controversy in clinical practice regarding whether iodine-rich prescriptions represented by Haizao Yuhu Decoction can be used for treating thyroid nodules.This article provides a comprehensive summary of the relevant content,offering reference for the clinical application of Haizao Yuhu Decoction in treating thyroid nodules.There are 52 references.

关 键 词：甲状腺结节 海藻玉壶汤 碘 自身免疫性甲状腺病 甲状腺功能亢进 

分 类 号：R289.5[医药卫生—方剂学]