基于“阳化气,阴成形”理论探讨甲状腺结节的分期辨治思路  

Discussion on the Staging and Differentiated Treatment of Thyroid Nodules Based on the Theory of"Yang Transforming Qi and Yin Forming Shape"

作　　者：张慧[1] 张玉福[1] 任秋月 许趁意 冯志海[1] ZHANG Hui;ZHANG Yufu;REN Qiuyue;XU Chengyi;FENG Zhihai(The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学第一附属医院,河南郑州450000

出　　处：《中医药信息》2025年第3期37-41,共5页Information on Traditional Chinese Medicine

基　　金：国家自然科学基金青年科学基金项目(82305019)。

摘　　要：基于“阳化气,阴成形”这一理论,阳化气的功能不足导致人体气化失常,痰、瘀、浊毒等阴邪积聚太过而形成结节性疾病。本文以甲状腺结节发生、发展以及术后三个阶段中各自阴阳失和的特性为切入点,认为结节初起时阴盛而成结,结节进展时阴结以成毒,结节术后时阴弱而阳虚。提出结节初起时“温阳理气散结”,结节进展时“温阳化浊解毒”,结节术后“调和阴阳”的治疗原则。Based on the theory of"Yang transforming Qi and Yin forming shape,"insufficient Yang transformation of Qi leads to abnormal Qi transformation in the body,causing excessive accumulation of Yin pathogens such as phlegm,blood stasis,and turbid toxins,which result in nodular diseases.This paper explores the characteristics of Yin-Yang imbalance in the occurrence,development,and postoperative stages of thyroid nodules.It argues that when the nodule first appears,excessive Yin results in the formation of the nodule;as the nodule progresses,excessive Yin transforms into toxin;after surgery,Yin deficiency and Yang weakness occur.The paper proposes the following treatment principles:"Warm Yang and regulate Qi to dissipate the nodule"for the initial stage,"Warm Yang to transform turbidity and detoxify"for the progression stage,and"Regulate Yin and Yang"for the postoperative stage.

关 键 词：阳化气 阴成形 甲状腺结节 中医 分期辨治 

分 类 号：R73[医药卫生—肿瘤]