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基于“脾运转输平衡”理论探讨甲状腺结节的病机及治疗

Discussion on the Understanding of Thyroid Nodules in Chinese and Western Medicine and the Theory of"Spleen Transport Balance"
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摘要 影响甲状腺结节的发病因素复杂,而其发病机制尚未明确。西医治疗手段存在一定局限性,而近年中医治疗甲状腺结节的优势日益凸显,其临床表现与中医“瘿病”相类。气滞、痰凝、血瘀是其基本病机,与“脾运转输失衡”密切相关。甲状腺结节的发生是“脾运转输失衡”的多环节、多层次的复杂病理过程。对相关典籍梳理,从脾运转输角度对甲状腺结节的病因、病机和治疗进行探讨,以期为该疾病临床治疗提供指导。 The factors affecting the pathogenesis of thyroid nodules are complex,and its pathogenesis has not yet been clarified.Western medical treatment is relatively limited,while the advantages of Chinese medicine in treating thyroid nodules have gradually emerged in recent years.The clinical manifestations of this disease are similar to those of"gall disease"in Chinese medicine.Qi stagnation,phlegm condensation and blood stasis are the basic mechanisms of the disease,which are also closely related to the spleen transport imbalance.The occurrence of thyroid nodules is a complex pathological process with multiple links and levels of'spleen transport imbalance'.The etiology,pathogenesis and treatment of thyroid nodules are discussed from the perspective of spleen transport balance,with a view to providing guidance for the clinical treatment of this disease.
作者 边炜 杨宇峰 BIAN Wei;YANG Yufeng(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China)
机构地区 辽宁中医药大学
出处 《实用中医内科杂志》 2025年第8期97-100,共4页 Journal of Practical Traditional Chinese Internal Medicine
基金 辽宁省科学技术基金项目(2023JH2/101300050) 辽宁省科技厅—辽宁省糖尿病中医病证结合重点实验室项目(2019JH6/10100009) 辽宁省教育厅校际合作项目—慢性病及亚健康营养干预食品的研发项目(2100221206)。
关键词 甲状腺结节 脾运转输平衡 理论探讨 Thyroid nodule Spleen transport balance Theoretical discussion
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