摘要
介绍赵恒侠教授基于六郁理论治疗甲状腺良性结节的临床经验。赵恒侠教授提出,甲状腺良性结节的发生发展与六郁密切相关,其核心病机可概括为“肝郁气滞为发病之始,痰瘀互结为成癥之标,阴虚火郁为迁延之变”,创经验方甲瘤方,以疏肝健脾、化痰祛瘀为主,注重“火郁”的潜在病势发展,融清、消、补、调于一方,肝脾并调,气血同治,动静结合,体现“分消六郁,截断传变”辨治之思,临证还结合岭南湿热气候及患者体质特点,故能获得良好疗效。
This article introduces Professor ZHAO Hengxia's clinical experience in treating benign thyroid nodules based on the six constraints theory.Professor ZHAO proposes that the occurrence and development of benign thyroid nodules are closely related to the six constraints,with the core pathogenesis summarized as"liver depression and qi stagnation as the onset,binding of phlegm and blood stasis as the manifestation,and yin deficiency and fire depression as the chronic transformation."She created the experienced prescription Jialiu Prescription,which primarily focuses on soothing the liver,strengthening the spleen,resolving phlegm,and removing blood stasis.The prescription also pays attention to the potential development of"fire depression,"integrating clearing,eliminating,tonifying,and regulating into one prescription.It regulates the liver and spleen,treats qi and blood simultaneously,and combines dynamic and static approaches,embodying the principle of"dissipating the six constraints and interrupting the transmission and transformation."Clinical practice also considers the humid and hot climate of Lingnan region and the patient's constitution,resulting in good curative effects.
作者
邓棣丹
张馨月
张世茂
赵恒侠(指导)
DENG Didan;ZHANG Xinyue;ZHANG Shimao;ZHAO Hengxia(The Fourth Clinical Medical College,Guangzhou University of Chinese Medicine,Shenzhen Guangdong 518033,China;Shenzhen Traditional Chinese Medicine Hospital,Shenzhen Guangdong 518033,China)
出处
《新中医》
2025年第20期212-216,共5页
New Chinese Medicine
基金
深圳市“医疗卫生三名工程”项目资助(SZZYSM202411016)。
关键词
甲状腺良性结节
六郁理论
甲瘤方
赵恒侠
Benign thyroid nodules
Six constraints theory
Jialiu Prescription
ZHAO Hengxia
