摘要
甲状腺结节作为内分泌领域的高发疾病,其检出率与社会关注度持续上升。西医治疗以定期监测、甲状腺激素抑制治疗、消融术及外科手术等方案为主,但往往存在有创操作所致损伤、经济成本较高及患者心理压力较大等问题。而中医对甲状腺结节的认识历史悠久,临床经验丰富,尤以中药内服为核心的治疗方式更凸显其独特优势。本文以“结者散之”为理论指导,浅述中医治疗痰结血瘀型甲状腺结节时,以化痰散结、活血化瘀为基本原则,调整机体的阴阳平衡,理气化痰、活血化瘀,抑制甲状腺结节生长、促使结节消散、降低癌变风险,从而达到治疗目的。
Thyroid nodules are a high-incidence disease in the field of endocrinology,and their detection rate and level of public attention continue to rise.In Western medicine,treatment mainly consists of regular monitoring,thyroid hormone suppression therapy,ablation,and surgical procedures.However,these approaches often involve problems such as injury caused by invasive procedures,relatively high economic costs,and considerable psychological pressure on patients.Traditional Chinese medicine(TCM),by contrast,has a long history of understanding thyroid nodules and has accumulated rich clinical experience.In particular,treatment centered on the internal administration of Chinese herbal medicine highlights its distinctive advantages.Guided by the principle of"treating pathogenic accumulation with dissipation",this article briefly discusses the TCM treatment of thyroid nodules characterized by the syndrome of phlegm accumulation and blood stasis.The therapeutic strategy takes resolving phlegm and dispersing masses,and activating blood circulation to remove blood stasis as the basic principles,while regulating the balance of yin and yang in the body.Through regulating qi and resolving phlegm,as well as activating blood circulation and eliminating blood stasis,this approach can inhibit the growth of thyroid nodules,promote the dissipation of nodules,and reduce the risk of malignant transformation,thereby achieving therapeutic effects.
作者
伍涛
胡尧
余会
郭佳佳
代芳
WU Tao;HU Yao;YU Hui;GUO Jiajia;DAI Fang(Guizhou University of Traditional Chinese Medicine,Guiyang 550025,China;The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine,Guiyang 550001,China)
出处
《基层中医药》
2026年第2期98-104,共7页
Basic Traditional Chinese Medicine
关键词
甲状腺结节
结者散之
痰结血瘀型
化痰散结
活血化瘀
瘿病
thyroid nodules
treating pathogenic accumulation with dissipation
phlegm accumulation and blood stasis syndrome
resolving phlegm and dispersing masses
promoting blood circulation and removing blood stasis
goiter
