陈宝贵教授治疗甲状腺结节经验浅析

Professor CHEN Baogui’s experience in treating thyroid nodules

关键词:  甲状腺结节  瘿病  名老中医经验  陈宝贵

Key words:  thyroid nodules  ying disease  old famous Chinese medicine doctor’s experience  CHEN Baogui

摘要:

甲状腺结节是内分泌系统的常见病和多发病，是指甲状腺细胞在局部异常生长所引起的散在病变，甲状腺结节归属于中医疾病中的“瘿病”范畴，陈宝贵教授认为，甲状腺结节病机多属气血失调，虚实夹杂，其以气机郁结为本，病初多在气分，久病则累及血分，继而化燥伤阴，阴虚阳亢，成虚热夹杂之象。临床常以肝郁脾虚、气虚血瘀、痰瘀互结、肝肾阴虚证多见，常多种病邪兼夹为病，治疗中应当灵活用药。

Abstract:

Thyroid nodule is a common disease and frequently encountered disease in the endocrine system，is refers to the thyroid cells grow in the local anomalies caused by scattered lesions，thyroid nodule belongs to “ying disease” in traditional Chinese medicine （TCM） disease category. Professor CHEN Baogui believes that pathogenesis is a disorder of qi and blood，more factors，based on qi activity within its，disease in the gas more points at the beginning of a long illness，involving blood points，then dry injured yin，yin deficiency，hand into heat as inclusion. In clinical practice，liver depression and spleen deficiency，qi deficiency and blood stasis，phlegm and blood stasis intermingling，liver and kidney yin deficiency syndrome are common，and a variety of diseases and pathogenic factors are often combined，so flexible medication should be used in treatment.