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| 基于肺脾同调针刺治疗良性甲状腺结节新探 |
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华永琴1, 周凡超2, 郗亚薇3, 徐一菲4, 李翔1, 赵译奇5, 汤立新6
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1.北京市大兴区中西医结合医院针灸科, 北京 100076;2.中南大学湘雅二医院中医科, 湖南 410011;3.北京市房山区良乡医院针灸科, 北京 102401;4.首都医科大学附属北京积水潭医院针灸科, 北京 100035;5.北京中医药大学, 北京 100105;6.北京中医药大学东直门医院针灸科, 北京 100700
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| 摘要: |
| 良性甲状腺结节是临床常见病、多发病，文章紧扣“气滞、痰湿、血瘀”之病机，另辟蹊径，确定针灸治则治法，运用膻中皮刺法开胸调肺气，毫针扎跳开髋祛脾邪，局部皮内针和揿针组合围刺结节以祛瘀，通过不同针具和针刺方法配合使用，上下配穴相结合，临床疗效满意，现阐述如下，与飨同道。 |
| 关键词: 良性甲状腺结节 皮内针 揿针 围刺 浅刺法 扎跳针法 |
| DOI：10.11656/j.issn.1672-1519.2024.05.09 |
| 分类号:R581.3 |
| 基金项目: |
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| A new approach to the treatment of benign thyroid nodules based on lung and spleen homology acupuncture |
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HUA Yongqin1, ZHOU Fanchao2, XI Yawei3, XU Yifei4, LI Xiang1, ZHAO Yiqi5, TANG Lixin6
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1.Department of Acupuncture and Moxibustion, Beijing Daxing District Hospital of Integrated Chinese and Western Medicine, Beijing 100076, China;2.Department of Traditional Chinese Medicine, The Second Xiangya Hospital of Central South University, Changsha 410011, China;3.Department of Acupuncture and Moxibustion, Liangxiang Hospital of Beijing Fangshan District, Beijing 102401, China;4.Department of Acupuncture and Moxibustion, Beijing Jishuitan Hospital, Capital Medical University, Beijing 100035, China;5.Beijing University of Chinese Medicine, Beijing 100105, China;6.Department of Acupuncture and Moxibustion, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China
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| Abstract: |
| Benign thyroid nodule is a common and frequently occurring disease in clinical practice. In this paper，the pathomechanism of “qi stagnation，phlegm dampness and blood stasis” is closely followed，and a new approach is developed to determine the therapeutic principles and methods of acupuncture and moxibustion. Danzhong skin pricking method is used to open the chest and regulate lung qi， and the hip is pricked to dispel spleen pathogen through twitching achieved by filiform needle. A combination of local intradermal needle and press needle in the circumferential needling of nodules to remove blood stasis. By combining the use of different needles and acupuncture methods，as well as combining upper and lower point combination，the clinical efficacy is satisfactory，and now it is explained as follows，in the same way. |
| Key words: benign thyroid nodule intradermal needle press needle circumferential needling shallow needling method twitching needling method |
