Discussion on HUANG Yang-Mo's Thoughts for the Differentiation and Treatment of Nodular Goiter
Nodular goiter belongs to the category of"goiter disease"in the field of traditional Chinese medicine(TCM).Professor HUANG Yang-Mo believes that emotional disorders are the main pathogenic factor of nodular goiter,and the distribution of the symptoms is corresponding to the region along the liver meridian.Therefore,it is proposed that the treatment of nodular goiter can be carried out from the perspective of the treatment from the liver,and the therapy of soothing liver and regulating qi should be performed through the whole treatment process.Clinically,staging treatment and treatment based on syndrome differentiation are stressed,and the treatment follows the therapeutic principles of soothing liver and regulating qi,resolving phlegm and dissipating masses,activating blood and removing stasis.The patients in the early stage of nodular goiter are mostly manifested as qi stagnation and phlegm obstruction type and exuberance of stomach heat type,and can be treated with modified Sihai Shuyu Pills plus Xiaoluo Pills,White Tiger Decoction with Radix Ginseng plus Radix Ophiopogonis Decoction respectively.The patients in the middle stage are usually differentiates as phlegm blended with blood stasis type,and can be treated with modified Xiaoluo Pills plus Guizhi Fuling Pills.In the later stage,the patients are mostly manifested as the syndrome of deficiency of both qi and yin,and can be treated with modified Shengmai Powder plus Radix Ophiopogonis Decoction.Furthermore,special Chinese medicinals are selected based on the achievements of modern pharmacological research for actual needs.For example,Os Draconis and Concha Ostreae are used for inducing astringency;Fritillariae Thunbergii Bulbus,Scrophulariae Radix,Prunellae Spica,Ranunculi Ternati Radix,and Akebiae Fructus can be used for softening hardness and dissipating masses;Sparganii Rhizoma and Curcumae Rhizoma are used for activating blood and eliminating abdominal mass;Guangdong genuine medicinal materials such as Vaccariae Semen,Ilicis Asprellae Radix,and Litchi Semen are also adopted.The experience of Professor HUANG Yang-Mo in differentiating and treating nodular goiter will provide reference for the clinical application of Chinese medicine in the treatment of nodular goiter.
nodular goitergoiter diseasesoothing liver and regulating qiresolving phlegm and dissipating massesactivating blood and removing stasisSihai Shuyu PillsXiaoluo PillsGuizhi Fuling PillsHUANG Yang-Mo
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