首页|从《理虚元鉴》"伏火"理论谈甲状腺癌术后TSH抑制治疗诸证辨治

从《理虚元鉴》"伏火"理论谈甲状腺癌术后TSH抑制治疗诸证辨治

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甲状腺癌患者在术后通常需进行促甲状腺激素(TSH)抑制治疗,通过抑制激素的分泌,起到控制肿瘤复发转移的作用.但TSH抑制可出现亚临床甲亢,产生心慌、疲劳、失眠、烦躁、骨质疏松或关节疼痛等诸多症状.《理虚元鉴》"伏火"理论认为,伏火为"先动于气,久而渐着于形",与术后TSH抑制治疗诸证的发生密切相关.本文旨基于《理虚元鉴》"伏火"理论探讨甲状腺癌术后TSH抑制治疗诸证的病机特点及诊疗思路..
Mechanism discussion on the treatment of syndromes after postoperative TSH suppression therapy for thyroid cancer based on the theory of"latent fire"in Lixu Yuanjian
Thyroid cancer patients usually need to undergo thyroid hormone(TSH)suppression therapy after surgery,which can control tumor recurrence and metastasis by inhibiting hormone secretion.However,TSH suppression can lead to subclinical hyperthyroidism,resulting in panic,fatigue,insomnia,irritability,osteoporosis or joint pain and many other symptoms.According to the theory of"latent fire"in Lixu Yuanjian,latent fire"moves first in the pneuma,and gradually in the form over time",this is closely related to the occurrence of postoperative TSH suppression treatment.Therefore,based on the theory of"latent fire"in Lixu Yuanjian,this article aims to discuss the pathogenesis,diagnosis and treatment of syndromes after postoperative TSH suppression therapy for thyroid cancer.

Thyroid cancerTSH suppressionSubclinical hyperthyroidismLatent fire

王芷乔、高金辉、夏公旭

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江苏省南京市中西医结合医院中医外科,江苏南京 210014

湖北省陈氏瘿病学术流派传承工作室南京市中西医结合医院工作站,江苏南京 210014

江苏省南京市中西医结合医院治未病科,江苏南京 210014

甲状腺癌 TSH抑制 亚临床甲亢 伏火

江苏省南京市中医药青年人才培养计划江苏省南京市卫生科技发展专项资金

ZYQ20054YKK22187

2024

湖北中医药大学学报
湖北中医药大学

湖北中医药大学学报

CSTPCD
影响因子:0.873
ISSN:1008-987X
年,卷(期):2024.26(4)