首页|基于少阳枢机理论辨治甲状腺结节

基于少阳枢机理论辨治甲状腺结节

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甲状腺结节是内分泌系统的多发病和常见病之一,目前中医药治疗甲状腺结节已经凸显其临床疗效。本文参考医圣张仲景《伤寒论》治疗少阳病证思路,结合少阳枢机不利的病理特点,深入探讨甲状腺结节的病因病机,涵盖肝胆化火上炎、肝气郁结不舒、三焦输布障碍、胆火内扰神志、阳气闭郁不达等多个方面。基于少阳枢机理论,提出"和解少阳"作为总体治疗原则,具体治疗策略包括疏泄肝胆实火、疏肝行气解郁、温阳化气利水、清胆宁心安神、枢转阳气外达,旨在恢复少阳枢机的有序运转,最终达到消除病邪、恢复健康的目的。
Syndrome Differentiation and Treatment of Thyroid Nodules Based on Shaoyang Pivot Theory
Thyroid nodule is one of the frequently occurring and common diseases of the endocrine system.At present,traditional Chinese medicine has highlighted its clinical efficacy in treating thyroid nodules.This article refers to the idea of the treatment of Shaoyang syndrome in Treatise on Cold Pathogenic Diseases by ZHANG Zhongjing,the medical sage,incorporates the pathological characteristics of impaired Shaoyang pivot function and delves into the etiology and pathogenesis of thyroid nodules,encompassing aspects such as liver and gallbladder fire flaring upwards,liver qi stagnation,obstruction of the Sanjiao in fluid distribution,internal disturbance of gallbladder fire affecting the mind,and yang qi being blocked and unable to reach its desti-nation.Based on the theory of Shaoyang pivot function,the article proposes the holistic treatment principle of"reconciling Shaoyang".The specific therapeutic strategies include dredging excessive liver-gallbladder fire,soothing the liver and promoting qi flow to relieve stagnation,warming yang and transforming qi to facilitate water metabolism,clearing gallbladder fire to calm the mind,and pivoting yang qi to extend outward.The goal is to restore the orderly functioning of the Shaoyang pivot,thereby achieving the purpose of eliminating pathogenic factors and restoring health.

Shaoyang pivotthyroid nodulesTreatise on Cold Pathogenic Diseasesreconciling Shaoyangendocrine disease

赖素玉、王晓锋、李君毅、赵姿婷、任冰、曾译贤、阮梦怡、姜芸、孙泽元、廖代祥

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中国中医科学院广安门医院,北京 100053

少阳枢机 甲状腺结节 《伤寒论》 和解少阳 内分泌疾病

2024

山东中医杂志
山东中医药学会 山东中医药大学

山东中医杂志

CSTPCD
影响因子:0.431
ISSN:0257-358X
年,卷(期):2024.43(12)