王旭辨治甲状腺结节的临床经验
WANG Xu's Clinical Experience on Treating Thyroid Nodules
DOI:10.13192/j.issn.1000-1719.2021.06.011
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1.南京中医药大学附属医院,江苏 南京 210029
2.南京中医药大学第一临床医学院,江苏 南京 210029
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张擎, 姚文强, 王旭. 王旭辨治甲状腺结节的临床经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.06.011
ZHANG Qing, YAO Wenqiang, WANG Xu. WANG Xu's Clinical Experience on Treating Thyroid Nodules[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.06.011
张擎, 姚文强, 王旭. 王旭辨治甲状腺结节的临床经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.06.011 DOI:
ZHANG Qing, YAO Wenqiang, WANG Xu. WANG Xu's Clinical Experience on Treating Thyroid Nodules[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.06.011 DOI:
总结王旭教授辨治甲状腺结节的临床经验。王旭教授认为甲状腺结节的病机特点主要为肝失条达,脾失健运,气滞、痰凝、血瘀搏结颈前;病位主要在肝脾两脏,与心肾胃相关;病理因素为气滞、痰凝、血瘀,且多兼夹虚证。临床辨证多结合辨病位、辨体质、辨病理因素、辨结节性质等全面考虑,并采用“复法复方”的治疗模式,施以调气三法、化痰五法、祛瘀三法和补虚四法综合论治。临证时重视权衡标本、三因制宜及生活调摄,治疗甲状腺结节疗效显著,值得推广。
It is to summarize professor WANG Xu's clinical experience in the treatment of thyroid nodules.Professor WANG Xu believes that the pathogenesis of thyroid nodule is mainly due to liver failing to soothe, spleen failing to transform and transport, phlegm coagulation and blood stasis in front of the neck.The disease location is mainly in the liver and spleen, related to the heart, kidney and stomach.The pathological factors are Qi stagnation, phlegm coagulation and blood stasis, and most of the patients have deficiency syndrome.The clinical syndrome differentiation is based on the comprehensive consideration of disease location, constitution, pathological factors and nodular nature, and the treatment mode of "complex methods and compound prescriptions" is applied.The comprehensive treatment includes three methods of regulating Qi, five methods of resolving phlegm, three methods of removing blood stasis and four methods of tonifying deficiency.In clinical practice, we should pay attention to the balance and harmony of root causes and manifestations, three factors and life adjustment.The curative effect of thyroid nodule is significant and it is worthy of popularizing.
甲状腺结节病因病机多重辨证王旭经验
thyroid noduleetiology and pathogenesismultiple-level syndrome differentiationWANG Xuexperience
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