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齐元富辨治甲状腺癌术后经验

Experience of QI Yuanfu in Diagnosis and Treatment of Thyroid Cancer After Surgery

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【作者】 王皓月夏蕾齐元富

【Author】 WANG Haoyue;XIA Lei;QI Yuanfu;Shandong University of Traditional Chinese Medicine;Affiliated Hospital of Shandong University of Traditional Chinese Medicine;

【机构】 山东中医药大学山东中医药大学附属医院山东中医药大学附属医院内科山东中医药大学附属医院肿瘤科

【摘要】 齐元富教授认为甲状腺癌为本虚标实之病,是在人体正气不固、邪毒结聚的基础上,由颈前气滞、痰凝、血瘀日久而导致。齐教授临证总结出甲状腺癌术后常见的四种证型:肝郁气滞证、痰湿结聚证、痰瘀互结证、气阴两虚证。分别以疏肝行气、健脾化痰、散瘀解毒、益气养阴法治之,处方分别选择逍遥散、参苓白术散、消瘰丸、生脉散加减。附验案一则。

【Abstract】 Professor QI Yuanfu believes that thyroid cancer is a disease characterized by deficiency in origin and excess in superficiality. On the basis of insufficient healthy qi and accumulation of pathogenic toxin,the disease is caused by qi stagnation,phlegm coagulation and blood stasis in the neck for a long time. According to the clinical experience,Professor QI summarizes the following four syndrome types of thyroid cancer after surgery:liver depression and qi stagnation syndrome,phlegm dampness accumulation syndrome,combined phlegm and blood stasis syndrome,deficiency of both qi and yin syndrome,and treats them with the methods of soothing liver and promoting qi circulation,strengthening the spleen and resolving phlegm,dissipating blood stasis and removing toxin,and replenishing qi and nourishing yin,respectively. The corresponding prescriptions are Xiaoyao Powder(逍遥散),Shenling Baizhu Powder(参苓白术散 ),Xiaoluo Pill(消瘰丸 ),and Shengmai Powder(生脉散),which can be modified according to the symptoms. A proved case is listed.

【基金】 山东省中医药科技发展计划项目(编号:2019-0067)
  • 【文献出处】 山东中医杂志 ,Shandong Journal of Traditional Chinese Medicine , 编辑部邮箱 ,2023年03期
  • 【分类号】R249;R273
  • 【下载频次】55
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