摘要
“一气周流”源于中国古代哲学的“气一元论”和《黄帝内经》的阴阳气化理论,由黄元御的《四圣心源》正式提出,该书阐述了土枢四象、左升右降的一气周流理论。本文基于此理论探讨了甲状腺结节的辨治,认为甲状腺结节的发生发展实与其中的土虚气郁、肝肺失调密切相关,并结合现代研究证据论述土虚气郁、肝肺失调为甲状腺结节的重要病机。结合临床提出参考甲状腺超声弹性成像结果分期、分型治疗甲状腺结节,概括了分期分型辨治的临床用药,旨在恢复体内的“一气周流”。以期为临床辨治甲状腺结节提供新的诊疗思路。
The concept of"one qi peripheral flow"originates from the ancient Chinese philosophy of"qi monism"and the theory of yin and yang chi chemistry in the Yellow Emperor's Classic of Internal Medicine,and was formally proposed in Huang Yuanyu's The Origin of the Four Sacred Hearts,which elaborates on the theory of one qi circumference in which the earth pivots on four signs and the left rises and the right descends.Based on this theory,this paper discusses the diagnosis and treatment of thyroid nodules,believes that the development of thyroid nodules is closely related to the deficiency of the earth and qi,and the disorder of the liver and lungs,and combines the evidence of modern research to argue that the deficiency of the earth and qi,and the disorder of the liver and lungs are the important pathomechanisms of the thyroid nodules,proposes to refer to the results of ultrasound elasticity imaging of the thyroid gland for staging and typing treatment of thyroid nodules.It also summarizes the clinical use of medicines in different stages and types,aiming at estoring the"one qi peripheral flow"in the body,and provides a new diagnostic and therapeutic idea for the clinical diagnosis and treatment of thyroid nodules.
作者
宁洲俊
马知遥
刘玮
吴丽丽
秦灵灵
刘铜华
Ning Zhoujun;Ma Zhiyao;Liu Wei;Wu Lili;Qin Lingling;Liu Tonghua(The Second Clinical Medical School of Beijing University of Chinese Medicine,Beijing 100078,China;Institute of Chinese Medicine Health Preservation,Beijing University of Chinese Medicine,Beijing 100029,China;Department of Science and Technology,Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《世界科学技术-中医药现代化》
CSCD
北大核心
2024年第1期252-258,共7页
Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology
基金
新疆生产建设兵团科学技术局(外专局)、科协重大科技项目计划(2020AA005):新疆特色代谢性疾病道地药、民族药的创新研究与开发,负责人:刘铜华
关键词
一气周流
黄元御
甲状腺结节
土虚气郁
肝肺失调
One qi peripheral flow
Huang Yuanyu
Thyroid nodule
Earth deficiency and qi depression
Liver and lung disorders
