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瘿病的病因病机及治疗原则初探 被引量:14

A preliminary study of the etiology,pathogenesis,and therapeutic principles of Yingbing
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摘要 中医学"瘿病"是现代医学所有甲状腺疾病的总称。归纳其病因病机有水土因素、体质因素、情志内伤、感受外邪四个方面。根据古代文献将其分为四类。气瘿类似西医单纯甲状腺肿,治疗多以昆布散、海藻散等;肉瘿类似西医的甲状腺腺瘤或囊肿,治疗多以海藻玉壶汤加减;瘿痈类似西医的甲状腺炎,多以疏肝清热、化痰散结为治疗法则,脓已成者则需切开排脓,脓尽后外用生肌散;石瘿类似西医的甲状腺癌,宜早期手术切除。 The term "Yingbing"in traditional Chinese medicine is the collective term for thyroid diseases in modern medicine. Its etiology and pathogenesis are summarized as the following four factors: natural environment and climate,constitution,internal injuries caused by seven emotions,and external injuries. Yingbing are classified into four categories according to the ancient literature: Qiying is similar to simple goiter in Western medicine and is often treated by Kunbusan and Haizaosan; Rouying is similar to thyroid adenoma or cysts by modified Haizao Yuhu Decoction; Yingyong is similar to thyroiditis in Western medicine and is often treated with the principles of soothing the liver,clearing heat,resolving phlegm,and resolving static blood,with incision and drainage performed for patients with the formation of pus and Shengjisan applied topically after pus is expelled; Shiying is similar to thyroid cancer in Western medicine and should be treated by surgical resection as early as possible.
作者 陈旭冯 许斌
机构地区 辽宁中医药大学
出处 《湖南中医杂志》 2015年第12期3-5,共3页 Hunan Journal of Traditional Chinese Medicine
基金 国家重点基础研究发展计划(973计划)资助项目(编号:2013CB532004-3-1)
关键词 气瘿 肉瘿 瘿痈 石瘿 病因病机 Ying Qiying Rouying Yingyong Shiying etiology and pathogenesis
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参考文献3

  • 1李曰庆.中医外科学[M].北京:中国中医药出版社,2007:126-127.
  • 2赵进喜,邓德强,王新歧.甲状腺疾病相关中医病名考辨[J].陕西中医学院学报,2005,28(4):1-3. 被引量:39
  • 3吴孟超,吴在德.黄家驷外科学[M].北京:人民卫生出版社,2008:1832-1835.

二级参考文献2

  • 1方药中 邓铁涛 李克光.实用中医内科学[M].上海:上海科学技术出版社,1997.475-486.
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