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中医药治疗甲状腺癌术后之临床体会

发布时间:2018-06-26 22:04

  本文选题:甲状腺癌 + 术后 ; 参考:《中国中医基础医学杂志》2017年07期


【摘要】:近年来甲状腺癌的发现率明显升高,甲状腺癌术后人群也随之显著增多。患者存在诸多西医药无法解决的临床不适症状,临床治疗表明中医药辨证论治在改善甲状腺癌术后各种临床不适症状方面优势显著。经过我们多年的临床观察,总结出甲状腺癌术后的病因有肝气郁结、饮食失调、手术损伤、碘及激素治疗等,病机为本虚标实,标实以气郁、痰阻、血瘀、热毒为主,本虚包括气血阴阳俱虚。临床证候主要有风热犯表证、肝火旺盛证、气郁痰阻证、气滞血瘀证、气阴两虚证、气血两虚证、阴阳两虚证、瘀毒阻滞证等,现将我们的临床经验作一总结。
[Abstract]:In recent years, the detection rate of thyroid cancer has increased significantly, and the number of postoperative thyroid cancer has also increased significantly. There are many clinical symptoms that can not be solved by western medicine. The clinical treatment shows that TCM treatment based on syndrome differentiation has a significant advantage in improving all kinds of clinical discomfort symptoms after operation of thyroid carcinoma. After many years of clinical observation, we concluded that the causes of thyroid cancer after operation are liver qi stagnation, eating disorder, surgical injury, iodine and hormone therapy, etc. The pathogenesis of thyroid cancer is based on deficiency and solid, and the standard solid is qi depression, phlegm obstruction, blood stasis, heat toxin, etc. This deficiency includes deficiency of qi, blood, yin and yang. The clinical syndromes mainly include the syndrome of wind and heat, the syndrome of liver-fire exuberance, the syndrome of qi stagnation and phlegm obstruction, the syndrome of qi stagnation and blood stasis, the syndrome of qi and yin deficiency, the syndrome of deficiency of qi and blood, the syndrome of deficiency of yin and yang, the syndrome of stagnation of blood stasis and so on.
【作者单位】: 河南中医药大学第一临床医学院;河南中医药大学第一附属医院;国家中医药管理局湖北陈氏瘿病学术流派传承工作室河南工作站;
【基金】:河南省科技创新杰出青年资助项目(174100510022)-甲状腺癌患者手术、碘131治疗后中医证候研究
【分类号】:R273

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1 包薇萍;夏连垂盆汤治疗甲亢伴肝功能异常临床研究[D];南京中医药大学;2011年

2 鲍玉晓;清肝消瘿方治疗Graves眼病肝火旺盛证的临床研究[D];南京中医药大学;2009年



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