[1]钟洁媚,吕 雄,曾凤珊,等.基于“气血肝脾”理论论述吕雄教授治疗良性甲状腺结节经验[J].陕西中医,2022,(2):240-243.[doi:DOI:10.3969/j.issn.1000-7369.2022.02.024]
　ZHONG Jiemei,LYU Xiong,ZENG Fengshan,et al.Professor LYU Xiong's experience in treating benign thyroid nodule based on the theory of “qi,blood,liver and spleen”[J].,2022,(2):240-243.[doi:DOI:10.3969/j.issn.1000-7369.2022.02.024]
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基于“气血肝脾”理论论述吕雄教授治疗良性甲状腺结节经验
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2022年2期
页码:
240-243
栏目:
名中医经验
出版日期:
2022-02-05

文章信息/Info

Title:
Professor LYU Xiong's experience in treating benign thyroid nodule based on the theory of “qi,blood,liver and spleen”
作者:
钟洁媚1; 吕 雄2; 曾凤珊1; 许婉雯1
(1.广州中医药大学,广东 广州 510405; 2.广东省第二中医院,广东 广州 510095)
Author(s):
ZHONG Jiemei; LYU Xiong; ZENG Fengshan; XU Wanwen
(Guangzhou University of Chinese Medicine,Guangzhou 510405,China)
关键词:
“气血肝脾”理论;  气滞血瘀;  血郁;  良性甲状腺结节;  瘿病;  调肝理脾
Keywords:
The theory of “qi; blood; liver and spleen”;  Qi stagnation to blood stasis;  Blood stagnation;  Benign thyroid nodule;  Gall disease;  Soothing the liver and invigorate the spleen
分类号:
R 259
DOI:
DOI:10.3969/j.issn.1000-7369.2022.02.024
文献标志码:
A
摘要:
吕雄教授基于气血、肝脾相互之间的关系,结合多年临床经验,形成了自成体系的“气血肝脾”理论,认为气血相依,从气滞发展到血瘀的过程应重视“血郁”这一中间病理状态,气血病变的治疗当以调气为先,通过肝脾同治以达到利气行血之目的。基于“气血肝脾”理论,吕雄教授在甲状腺结节的诊疗过程中,认为本病的发生与气血肝脾的功能失调密切相关,良性病变多属气滞血郁。早期以气滞为主,称“气结”; 病情迁延则发展为血郁,称“血结”,治疗时均以理气为先,调血次之,临床上常用玄麦甘桔汤合四逆散加减,通过调和肝脾气血,改善甲状腺局部的气滞血郁状态,从而使甲状腺结节缩小甚至消失。
Abstract:
Based on the relationship between qi and blood,liver and spleen as well as a wealth of clinical practice,Professor LYU Xiong put forward the theory of “qi,blood,liver and spleen”.It holds that qi and blood depend on each other,and there exists an intermediate pathological state that can't be ignored entitled “blood stagnation” in the process from qi stagnation to blood stasis.While treating qi and blood disease,emphasis should be laid on the regulation of qi.One can improve qi stagnation and promote blood circulation via treating liver and spleen.Based on this theory,Professor LYU considered that the occurrence of thyroid nodule was closely related to the dysfunction of qi,blood,liver and spleen.The benign lesions of this disease were mainly about qi and blood stagnation.In the early stage of the disease,qi stagnation took the lead,which called “qi-knot”,and it developed into blood stagnation as the disease progressed,which named “blood-knot”.Qi regulation was put in a more important position than blood adjustment during the whole healing process.Xuanmai Ganjie and Sini decoction were often used to harmonize qi,blood,liver and spleen when treating benign thyroid nodule.

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备注/Memo

备注/Memo:
基金项目:国家中医药管理局全国名老中医药专家传承工作室[(2013)47号]; 广州市科技计划项目(201904010194)
更新日期/Last Update: 2022-02-09