[1]李宇思,刘 艺,李会敏,等.基于“因加而发”探讨甲状腺结节“结癌转化”防治[J].陕西中医,2024,(5):658-661.[doi:DOI:10.3969/j.issn.1000-7369.2024.05.019]
　LI Yusi,LIU Yi,LI Huimin,et al.Discussing the prevention and treatment of thyroid nodules nodule-cancer transformation transformation by view of traditional Chinese medicine “disease due to addition”[J].,2024,(5):658-661.[doi:DOI:10.3969/j.issn.1000-7369.2024.05.019]
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基于“因加而发”探讨甲状腺结节“结癌转化”防治
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2024年5期
页码:
658-661
栏目:
学术探讨
出版日期:
2024-05-05

文章信息/Info

Title:
Discussing the prevention and treatment of thyroid nodules nodule-cancer transformation transformation by view of traditional Chinese medicine “disease due to addition”
作者:
李宇思1; 刘 艺1;  李会敏1;  任 静2;  魏军平1
(1.中国中医科学院广安门医院,北京 100053; 2.北京中医药大学,北京 100053)
Author(s):
LI Yusi; LIU Yi; LI Huimin; REN Jing; WEI Junping
(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)
关键词:
甲状腺结节;  因加而发;  结癌转化;  病机;  治未病;  防治
Keywords:
Thyroid nodules;  Disease due to addition;  Nodule-cancer transformation;  Pathogenesis;  Treating diseases before they occur;  Prevention and treatment
分类号:
R 581.3
DOI:
DOI:10.3969/j.issn.1000-7369.2024.05.019
文献标志码:
A
摘要:
甲状腺结节可归于中医学“瘿病”“瘿瘤”等范畴,其基本病机为正气虚损,邪毒瘀滞。究甲状腺结节结癌转化之变,实为本元亏虚的基础上,新邪惑乱诱发痰凝、气滞、血瘀、毒结等故邪作祟,结聚颈前,破坏正邪平衡,正气无力驱邪外出,久羁为患,变生癌浊,日久发为癌瘤。“因加而发”发病理论不仅包括多因素累加导致疾病发生,亦注重邪正交互的作用,与甲状腺结节的发生发展具有相同之处。在“因加而发”理论指导下,探讨中医“治未病”的优势,将甲状腺结节治疗窗口前移,攻邪于毒未鸱张亢盛之时,扶正于正气尚未衰败之际,延缓甲状腺结节癌变进程,为临床中西医结合防治甲状腺结节结癌转化提供思路。
Abstract:
Thyroid nodules can be classified into the categories of “gall disease”“gall tumor”and other categories in traditional Chinese medicine,the basic pathogenesis is deficiency of vital energy and stagnation of pathogenic toxins.Exploring the nodule-cancer transformation,on the basis of the deficiency of the original element,the new evil causes confusion and induces phlegm coagulation,qi stagnation,blood stasis,toxin accumulation,and other pathogenic factors,disrupt the balance between good and evil,zhengqi is unable to expel evil when going out,and prolonged confinement can lead to cancer and turbidity,leading to the development of cancerous tumors over time.The theory of “Disease due to addition” not only includes the accumulation of multiple factors leading to the occurrence of the disease,but also emphasizes the interaction between evil and positive factors,which shares similarities with the occurrence and development of thyroid nodules.Under the guidance of the theory of “arising from addition”,fully utilize the advantages of traditional Chinese medicine in “treating diseases before they occur”,and move the treatment window for thyroid nodules forward.Attack the poison before the cockroach becomes overpowering,and support the righteous qi before it decays,to slow down the progression of thyroid cancer and provide ideas for the prevention and treatment of thyroid nodules nodule-cancer transformation through the combination of traditional Chinese and western medicine in clinical practice.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金资助项目(81573961); 首都卫生发展科研专项-自主创新课题(首发2020-2-4154); 中国中医科学院中央级公益性科研院所基本科研业务费业务专项(ZZ11-030,ZZ15-XY-PT-13)
更新日期/Last Update: 2024-05-09