[1]张莉,李京涛,丁琳译,等.基于“肝主气机”理论探讨黄元御长安学术流派辨治甲状腺结节合并乳腺结节[J].陕西中医,2026,(6):809-813.[doi:DOI:10.3969/j.issn.1000-7369.2026.06.016]
　ZHANG Li,LI Jingtao,DING Linyi,et al.Exploration of the HUANG Yuanyu Chang’an School’s approach to treating thyroid nodules complicated with breast nodules based on the theory of “the liver governing qi movement”[J].,2026,(6):809-813.[doi:DOI:10.3969/j.issn.1000-7369.2026.06.016]
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基于“肝主气机”理论探讨黄元御长安学术流派辨治甲状腺结节合并乳腺结节

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2026年6期
页码:
809-813
栏目:
长安医学
出版日期:
2026-06-05

文章信息/Info

Title:
Exploration of the HUANG Yuanyu Chang’an School’s approach to treating thyroid nodules complicated with breast nodules based on the theory of “the liver governing qi movement”
作者:
张莉1; 李京涛2; 丁琳译3; 毛明华3; 郝建梅3; 杨震3
（1.陕西中医药大学，陕西 咸阳 712046；2.陕西中医药大学附属医院，陕西 咸阳 712000；3.陕西中医药大学西安附属医院肝病科，陕西 西安 710021）
Author(s):
ZHANG Li1; LI Jingtao2; DING Linyi3; MAO Minghua3; HAO Jianmei3; YANG Zhen3
(1.Shaanxi University of Chinese Medicine,Xianyang 712046,China;2.Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang 712000,China;3.Department of Hepatology,Xi’an Affiliated Hospital of Shaanxi University of Chinese Medicine,Xi’an 710021,China)
关键词:
甲状腺结节; 乳腺结节; 肝主气机; 疏肝调气; 黄元御
Keywords:
Thyroid nodules; Breast nodules; The liver governing qi movement; Soothing the liver and regulating qi; HUANG Yuanyu
分类号:
R 581.9
DOI:
DOI:10.3969/j.issn.1000-7369.2026.06.016
文献标志码:
A
摘要:
甲状腺结节和乳腺结节是常见的内分泌疾病，二者在女性中存在一定程度的共病关联，且患病率持续攀升。西医治疗结节类疾病多以手术为主，属有创治疗，但甲状腺结节术后部分患者需终身服药，临床应用存在一定局限性；乳腺结节常为多发性，手术难以根除。该类疾病归属中医学“瘿病”“乳癖”范畴。黄元御长安学术流派的创建者杨震教授，基于“肝主气机”理论，认为其多因情志不畅，肝失疏泄，气机郁滞，导致气郁、痰凝、瘀血阻结肝经而发病。临证以疏调肝气复升降，疏肝解郁散痰结，疏通气血复周流为大法，局部与整体相结合论治，有效控制甲状腺和乳腺结节的发生发展，改善预后，为结节类疾病的中医辨治提供新的思路与方法。
Abstract:
Thyroid nodules and breast nodules are common endocrine disorders that are comorbid in the female population,with their prevalence continuously increasing.In western medicine,surgical excision remains the primary treatment for nodular diseases;however,this approach is invasive and has certain limitations in clinical practice.So-me patients with thyroid nodules require lifelong medication after surgery,while breast nodules are often multiple and difficult to eradicate surgically.These conditions fall within the categories of “ying bing” (thyroid nodules) and “ru pi” (breast nodules) in traditional Chinese medicine (TCM).Professor YANG Zhen,the founder of the HUANG Yuanyu Chang’an Academic School,drawing on the theory of “the liver governing qi movement”,posits that these conditions primarily arise from emotional distress,which leads to liver dysfunction in governing free coursing and subsequent stagnation of qi movement,further resulting in qi stagnation,turbid phlegm,and blood stasis that accumulate and obstruct the liver meridian.In clinical practice,the therapeutic principles focus on soothing the liver to re-store the ascending and descending of qi,relieving liver depression and dissipating phlegm nodules,and unblocking qi and blood to restore their free flow.By integrating local treatment with systemic regulation,this approach effectively controls the development and progression of thyroid and breast nodules,improves prognosis,and provides new insights and methods for TCM pattern-based differentiation and treatment of nodular diseases.

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备注/Memo

备注/Memo:
国家自然科学基金资助项目(81603612)；黄元御长安学术流派传承工作室项目（陕中医药发〔2018〕40号）；杨震国医大师传承工作室建设项目(国中医药办人教函〔2022〕245号)；西安英才计划菁英(创新人才)项目（XAYC240065)；国家中医优势专科建设项目(国中医药医政函〔2024〕90号)
更新日期/Last Update: 2026-06-11