Sheng Yan, Yan Hui-Xin, Zhou Yi-Fang, Sheng Can-Ruo
Department of Acupuncture-Moxibustion and Rehabilitation, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210029, Jiangsu Province, China.
Department of Tuina, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of TCM; School of Acupuncture-Moxibustion and Tuina, Changchun University of CM.
Zhongguo Zhen Jiu. 2022 Jul 12;42(7):811-4. doi: 10.13703/j.0255-2930.20210706-k0003.
The paper introduces professor -' experience in treatment of goiter with the combination of acupuncture and herbal medication. Professor believes that this disease is mostly related with emotional injury, improper diet and geographical and climatic factors, as well as body constitution. stagnation, phlegm retention, blood stagnation and interaction of phlegm and stasis are the essential pathogenesis of goiter. Either acupuncture or herbal medication should focus on "phlegm and stasis" in treatment. Besides, the theory of western medicine should also be considered. In western medicine, thyroid enlargement is classified into Ⅰ, Ⅱ and Ⅲ degrees of struma, thus, the pathogenesis and treatment with Chinese medicine should be adjusted accordingly. The created "four throat points", combined with acupuncture at distal points, relieve the local masses. The basic herbal formula is prepared and the couplet medicines are modified based on syndrome differentiation. The integrated acupuncture and herbal medication regulates emotions and provides a comprehensive treatment for goiter.
本文介绍了教授运用针灸与中药结合治疗甲状腺肿的经验。教授认为，本病多与情志内伤、饮食不节、地理气候因素以及体质有关。气滞、痰凝、血瘀以及痰瘀互结是甲状腺肿的基本病机。针灸或中药治疗均应着眼于“痰瘀”。此外，还应考虑西医理论。西医将甲状腺肿大分为Ⅰ、Ⅱ、Ⅲ度甲状腺肿，因此，中医的病机及治疗应相应调整。自创的“四关穴”，配合远端穴位针刺，可消散局部肿物。根据辨证论治拟定基本中药方剂，并对药对进行加减。针灸与中药结合可调节情志，为甲状腺肿提供综合治疗。
