“气郁痰阻”型甲状腺结节的研究进展
Research Progress of Thyroid Nodules with “Qi Stagnation and Phlegm Obstruction”

甲状腺结节是一种常见的以颈部甲状腺肿大为主要特征的疾病，临床发现其与情绪的关系密切，随着现代社会生活压力的增加，甲状腺结节的发病率也逐年提升，影响人们的生活质量，因此应尽早防治。目前西医治疗甲状腺结节主要是定期随访观察、射频消融、手术和甲状腺激素类药物为主，不良反应较多。祖国医学对甲状腺结节认识广泛，认为其属中医瘿病范围，气滞、痰凝、血瘀是甲状腺结节的重要病机，治疗时运用疏肝理气，活血化瘀，化痰散结法，予以患者中药汤剂、针刺、外敷等治疗，在临床上具有改善甲状腺功能，缩小甲状腺结节体积，改善临床症状的作用。
Thyroid nodule is a common disease mainly characterized by neck goiter, which is clinically found to be closely related to emotions. With the increase of life pressure in modern society, the incidence of thyroid nodule is also increasing year by year, affecting people’s quality of life, so it should be prevented and treated as soon as possible. At present, Western medicine treats thyroid nodules mainly by regular follow-up observation, radiofrequency ablation, surgery and thyroid hormone drugs, and there are more adverse reactions. The Chinese medicine has a wide understanding of thyroid nodule, which belongs to the scope of gall disease of Chinese medicine. Qi stagnation, spittoon and blood stasis are the important pathogenesis of thyroid nodule. In the treatment, the method of soothing liver and regulating qi, promoting blood circulation and removing blood stasis, resolving phlegm and dispersing knot are used to treat patients with traditional Chinese medicine decoction, acupuncture and external application, which has the effect of improving thyroid function, reducing the volume of thyroid nodule and improving clinical symptoms.