【摘 要】 清代名医王清任重视人身之气血，认为气血不和则阴阳失调，百病乃生。气血不和是甲状腺结节的发病基础，瘀血是引起其进展的重要因素。文章基于《医林改错》中王清任有关气血理论的论述，结合其组方选药规律，指出甲状腺结节的治疗应重视气血，及早防治；当瘀血兼挟其他病理产物凝于颈前为病时，应针对瘀血虚实病机不同施以益气活血或理气活血；组方选药之时注意结合病位，寒热并用，顺势利导。通过探析王清任气血理论对甲状腺结节的诊疗价值，可拓宽甲状腺结节的临床治疗思路。

    【关键词】 甲状腺结节；王清任；气血理论；中医治疗

    【中图分类号】R228

    【文献标志码】 A 【文章编号】1007-8517(2024)20-0022-04

    DOI：10.3969/j.issn.1007-8517.2024.20.zgmzmjyyzz202420006

    Treatment of Thyroid Nodules Based on the Wang Qingren’s “Theory of Qi and Blood”

    SUN Xiaocong WANG Xu* SUN Xiaoxia

    Affiliated Hospital of Nanjing University of Traditional Chinese Medicine，Nanjing 210029，China

    Abstract：Wang Qingren，a famous doctor in the Qing Dynasty，attachs great importance to the Qi and blood of the human body.He believes that disharmony between Qi and blood would lead to imbalance between Yin and Yang，which would trigger all kinds of diseases.Disharmony between qi and blood is the basis of thyroid nodules，and blood stasis is an important factor causing their progression.Based on Wang Qingren’s discussion on the theory of Qi and blood in “Yi Lin Gai Cuo”，combined with his rules of prescription selection ......