李心爱 祁烁 陈晓珩

    [摘要] 结节性甲状腺肿在中医上称为“瘿病”，传统观点认为本病病机以气滞为先，痰瘀互结为主。对于本病辨证分型，不同地区专家学者意见不尽一致。但本病具有自身发生、发展及演变的规律，本病是在正气亏虚、脏腑功能失调的基础上，发生气滞、痰凝、血瘀而发病。甲状腺疾病常表现全身多系统受累，即病位在甲状腺，涉及全身多个系统，甲状腺与全身为一体，即“靥本相应”。本文将从病机、临床表现、治则方药出发，针对“靥本相应”理论治疗结节性甲状腺肿的学术思想进行阐述。

    [关键词] 结节性甲状腺肿;肝郁脾虚;靥本相应;瘿病

    [中图分类号] R259? ? ? ? ? [文献标识码] A? ? ? ? ? [文章编号] 1673-7210(2020)10(b)-0143-04

    [Abstract] Nodular goiter in traditional Chinese medicine is called “gall”. It is traditionally believed that the pathogenesis of this disease is based on qi stagnation， syndrome of intermingled phlegm and blood stasis is main pathogenesis. For the disease syndrome differentiation， experts and scholars in different areas have different opinions. However， this disease has its own law of occurrence， development and evolution. On the basis of deficiency of vital qi and dysfunction of Zang Fu organs， qi stagnation， phlegm coagulation and blood stasis occur. Thyroid diseases often involve multiple systems in the whole body， that is， the disease is located in the thyroid gland， involving multiple systems， and the thyroid gland is integrated with the whole body ......