实用中医内科杂志2026，Vol.40Issue(1)：33-36,4.DOI:10.13729/j.issn.1671-7813.Z25032603
基于"少阳为枢"理论探讨柴胡类方治疗甲状腺结节
Based on the Theory of"Shaoyang as the Pivot"to Explore the Treatment of Thyroid Nodules with Chaihu-Based Formulas
摘要
Abstract
The theory of"Shaoyang as the pivot"was first seen in the"Huangdi Neijing".Shaoyang is the pivot of the three yang meridians,regulating the yang qi.The normal operation of the Shaoyang pivot ensures the smooth flow of qi,blood,and body fluids and the harmonious functioning of the internal organs.If it is not smooth,qi circulation will be blocked,blood and qi will stagnate,and the metabolism of body fluids will be abnormal.Thyroid nodules are one of the common diseases in the endocrine system.In the pathogenesis of thyroid nodules,the dysfunction of the Shaoyang pivot is the key pathogenesis.Emotional distress and liver Qi stagnation lead to the failure of the Shaoyang pivot to be unobstructed,resulting in the poor circulation of qi,blood,and body fluids,and the accumulation of phlegm and blood stasis in the neck,causing thyroid nodules.The treatment should focus on harmonizing Shaoyang and promoting the smooth operation of the pivot.In clinical practice,Chaihu-based formulas are used.Chaihu-based formulas mainly aim to harmonize Shaoyang,enabling the Shaoyang pivot to rotate normally and thus causing the nodules to dissipate.This provides a new perspective and approach for the clinical diagnosis and treatment of thyroid nodules.关键词
甲状腺结节/少阳为枢/柴胡类方/理论探讨/中医药治疗Key words
thyroid nodules/Shaoyang as the pivot/bupleurum-based prescriptions/theoretical discussion/traditional Chi-nese medicine treatment分类
医药卫生引用本文复制引用
王静,刘媛媛,赵悦,张家瑞,高静,庞敏..基于"少阳为枢"理论探讨柴胡类方治疗甲状腺结节[J].实用中医内科杂志,2026,40(1):33-36,4.基金项目
国家重点研发计划资助项目(2018YFC1704100) （2018YFC1704100）
中国中医药信息学会研课题项目(CACMS-KY-2024042) （CACMS-KY-2024042）
辽宁省自然科学基金联合基金项目面上资助计划项目(2023-MSLH-145) （2023-MSLH-145）
