中医内治法治疗甲状腺结节的临床研究进展

Clinical Research Progress of TCM Internal Treatment for Thyroid Nodules

摘要: 文章从肝、脾、肝脾、痰瘀、气阴以及消法、通调法、苦辛合用法等方面阐述中医内治法治疗甲状腺结节的研究进展。甲状腺结节不仅影响颈部外观，而且结节若压迫邻近组织可引起声音嘶哑、吞咽困难等症状，甚至发生恶变可能。中医内治法治疗甲状腺结节不仅可以缩小甲状腺结节体积，改善全身症状，而且相较于西医治疗不良反应小，临床安全有效，值得推广应用。但多属医家经验用药，无统一辨证标准，中医处方药理机制不甚明确。今后的研究中，应多补充大样本、高质量的临床随机对照试验，加长随访周期，不断完善甲状腺结节的中医诊断和治疗标准，为中医药治疗甲状腺结节提供新方法。

Abstract: This paper expounds on the research progress of TCM internal therapy in the treatment of thyroid nodules from the aspects of liver, spleen, liver and spleen, phlegm and blood stasis, qi and Yin as well as the elimination method, regulating method and bitter and bitter combination method. Thyroid nodules not only affect the appearance of the neck, but also cause hoarseness, dysphagia and other symptoms if the nodules compress adjacent tissues, and even malignant transformation may occur. TCM internal treatment of thyroid nodules can not only reduce the volume of thyroid nodules, improve the general symptoms, but also compared with western medicine treatment of small adverse reactions, clinical safety and effectiveness, worthy of promotion and application. However, most of the drugs are used by doctors’ experience, there is no unified syndrome differentiation standard, and the pharmacological mechanism of traditional Chinese medicine prescription is not very clear. In future studies, more large-sample, high-quality randomized controlled clinical trials should be added, the follow-up period should be extended, and the TCM diagnosis and treatment standards of thyroid nodules should be constantly improved, so as to provide a new method for TCM treatment of thyroid nodules.