许芝银教授应用柴胡疏肝散加减治疗甲状腺、乳腺疾病验案3则
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摘要
柴胡疏肝散具有疏肝理气、活血止痛之效果,可用于肝气郁结、胁肋疼痛、往来寒热等病症,许芝银教授根据多年临床经验,灵活运用其改方治疗证型相符的甲状腺、乳腺疾病,体现了中医学"异病同治"的特点,在临床上取得了良好的疗效。现列举许教授运用柴胡疏肝散治疗结节性甲状腺肿、Graves病、乳腺囊性增生验案3则,为临床上使用柴胡疏肝散治疗甲状腺、乳腺疾病提供参考。
Chaihu Shugan Powder has the effect of relieving liver and regulating qi,activating blood circulation and relieving pain,and can be used for liver qi stagnation,flank pain,and cold and heat embolism. Professor XU Zhiyin uses his prescriptions flexibly to treat syndromes that are consistent with thyroid and breast syndromes,in order to provide references in treating liver channel diseases,three cases were listed,including nodular goiter,Graves' disease,cystic hyperplasia of the breast,which reflected the thought of treating different diseases with the same method and syndrome differentiation,and summarized the experience of applying modified Chaihu Shugan Powder by Professor XU Zhiyin.
Chaihu Shugan Powder has the effect of relieving liver and regulating qi,activating blood circulation and relieving pain,and can be used for liver qi stagnation,flank pain,and cold and heat embolism. Professor XU Zhiyin uses his prescriptions flexibly to treat syndromes that are consistent with thyroid and breast syndromes,in order to provide references in treating liver channel diseases,three cases were listed,including nodular goiter,Graves' disease,cystic hyperplasia of the breast,which reflected the thought of treating different diseases with the same method and syndrome differentiation,and summarized the experience of applying modified Chaihu Shugan Powder by Professor XU Zhiyin.
引文
[1]张友杰.甲巯咪唑片联合柴胡疏肝散加减治疗甲状腺功能亢进症疗效观察[J].现代中西医结合杂志,2016,25(30):3354-3356.
[2]李春桂,苗桂珍,缪娟,等.柴胡疏肝散加减联合甲巯咪唑片治疗甲状腺功能亢进症49例临床观察[J].河北中医,2014,36(1):54-55.
[3]王聪,卞卫和,姚昶.许芝银教授治疗结节性甲状腺肿经验[J].南京中医药大学学报,2018,34(2):202-204.
[4]何秋芬,夏宛贤.中西医结合治疗甲状腺功能亢进症疗效观察[J].现代中西医结合杂志,2014,23(36):4016-4018.
[5]倪青,焦巍娜.Graves眼病的中西医结合治疗策略[J].中国临床医生杂志,2015,43(6):5-7.
[6]张晓军.柴胡疏肝散加味联合甲巯咪唑片治疗甲状腺功能亢进症疗效观察[J].现代中西医结合杂志,2017,26(30):3396-3399.
[7]姚沛雨,苏惠娟,李鹏辉.中医辨证论治联合甲硫咪唑治疗甲状腺功能亢进症临床疗效观察[J].四川中医,2016,35(8):132-135.
[8]张晋红,符文明.中西医结合治疗甲状腺功能亢进症近期疗效及远期复发率观察[J].中华中医药学刊,2013,31(12):2825-2827.
[9]吕少云.柴胡疏肝散随症加减用于乳腺增生治疗的可行性研究[J].内蒙古中医药,2016,35(8):20-21.
[10]王嘉悦.柴胡疏肝散加味治疗肝气郁结型乳腺肿块40例[J].河北中医药学报,2011,26(2):34.
[11]张素燚,李德辉,廖锐,等.从情志方面探讨乳腺增生病因病机[J].时珍国医国药,2013,24(1):175-176.
[12]胡克菲,郭琪,裴晓华,等.435例女性乳腺增生症影响因素的临床研究[J].中国实验方剂学杂志,2013,19(9):319-322.
[13]陈显春,蒋成刚,陈庆秋,等.675例乳腺增生女性患者的焦虑、抑郁情绪及其与生活事件和人格的关系研究[J].第三军医大学学报,2014,36(2):174-176.
[14]姚玲,段克姿,王瑞珍.焦虑、抑郁和运动与乳腺增生症相关性研究[J].中国妇幼保健,2013,28(29):4788-4789.
[15]倪新强,曹美群,吴正治,等.柴胡疏肝散的化学成分和药理作用研究进展[J].上海中医药杂志,2017,51(9):109-113.
[16]杨道迪,阎洪臣.柴胡疏肝散化裁治疗乳腺增生47例[J].实用中医药杂志,2013,25(10):822.
[2]李春桂,苗桂珍,缪娟,等.柴胡疏肝散加减联合甲巯咪唑片治疗甲状腺功能亢进症49例临床观察[J].河北中医,2014,36(1):54-55.
[3]王聪,卞卫和,姚昶.许芝银教授治疗结节性甲状腺肿经验[J].南京中医药大学学报,2018,34(2):202-204.
[4]何秋芬,夏宛贤.中西医结合治疗甲状腺功能亢进症疗效观察[J].现代中西医结合杂志,2014,23(36):4016-4018.
[5]倪青,焦巍娜.Graves眼病的中西医结合治疗策略[J].中国临床医生杂志,2015,43(6):5-7.
[6]张晓军.柴胡疏肝散加味联合甲巯咪唑片治疗甲状腺功能亢进症疗效观察[J].现代中西医结合杂志,2017,26(30):3396-3399.
[7]姚沛雨,苏惠娟,李鹏辉.中医辨证论治联合甲硫咪唑治疗甲状腺功能亢进症临床疗效观察[J].四川中医,2016,35(8):132-135.
[8]张晋红,符文明.中西医结合治疗甲状腺功能亢进症近期疗效及远期复发率观察[J].中华中医药学刊,2013,31(12):2825-2827.
[9]吕少云.柴胡疏肝散随症加减用于乳腺增生治疗的可行性研究[J].内蒙古中医药,2016,35(8):20-21.
[10]王嘉悦.柴胡疏肝散加味治疗肝气郁结型乳腺肿块40例[J].河北中医药学报,2011,26(2):34.
[11]张素燚,李德辉,廖锐,等.从情志方面探讨乳腺增生病因病机[J].时珍国医国药,2013,24(1):175-176.
[12]胡克菲,郭琪,裴晓华,等.435例女性乳腺增生症影响因素的临床研究[J].中国实验方剂学杂志,2013,19(9):319-322.
[13]陈显春,蒋成刚,陈庆秋,等.675例乳腺增生女性患者的焦虑、抑郁情绪及其与生活事件和人格的关系研究[J].第三军医大学学报,2014,36(2):174-176.
[14]姚玲,段克姿,王瑞珍.焦虑、抑郁和运动与乳腺增生症相关性研究[J].中国妇幼保健,2013,28(29):4788-4789.
[15]倪新强,曹美群,吴正治,等.柴胡疏肝散的化学成分和药理作用研究进展[J].上海中医药杂志,2017,51(9):109-113.
[16]杨道迪,阎洪臣.柴胡疏肝散化裁治疗乳腺增生47例[J].实用中医药杂志,2013,25(10):822.