First, medication.
1) type of liver depression and phlegm coagulation.
Main symptoms: emotional depression, choking in the pharynx, fullness in the front of the neck, soft as glue, smooth and round, ups and downs with the pharynx, chest tightness and hypochondriac distension, thin white or greasy tongue coating, red tongue and smooth pulse. Treatment: regulating qi to eliminate malnutrition, resolving phlegm and resolving hard mass.
Prescription: Jia Liu Sanjie Decoction. Rhizoma Cyperi 10g, Radix Curcumae 10g, Pericarpium Citri Reticulatae Viride 10g, Rhizoma Sparganii 10g, Rhizoma Curcumae 10g, Shā rotto Katakuri 15g, Semen Sinapis Albae 10g, and pumpkin.
For thyroid lumps with hard texture and long course of disease, peach kernel, ghost feather-cutting, stone-piercing, pangolin, frankincense, myrrh, etc. Or cuttlefish bone, calcined concha arcae, etc. Be added; If the stool is dry, you can reuse Trichosanthes kirilowii; Or adding raw rhubarb; For the elderly and infirm, or those who appear listless and pale after taking medicine, moxibustion is added with Radix Astragali, Radix Codonopsis, Radix Angelicae Sinensis, Rhizoma Polygonati, etc. During female menstrual period, Rhizoma Sparganii and Rhizoma Curcumae should be removed, and Radix Salviae Miltiorrhizae and Radix Paeoniae Rubra should be used instead.
Analysis: Rhizoma Cyperi, Radix Curcumae and Pericarpium Citri Reticulatae Viride in the prescription can soothe the liver and relieve depression and eliminate its etiology; Rhizoma Sparganii, Rhizoma Curcumae, Ruanxiaojie, Shā rotto Katakuri, and raw oyster are the main anti-cancer drugs, all of which are aimed at eliminating thyroid tumors. In addition, Semen Sinapis Albae, Fructus Trichosanthis, and Fructus Zagreb can not only soothe the liver and regulate qi, but also eliminate tumor and relieve stagnation. Therefore, the whole prescription can not only soothe the liver and regulate qi.
2) Phlegm and blood stasis type.
Indications: Neck scab, hard, round or oval, with clear boundary, which can be swallowed, accompanied by throat discomfort, chest tightness and suffocation, or irregular menstruation, thin and greasy fur, dark tongue and thready pulse.
Treatment: resolving phlegm and softening hard mass, promoting blood circulation and resolving hard mass.
Prescription: seaweed jade pot soup (authentic operation). Seaweed 10g, kelp 10g, dried tangerine peel 10g, Faxia 10g, Fritillaria 10g, Forsythia suspensa 10g, Angelica sinensis 10g, Chuanxiong/kloc. Fritillaria thunbergii 12g, Rhizoma Paridis 15g, Rhizoma Dioscoreae Septemlobae 15g, Rhizoma Arisaematis 10g.
For patients with chronic restlessness and red tongue, Cortex Moutan 10g, Fructus Gardeniae 10g, and Prunella vulgaris15g; Be added; Atractylodes macrocephala 10g and Dioscorea opposita 15g are added for mental fatigue and loose stool.
Analysis: Seaweed and kelp are the main iodine-containing drugs to eliminate malnutrition, tangerine peel, burnt buckwheat, poria cocos, Fritillaria and Rhizoma Arisaematis are phlegm-resolving drugs, angelica sinensis and Ligusticum wallichii are blood-activating drugs, Rhizoma Cyperi and Radix Curcumae are qi-regulating drugs, Fructus Forsythiae and Rhizoma Paridis are laxative drugs, and pangolin scales, Fritillaria thunbergii and Rhizoma Salviae Miltiorrhizae are phlegm-resolving and blood-activating drugs.
3) Blood stasis with gallstones.
Main symptoms: carbuncle in front of neck, hard as stone, difficulty in moving, malachite under chin, throat infarction, dysphagia, even hoarseness, emaciation, dull complexion, thin or little moss, purple tongue, visible ecchymosis, exposed blue veins under tongue and heavy pulse.
Treatment: promoting blood circulation and removing blood stasis, dispersing stagnation and eliminating symptoms.
Prescription: Xiaoying decoction [Shaanxi traditional Chinese medicine]1988; (7):293]。 Kelp, yam rhizome, seaweed 15g, Fritillaria 12g, Miaoshanjia, Zaocys dhumnades, Paris polyphylla 10g, oysters and honeysuckle 30g.
Rhizoma Arisaematis and Fructus Trichosanthis are added for patients with excessive phlegm; Fragrant fragrance is added to depressed people; Scolopendra and pruritus are added for patients with severe blood stasis; Radix Sophorae Tonkinensis is added to those who are toxic to heat.
Analysis: This prescription is specially designed for thyroid tumors. With kelp, seaweed, Dioscorea bulbifera and raw oyster as main drugs, supplemented by scabies, Fritillaria cirrhosa, pangolin scales, Zaocys dhumnades and Paris polyphylla, the curative effect of removing scabies is further enhanced. As for the prescription, add honeysuckle blindly to dredge collaterals and relieve pain. This prescription is the basic prescription, and it is clinically treated according to syndrome differentiation. For patients with qi stagnation, blood stasis and phlegm coagulation, auxiliary products are added to complement each other.
4) Yin deficiency and excessive fire.
Main symptoms: swelling in front of neck, dry throat, palpitation and irritability, red face, dry throat and bitter taste, hand shaking and insomnia, thin yellow tongue coating, or less red, and rapid pulse.
Treatment: nourishing yin and clearing heat, resolving phlegm and softening hardness.
Prescription: Qing Xin Ruan Jian Fang (Henan Traditional Chinese Medicine1991; (4):24)。 Spica Prunellae 20g, Glehnia littoralis 20g, Radix Paeoniae Alba 20g, Radix Rehmanniae 20g, Radix Asparagi 20g, Radix Ophiopogonis 20g, Bulbus Fritillariae Cirrhosae10g, Dendrobium officinale 20g, seaweed 20g, kelp15g, Dioscorea bulbifera10g, Bombyx Batryticatus 20g, earthworm 20g.
Dry mouth and thirst, add Polygonatum odoratum and reed root to the moss; Add Schisandra chinensis and plumula Nelumbinis for palpitation and restlessness; Cha Na loose stool plus Atractylodis Rhizoma, Poria and Fructus Amomi; Radix Codonopsis and Radix Astragali are added for fatigue.
Analysis: This prescription takes Prunella vulgaris, Dioscorea bulbifera, seaweed and kelp as the root cause, Adenophora adenophora, Radix Paeoniae Alba, Radix Rehmanniae, Radix Asparagi and Radix Ophiopogonis as the root cause, Bombyx Batryticatus and Lumbricus as the root cause, Fritillaria, Flos Lonicerae as the auxiliary, Ziziphus Spinosae Semen and Polygoni Multiflori as the treatment, which not only aims at its disease, but also takes care of its symptoms.
Second, acupuncture treatment.
1) body needle.
Local acupoint selection: fix the tumor with the thumb and forefinger of the left hand, insert the needle under the skin around the nodule, and then tilt the needle tip inward until it reaches the root of the nodule. According to the size of the nodule, * * * was stabbed 6 ~ 8 times. In addition, in the middle of the skin of the nodule, the needle is directly pierced into the bottom of the nodule. Be careful not to stab the recurrent laryngeal nerve.
Adjacent and distal acupoints: Tianzhu 3L 10, Daxie BL 1 1, Neiguan PC8 and Qugu RN2.
2) Yang needling.
Acupoints: Zuyangming Meridian Renhui ST9, air shed ST 1 1, water surge ST 10, and the center and periphery of gallbladder meridian.
Punch a needle vertically into the center of human body, air chamber, water needle and the top of gall, and then take a needle at 45 degrees around gall and insert it into the center. The depth is as deep as the center of the gall tumor, and it is not allowed to pierce the contralateral capsule wall. Leave the needle 1.5 ~ 20 minutes, and inject 1 time every three days, and 1 time is a course of treatment. 3) Ear point pilling.
Acupoints: Shenmen, liver, spleen, neck, thyroid, endocrine and stomach.
After finding the sensitive points in the acupoint area with a probe, the seeds of Vaccaria seed were glued to the sensitive points with adhesive tape. Patients are required to massage themselves 3-4 times a day, changing 1 time every 3-4 days, and changing the stickers in turn in both ears. 10 is 1 course of treatment.
4) Ear acupuncture.
Acupoint selection: Gently prick the above-mentioned points at six points, namely Shenmen, Subcortex, Lung, Throat and Neck, once a day, with 5 days as 1 course of treatment.
Third, medicated diet therapy.
1) Prunella vulgaris 60g, lean pork 100g. Stew with water and add seasonings such as salt.
2) 30g kelp, 30g coix seed, 3 eggs, proper amount of oil, salt and pepper. Soak kelp in clear water to remove the salty taste, cut it into strips, wash the job's tears, then put it in a pot and add water until the kelp and job's tears are rotten, beat in eggs, add oil, salt and pepper to serve, and cook the kelp and job's tears in soup.
3) Oyster meat 2 10g and kelp 50g. Swell kelp with water, wash, cut into filaments, cook in water until soft, add oyster meat, and season with salt and pig fat.
4) 60g clam meat with shell and 30g laver. After cooking, eat meat and vegetables and drink soup.
5) 7-8 dried marine moth fish, lean meat100g. Stew soup, eat soup, eat fish and eat meat.
6) 2g snakeskin, 1 egg. Break the egg into 1 hole, put it into snakeskin powder and seal it for later use. Take 1 tablet twice a day for 60 days.