Syndrome Differentiation and Treatment of Thyroid Multiple Nodules in TCM

Traditional Chinese medicine classifies thyroid diseases as "gall tumor", and its causes are deficiency of body yin, deficiency of kidney yin, lack of water and gloomy liver knot. On this basis, he suffered from emotional disorder and mental trauma again. The Ancient Pharmacopoeia "Nine Volumes of Acupuncture Classics"-"Lingshu" belongs to the category of "scabies". In On the Causes and Symptoms of Various Diseases, it is said that "scabies are caused by anxiety and qi stagnation". "Lu's Spring and Autumn Annals" is "a shallow place, bald and embarrassing". Ge Hong's The Elbow Queen in Jin Dynasty first talked about seaweed and kelp treating gall disease. In Qian Jin Fang Yao written by Sun Simiao in the Tang Dynasty, acupuncture and acupoint selection for diseases such as gall were discussed respectively, and many specific prescriptions were recorded in the book, such as seaweed, kelp, sheep oyster and so on. In Ming Dynasty, Chen Shigong pointed out that the main pathology of scabies was qi stagnation and phlegm stasis: "The wife caused scabies, not the stagnation of yin and yang, but the stagnation of blood stasis, turbidity and phlegm in the five internal organs." It shows that Chinese medicine has long recognized the influence of emotional and spiritual factors on the onset. Emotional depression, liver depression into fire, if the original constitution is liver and kidney yin deficiency, it is easier to turn the fluid into phlegm, stagnate in the meridians, and form a gall tumor. Its representative ancient prescriptions are: Jiasan, Cao Jing ointment, etc.

Prescription: Radix Astragali, Radix Polygoni Multiflori, Concha Ostreae (fried first), Herba Hedyotidis Diffusae each 30g, Atractylodis Macrocephalae, Shā rotto Katakuri, Nidus Vespae, Radix et Rhizoma Rhei and Radix Sophorae Flavescentis each 65438 02g, Poria, Prunella Spica, Rhizoma Dioscoreae, Radix Scrophulariae, Scutellariae Barbatae, Carapax Trionycis preparata and Coicis Semen each 65438 05g to prepare Pinellia. Daily 1 dose, decocted in water twice.

Efficacy: 1 case of advanced thyroid cancer with lymph node metastasis, surgery plus radiotherapy, the effect is not ideal. After taking this prescription for two and a half months, the symptoms disappeared and the lump shrank. After taking it for half a year, the lump disappeared and the drug was stopped. No recurrence for more than 4 years.

Fiona Fang: Yang Jun: TCM cured 1 case of advanced papillary thyroid carcinoma. China medical journal (1)

Recipe: ① 30g of Acanthopanax Senticosus, 30g of red leaves, 30g of wild fruits, 20g of dog liver and 6 jujubes, with water instead of tea.

② Hayes Pill: Seaweed, conch, clam powder, cuttlebone, kelp, gentian root and Aristolochia root are ground into honeyed pills (1 pill 3 yuan) or tablets. Take one tablet twice a day. Main symptoms: swelling in front of the neck, palpable nodules, tenderness, swelling of the neck, chest tightness, discomfort, depression, swelling of the breast in front of the neck, or nodules or lumps in the breast, pale tongue, thin white fur and thready pulse.

Treatment: regulating qi and relieving depression, resolving phlegm and resolving malnutrition. The main symptoms are: no pain, obesity, mental fatigue, chest tightness, abdominal distension, loss of appetite, or loose stool, loose leucorrhea, fat and light tongue, white or greasy fur, and deep and thin pulse.

Treatment: invigorating qi and spleen, resolving phlegm and resolving stagnation. Main symptoms: germplasm should be hard for a long time, accompanied by chest tightness and anorexia. Women may have irregular menstruation, or dark menstruation, or blood clots, pale or purplish tongue, or blood stasis, white and thin coating, thin and astringent pulse.

Treatment: regulating qi and promoting blood circulation, resolving phlegm and eliminating malnutrition. Main symptoms: Scabies is large, often found unintentionally or by others, without any conscious symptoms, and abnormal tongue pulse.

Treatment: regulating qi and resolving phlegm, softening and resolving hard mass.