| 高天,骆淳,李铭乐,黄平.基于SrTO探析当代中医名家论治甲状腺结节的学术特点[J].浙江中西医结合杂志,2025,35(5): |
| 基于SrTO探析当代中医名家论治甲状腺结节的学术特点 |
| Exploring the Academic Characteristics of Contemporary Famous TCM Experts in Treating Thyroid Nodule Based on SrTO |
| 投稿时间：2024-12-08 修订日期：2025-03-04 |
| DOI： |
| 中文关键词: 甲状腺结节 中医名家 学术特点 SrTO方法 |
| 英文关键词:thyroid nodule famous traditional Chinese medicine expert academic characteristics SrTO method |
| 基金项目:国家中医药管理局第三届国医大师传承工作室建设项目(国中医药办人教函[2018]119号)；浙江省黄平名老中医专家传承工作室(No.GZS2020024) |
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| 中文摘要: |
| 目的:探析当代中医名家论治甲状腺结节的学术特点,为规范化诊疗提供参考。方法:使用基于文本和专家意见的系统综述(systematic review of text and opinion,SrTO)方法,对当代中医名家论治甲状腺结节的学术思想、诊疗经验等相关文献进行系统梳理与证据整合,并从因机证治等方面分析其学术特点。结果:共纳入26名中医名家,60篇相关文献。研究发现,当代中医名家在传承共性的前提下又各有发挥,在甲状腺结节的诊治中展现出鲜明的学术特点:在病因上,多因并举,注重情志失调；在病机上,以气滞、痰凝、血瘀为核心,提出肝脾肾三脏功能失调、阴阳气机升降失常等理论；在辨证上,创立三结辨证、病脉证治等模式,强化分型与分期辨证；在治法上,以疏肝解郁、化痰散结、活血化瘀为主,结合扶正培本,标本兼治；在治疗上,以法统方,创新效方及丰富剂型,同时注重药对配伍,结合针灸、膏药等外治法综合调治,形成了系统化的诊治体系。结论:当代中医名家在甲状腺结节治疗中,通过病机细化、辨证创新、治法归纳及内外合治相结合,构建了严谨且富有特色的诊治体系,为提升疗效与理论发展提供了具体且可操作的参考。 |
| 英文摘要: |
| Objective:To explore the academic characteristics of contemporary famous traditional Chinese medicine (TCM) experts in treating thyroid nodule, and to provide references for standardized diagnosis and treatment.Methods:Using the Systematic Review of Text and Opinion (SrTO) method, this study systematically reviewed and synthesized evidence from relevant literature on the academic thoughts and clinical experiences of contemporary TCM experts in the treatment of thyroid nodules, analyzing their academic characteristics from the perspectives of etiology, pathogenesis, syndrome differentiation, and treatment.Results:A total of 26 TCM experts and 60 related studies were included. The research found that contemporary TCM experts, while inheriting common theoretical foundations, demonstrated unique approaches in treating thyroid nodules, showcasing distinct academic characteristics. In terms of etiology, they emphasized multiple causative factors, particularly emotional disturbance. For pathogenesis, they focused on "qi stagnation, phlegm coagulation, and blood stasis" as core mechanisms and proposed theories such as dysfunction of the liver, spleen, and kidney, as well as imbalance in the ascent and descent of qi and yin-yang. In syndrome differentiation, innovative models like "three-nodule differentiation" and "syndrome-pulse-disease-treatment" were developed, enhancing classification and stage-based diagnosis. In treatment, the main principles included soothing the liver, resolving phlegm, dispersing nodules, and invigorating blood circulation, supplemented by tonifying and harmonizing approaches to address both root and symptoms. Treatment also integrated systematic strategies, featuring innovative prescriptions, diverse formulations, and a focus on herbal pairings. Additionally, external therapies such as acupuncture and medicinal plasters were utilized to form a comprehensive treatment system.Conclusion:Contemporary TCM experts have established a rigorous and distinctive diagnostic and therapeutic system for thyroid nodules through refined pathogenesis theories, innovative syndrome differentiation, systematic treatment principles, and the combination of internal and external therapies. This system offers practical and actionable guidance for improving efficacy and advancing theoretical development. |
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