主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2020, Vol. 43 ›› Issue (8): 702-705.doi: 10.3969/j.issn.1006-2157.2020.08.014

• 临床研究 • 上一篇    

甲状腺术后声音异常的中医辨治方法新探*

李黎靖1,2, 彭婧1, 曹丽双3, 夏仲元2#   

  1. 1 北京中医药大学 北京 100029;
    2 中日友好医院;
    3 北京市朝阳区望京社区卫生服务中心
  • 收稿日期:2020-04-04 出版日期:2020-08-30 发布日期:2020-08-27
  • 通讯作者: # 夏仲元,女,博士,主任医师,博士生导师,主要研究方向: 中西医结合诊治甲状腺、乳腺疾病,E-mail: 2718421708@ qq.com
  • 作者简介:李黎靖,女,在读硕士生
  • 基金资助:
    * 国家自然科学基金面上项目(No.81973855),首都特色临床应用研究项目( No.Z181100001718141)

New insights into TCM pattern differentiation and treatment of sound abnormality after thyroid surgery*

Li Lijing1,2, Peng Jing1, Cao Lishuang3, Xia Zhongyuan2#   

  1. 1 Beijing University of Chinese Medicine, Beijing 100029, China;
    2 China-Japan Friendship Hospital, Beijing 100029, China;
    3 Wangjing Community Health Service Center, Chaoyang District, Beijing 100102, China
  • Received:2020-04-04 Online:2020-08-30 Published:2020-08-27
  • Contact: Prof. Xia Zhongyuan, Ph.D., Chief Physician, Doctoral Supervisor. China-Japan Friendship Hospital. Yinghuayuan East Street, Chaoyang District, Beijing 100029. E-mail: 2718421708@ qq.com
  • Supported by:
    National Natural Science Foundation (No. 81973855), Beijing Featured Clinical Application Project (No. Z181100001718141)

摘要: 甲状腺术后声音异常是手术常见并发症,其中医辨治目前尚无统一认识。喉返神经损伤等原因引起的病症不同于传统的“喉喑”,中医的病因病机主要在于颈部经脉损伤,导致瘀阻喉窍、脏腑失和、声道失养。根据临床表现特点可分为风热痰瘀证、气阴两虚证、气郁阻滞证、瘀阻喉窍证进行辨证论治。同时还应针对疾病特点选方用药,重视调理瘀滞,活血通经;将开音专药分为宣透开音和敛肺开音类,根据病程长短分别选用。以期为本病的中医诊治提供新的思路与方法。

关键词: 甲状腺术后, 声音异常, 中医辨治

Abstract: Abnormal sound is a common complication after thyroid surgery. At present, there is no consensus on the TCM pattern differentiation or treatment methods. In this paper, it is proposed that such a disorder is caused by recurrent laryngeal nerve injury, different from “throat dysphonia” in traditional understanding. The main etiology and pathogenesis in TCM are interpreted as channel damage in the neck resulting in stasis blocking the throat and malnourishment of the vocal tract. According to the characteristics of its clinical manifestations, it can be divided into patterns of wind-heat-phlegm accumulation, qi-yin deficiency, qi stagnation, and stasis blocking the throat. On the basis of pattern differentiation, prescriptions and medicinals should be selected according to the characteristics of the specific condition, aiming at dissolving stagnation and stasis, activating blood and unblocking channels. The specialized medicinals to promote sound generation can be divided into diffusing and lung-astringing ones, and used according to the duration of the illness.

Key words: thyroid surgery, sound abnormality, TCM pattern differentiation and treatment

中图分类号: 

  • R265