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

JOURNAL OF BEIJING UNIVERSITY OF TRADITIONAL CHINESE MEDICINE ›› 2020, Vol. 43 ›› Issue (8): 702-705.doi: 10.3969/j.issn.1006-2157.2020.08.014

• Clinical Studies • Previous Articles    

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)

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

CLC Number: 

  • R265