Because thyroid nodules involve almost all thyroid diseases, all thyroid diseases may exist in the form of lumps. Due to different pathogenic factors, the symptoms and signs caused are different for individuals with different physical constitutions. Therefore, it is impossible to achieve the purpose of prevention with one method. So, what do old doctors have to treat thyroid nodules? What does the old doctor know about treating thyroid nodules? How does the old doctor treat thyroid nodules? Regarding the dialectical clinical diagnosis of this disease, different medical institutions and experts and scholars in different regions have different opinions. However, the disease has its own regularity of occurrence, development and evolution. The disease is caused by qi stagnation, blood stasis, phlegm coagulation and blood stasis on the basis of qi deficiency and imbalance of internal organs. Its key pathological substances and pathogenic factors are qi stagnation and blood stasis, phlegm coagulation and blood stasis; its pathological characteristics are deficiency in the main and excess in the other, and a mixture of excess and deficiency. On the basis of syndrome differentiation based on viscera and organs, we should examine the symptoms and seek the causes, make precise syndrome differentiation and treatment, carefully identify the rise and fall of evil and righteousness, yang and yin, and the disorder of blood, qi, essence and night, and effectively use products that soften and disperse nodules, promote blood circulation and remove stasis, as well as those that act to break up accumulations. Common symptoms include: liver qi stagnation, spleen deficiency and phlegm dampness, kidney yin deficiency, spleen and kidney yang deficiency, qi deficiency and phlegm stasis, which eventually lead to blood qi stagnation, phlegm and stasis forming goiters. 1. Liver Qi stagnation, treatment method: soothe the liver and regulate Qi, relieve depression and reduce swelling. Chinese medicine prescription: Common Sihai Shuyu Pills (Compendium of Ulcer Medicine) interactions. Prescription: 12g each of bupleurum, nard (added later), cyperus rotundus, fructus aurantii, kelp, algae, and kelp, 15g each of cuttlebone and clam shell, 6g of poria, and 8g of dioscorea bulbifera. 2. Spleen deficiency and phlegm and dampness. Treatment method: Strengthen the spleen and eliminate dampness, relieve cough, resolve phlegm and resolve lumps. Chinese herbal medicine prescription: Haizao Yuhu decoction (Yi Zong Jin Jian) interaction. Prescription: 20g each of algae and Fritillaria thunbergii, 15g each of kelp, Poria cocos, and Atractylodes lancea, 10g each of Notopterygium wilfordii, Ligusticum chuanxiong, Pinellia ternata, Forsythia suspensa, Dioscorea bulbifera, and Periostracum cicadae, 30g each of Coix seed, Prunella vulgaris, and Coix seed. 3. Kidney Yin deficiency, treatment method: tonify Qi and blood. Chinese herbal prescription: Interaction between Yi Guan Jian and Liu Wei Di Huang Wan. Prescription: 15g each of Adenophora Root, Ophiopogon japonicus, Ligusticum chuanxiong, Rehmannia glutinosa, Lycium barbarum, Rehmannia glutinosa, Cornus officinalis, Chinese yam, Alisma orientalis, Coix seed, and Codonopsis pilosula, 10g each of Toosendan Fructus, Dioscorea bulbifera, Kelp, Pumice, and Notopterygium wilfordii. 4. Spleen and kidney yang deficiency, treatment method: warm the middle and strengthen the spleen, support yang, tonify the kidney and strengthen yang. Chinese medicine prescription: Yougui Pills interaction. Prescription: 15g each of cooked rehmannia, Chinese yam, wolfberry, eucommia, dodder seed, and ligusticum chuanxiong, 3g of Lute Technology, 6g of cinnamon powder, 10g each of antler glue and cornus fruit. 5. Qi deficiency and phlegm stasis. Treatment method: nourish blood, relieve cough and resolve phlegm, eliminate goiter and resolve nodules. Chinese medicine prescription: prescription based on work experience. Prescription: 30g raw astragalus, 15g each of Pseudostellaria baicalensis, Coix seed, and Rhizoma Atractylodis Macrocephalae, 10g each of Fritillaria thunbergii, Rhizoma Chuanxiong, Scabra, Trillium, and Peach Kernel. For those with both yin deficiency and hyperactivity of fire, add 20g of raw rehmannia and 12g of northern adenophora; for those with obvious yang deficiency, add 5g each of cinnamon twig and Lu Te Ke Ke; for those with hard lumps, add 6g of Trillium. |
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