名老中医郑伟达治疗甲状腺癌经验探析

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1、名老中医郑伟达治疗甲状腺癌经验探析DiscussiononTreatmentExperienceofProminentTCMdoctorZHENGWei-daforThyroidCancer郑东京许鑫郑伟达(1.北京中医药大学，北京，100088；2.北京伟达中医肿瘤医院，北京，100023)中图分类号：R249文献标识码：A文章编号：1674-7860(2015)21-0001-03证型：IDGB【摘要】甲状腺癌的发病率较低，甲状腺癌可发生于任何年龄组，儿童利青少年曾接触过放射线的，成人期易出现甲状腺癌。甲状腺癌依其病

2、理形态和生物学特征，可以分为四型。即：乳头状癌、滤泡癌、髓样癌、未分化癌。甲状腺癌多因情志不疏,肝郁气滞，痰湿凝聚引起。中医辨证分型为肝郁痰湿型(多见于初期)、阴虚肝旺型(多见于癌肿累及喉返神经，或放疗、手术后)、气血双亏型(多见于后期，或放疗后复发者)，治宜化瘀解毒、理气化痰、养阴平肝、益气养血。郑教授以多年丰富的临床经验，运用慈丹胶套等国家准字号中成药、经验方随证加减，灵活用药，取得显著疗效。另总结并强调以药物治疗为主或以手术治疗为主的中西医结合治疗的重要性及具体操作事项。【关键词】郑伟达；甲状腺癌；慈丹胶囊；小西医

3、结合治疗[Abstract]Theincidenceofthyroidcancerislowbutthyroidcancercanoccuratanyagegroup.Thechildrenandyoungpeoplewhohavebeenexposedtoradiationarcpronetothyroidcancerduringtheiradulthoodperiod.Thyroidcancercanbedividedintofourtypesaccordingtotheirpathologicalandbiolog

4、icalcharacteristicsnamedaspapillarycarcinoma,follicularcarcinoma,medullarycarcinomaandundifferentiatedcarcinoma・Thyroidcancerusuallycausedbydepression.Qistagnation,whichcanbedividedintophlegmcondensationresultedtoliverdepressionandphlegm(morecommonintheearlystage

5、),Yindeficiencyandliverheatexcessiontype(morecommonincancerinvolvingtherecurrentlaryngealnerve,orradiotherapy^surgery),deficiencyofQiandbloodtype(morecommoninlateorradiotherapyafterrelapse).Itcanbetreatedwithmethodsofrepellingstasisanddisintoxication,smoothingQia

6、ndremovingphlegm,tonifyingYinandsmoothingtheliver,nourishingQiandblood.ProfessorZHENGtreatedthisdiseasewithquasi-famousChinesemedicineCidancapsulesaccordingtotheclinicalsymptomsbasedonmanyyearsofextensiveclinicalexperienceandachievedremarkableresults.Healsostress

7、edtheimportanceofintegratedChineseandwesternmedicineasdrugtreatmentorsurgicaltreatmentandthespecificoperationalissues・[Keywords]ZHENGWei-da;ThyroidCancer;Cidancapsules;IntegratedChineseandWesternMedicinedoi:l0.3969/j.issn・1674-7860.2015.21.001甲状腺癌的发病率较低，为1〜3/107J

8、人发病，占甲状腺肿瘤的5%〜10%,占全身肿瘤的1%〜2%。女性多发,男女比例为1：2〜3,在女性甲状腺癌仅次于宫颈癌、乳腺癌和胃癌,居第四位。甲状腺癌可发生于任何年龄组，7〜2()岁和4()〜50岁各出现小高峰，前者的发病略低丁后者。儿童和青少年曾接触过放射线的，成人期易出现甲状腺癌，但成人颈部接触放射线似乎并不增