Treatment of Thyroid Nodules，Breast Nodules，and Uterine Fibroids Based on the Theory of "Liver Governing the Free Flow of <italic style="font-style: italic">Qi</italic>"

SONG Yujiao; ZHU Min; JIANG Zhuonan; GUO Hua

doi:10.13288/j.11-2166/r.2025.13.018

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Treatment of Thyroid Nodules，Breast Nodules，and Uterine Fibroids Based on the Theory of "Liver Governing the Free Flow of Qi"

更新时间：2025-06-27

- Treatment of Thyroid Nodules，Breast Nodules，and Uterine Fibroids Based on the Theory of "Liver Governing the Free Flow of Qi"
- Journal of Traditional Chinese Medicine Vol. 66, Issue 13, Pages: 1409-1412(2025)
- 作者机构：
  
  1.中国中医科学院中国医史文献研究所，北京市东城区东直门内南小街16号，100700
  2.中国中医科学院研究生院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2025.13.018
  CLC：
- Received：24 January 2025，
  
  Revised：2025-03-11，
  
  Published：02 July 2025
- 稿件说明：
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宋昱佼,祝敏,蒋卓男等.从“肝主疏泄”探析甲状腺结节、乳腺结节、子宫肌瘤的共性病机及治疗[J].中医杂志,2025,66(13):1409-1412.

SONG Yujiao,ZHU Min,JIANG Zhuonan,et al.Treatment of Thyroid Nodules，Breast Nodules，and Uterine Fibroids Based on the Theory of "Liver Governing the Free Flow of Qi"[J].Journal of Traditional Chinese Medicine,2025,66(13):1409-1412.
宋昱佼,祝敏,蒋卓男等.从“肝主疏泄”探析甲状腺结节、乳腺结节、子宫肌瘤的共性病机及治疗[J].中医杂志,2025,66(13):1409-1412. DOI： 10.13288/j.11-2166/r.2025.13.018.

SONG Yujiao,ZHU Min,JIANG Zhuonan,et al.Treatment of Thyroid Nodules，Breast Nodules，and Uterine Fibroids Based on the Theory of "Liver Governing the Free Flow of Qi"[J].Journal of Traditional Chinese Medicine,2025,66(13):1409-1412. DOI： 10.13288/j.11-2166/r.2025.13.018.

摘要

以“肝主疏泄”为指导，认为肝疏泄失常导致气滞、痰凝、瘀阻是甲状腺结节、乳腺结节、子宫肌瘤三病的共性核心病机；气滞、痰凝、瘀阻既是重要的病理产物，又可阻碍肝之疏泄，二者相互影响，互为因果。临证主张以疏肝理气解郁为治法，方用通气散为基础方，灵活加减。针对肝郁气滞证，方以通气散加减以疏肝理气；气滞痰凝证，方以通气散合参苓白术散加减以疏木调土，化痰散结；气滞血瘀证，方以通气散合桃红四物汤加减以行气活血，通络消积。同时根据甲状腺结节、乳腺结节、子宫肌瘤病位不同的特点，随症增减药物，以期标本兼治。

Abstract

Guided by the theory of "liver governing the free flow of

"， it is believed that liver fail to govern the free flow of

may lead to

stagnation， phlegm coagulation， and stasis， which is the core pathogenesis of thyroid nodules， breast nodules and uterine fibroids；

stagnation， phlegm coagulation， and stasis are not only the important pathological products， but also the obstruction to the liver's function， and the two affect each other as the cause of each other. In clinic， it is advocated that using the treatment method of soothing the liver， rectifying

， and resolving constraint， with prescription of

Tongqi Powder

（通气散） as the basic formula， and modified according to symptoms. For liver depression and

stagnation syndrome， the formula chooses modified

Tongqi Powder

to soothe the liver and rectify

； for

stagnation and phlegm coagulation syndrome， the formula chooses modified

Tongqi Powder

plus

Shenling Baizhu Powder

（参苓白术散） to soothe the wood and regulate the earth， and resolve phlegm and dissipate masses

； for

stagnation and blood stasis syndrome， the formula applies modified

Tongqi Powder

plus

Taohong Sizu Decoction

（桃红四物汤） to move

and invigorate blood circulation， unblock the collaterals and dispel accumulation. At the same time， according to the characteristics of thyroid nodules， breast nodules， and uterine fibroids and their different disease locations， medicinals were added or subtracted according to the symptoms， so as to treat both the symptoms and the root cause of the disease simultaneously.

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Keywords

references

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Treatment of Thyroid Nodules，Breast Nodules，and Uterine Fibroids Based on the Theory of "Liver Governing the Free Flow of Qi"

DOI：10.13288/j.11-2166/r.2025.13.018

摘要

Abstract

关键词

Keywords

references