基于"少阳为枢"理论探讨柴胡类方治疗甲状腺结节OA

The theory of"Shaoyang as the pivot"was first seen in the"Huangdi Neijing".Shaoyang is the pivot of the three yang meridians,regulating the yang qi.The normal operation of the Shaoyang pivot ensures the smooth flow of qi,blood,and body fluids and the harmonious functioning of the internal organs.If it is not smooth,qi circulation will be blocked,blood and qi will stagnate,and the metabolism of body fluids will be abnormal.Thyroid nodules are one of the common diseases in the endocrine system.In the pathogenesis of thyroid nodules,the dysfunction of the Shaoyang pivot is the key pathogenesis.Emotional distress and liver Qi stagnation lead to the failure of the Shaoyang pivot to be unobstructed,resulting in the poor circulation of qi,blood,and body fluids,and the accumulation of phlegm and blood stasis in the neck,causing thyroid nodules.The treatment should focus on harmonizing Shaoyang and promoting the smooth operation of the pivot.In clinical practice,Chaihu-based formulas are used.Chaihu-based formulas mainly aim to harmonize Shaoyang,enabling the Shaoyang pivot to rotate normally and thus causing the nodules to dissipate.This provides a new perspective and approach for the clinical diagnosis and treatment of thyroid nodules.