消瘰四逆散如何治疗甲状腺结节?2025中医临床研究机制分析

2026-03-21 MedSci xAi 发表于广东省
本研究基于中医一郁三滞理论,观察消瘰四逆散治疗甲状腺结节的临床疗效与安全性。通过对236例患者24周临床观察,分析结节数量、最大直径及甲状腺功能变化,采用SPSS统计验证中医治疗方案的有效性与作用机制。

Objective: Based on the theory of "one depression and three stagnations" in Traditional Chinese Medicine (TCM), the empirical formula "Xiaoluo Sini San" from a master's experience was selected to observe its clinical efficacy and safety in treating thyroid nodules. The study also aimed to analyze the mechanism of the formula, highlighting the unique advantages of TCM in treating thyroid nodules, and to provide relevant clinical research data for TCM treatment of thyroid nodules.

Methods: This study primarily focused on clinical observation. It is expected to collect and statistically analyze data from patients diagnosed with thyroid nodules between January 1, 2024, and December 31, 2025. Considering individual differences, patients who had repeated visits, changed treatment plans, discontinued visits, or had short treatment durations were excluded. During the follow-up period, some patients might not return for re-evaluation, leading to potential errors in clinical observation. To avoid such errors, these patients were excluded, ensuring that sufficient case data were collected to minimize data variability. Ultimately, a total of 236 eligible patients were included. The collected data were divided into two groups: one experimental group treated primarily with TCM using "Xiaoluo Sini San" as the main therapy, and one control group that received no pharmacological intervention, focusing instead on conservative treatment and lifestyle modifications. The treatment duration was 24 weeks. The study observed the effects of "Xiaoluo Sini San" on the number of thyroid nodules, the maximum diameter of the largest nodule, and thyroid function before and after treatment. Both groups did not receive any additional treatments. The effectiveness, safety, and mechanisms of "Xiaoluo Sini San" were analyzed through TCM syndrome analysis. The data were primarily analyzed using SPSS statistical software.

Results: 1.

Conclusion: 1.

Keywords: Thyroid Nodules; Thyroid Function; Xiaoluo Sini San; Clinical Efficacy Observation

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