中醫治療甲狀腺良性結節病例報告

在此醫案報告中，此56歲女性病患有甲狀腺良性結節已10年，並持續於台北慈濟醫院追蹤觀察，檢查皆告知正常。但於105年年初起開始好發心悸、咳嗽易喘，同年11月經台安醫院超音波檢查後發現甲狀腺良性結節擴增至8x4cm並已向內壓迫至氣管。對於甲狀腺良性結節之中醫治療方式主要以疏肝解鬱、益氣滋陰作為治療方針。經數週治療下，病患因甲狀腺良性結節而造成之心悸易喘等症皆有顯著療效，故提出病例探討之。

關鍵字

甲狀腺結節；心悸；中藥

並列摘要

In this case report, this 56 year-old woman has suffered from benign thyroid nodule for decades. She regularly visited the Metabolism outpatient for further ultrasonic inspection in Tzu-Chi Hospital every year and the outcome of ultrasonic inspection was normal every year. But since the beginning of 2016, she suffered from palpitation, cough and out of breath frequently. At the same time, she visited the Metabolism outpatient for ultrasonic inspection in Taiwan Adventist Hospital and found that the thyroid nodule expanded to 8x4cm which suppressed the trachea. In the perspective of Chinese traditional medicine, the treatment of Chinese traditional medicine is to disperse stagnated liver qi for relieving qi stagnation and nourish both qi and yin. After few weeks of Chinese medical treatment, the symptoms of palpation and out of breathing were obviously progressed.

並列關鍵字

Thyroid nodule ； Palpitation ； Traditional Chinese Medicine（TCM）

參考文獻

Cooper, David S.,Doherty, Gerard M.,Haugen, Bryan R.,Kloos, Richard T.,Lee, Stephanie L.,Mandel, Susan J.,M.P.H.,Mazzaferri, Ernest L.,McIver, Bryan,Pacini, Furio,Schlumberger, Martin,Sherman, Steven I.,Steward, David L.,Tuttle, R. Michael(2009).Revised American Thyroid Association Management Guidelines for Patients with Thyroid Nodules and Differentiated Thyroid Cancer.THYROID.19,1167-1213.

Google Scholar

Moalem, Jacob,Suh, Insoo,Duh, Quan-Yang(2008).Treatment and Prevention of Recurrence of Multinodular Goiter: An Evidence-based Review of the Literature.World J Surg.32,1301-1312.