Treatment of Thyroid Nodules，Breast Nodules，and Uterine Fibroids Based on the Theory of "Liver Governing the Free Flow of Qi"
10.13288/j.11-2166/r.2025.13.018
- VernacularTitle: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
- Author:
Yujiao SONG
1
;
Min ZHU
1
;
Zhuonan JIANG
1
;
Hua GUO
2
Author Information
1. China Institute for History of Medicine and Medical Literature，China Academy of Chinese Medical Sciences，Beijing，100700
2. Graduate School of China Academy of Chinese Medical Sciences
- Publication Type:Journal Article
- Keywords:
thyroid nodules;
breast nodules;
uterine fibroids;
liver governs the free flow of qi;
soothe the liver and rectify qi
- From:
Journal of Traditional Chinese Medicine
2025;66(13):1409-1412
- CountryChina
- Language:Chinese
-
Abstract:
Guided by the theory of "liver governing the free flow of qi"， it is believed that liver fail to govern the free flow of qi may lead to qi stagnation， phlegm coagulation， and stasis， which is the core pathogenesis of thyroid nodules， breast nodules and uterine fibroids； qi 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 qi， and resolving constraint， with prescription of Tongqi Powder （通气散） as the basic formula， and modified according to symptoms. For liver depression and qi stagnation syndrome， the formula chooses modified Tongqi Powder to soothe the liver and rectify qi； for qi 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 qi stagnation and blood stasis syndrome， the formula applies modified Tongqi Powder plus Taohong Sizu Decoction （桃红四物汤） to move qi 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.
