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Most of the patients who come to see me for thyroid nodules are elderly, and there are not many young people, so I am very impressed by Xiao Zhang's case.
Xiao Zhang first came to my clinic in June 2020, when he was 23 years old. Such a young man with thyroid nodules is actually more dangerous than the elderly.
Because many elderly people are thyroid degenerative lesions leading to nodules, the probability of cancer of such nodules is not high, but young people are generally not easy to have nodules, but once nodules appear, the risk of malignant changes is also greater.
When I came to the clinic, Xiao Zhang's thyroid nodule was not small, and the largest diameter was 2.2 centimeters. Sitting down for a consultation, I found that this young man was not very old, had many problems, and his overall health status was not very good, especially the uric acid was very high.
During the whole consultation process, I found that Xiao Zhang's mood had been very impatient, as if he could not sit still, and he had no patience for my questions, so I specifically asked his family about his usual emotional state.
The family members who accompanied Xiao Zhang to see the doctor told me that this young man really had a bad temper and was frizzy in everything he did. This point seems to have nothing to do with the condition of thyroid nodules, but it is actually the key to solving the problem.
Among the five internal organs of the human body, the liver is the most susceptible to emotional influences. Xiao Zhang's own personality is more impatient, and it is easy to be angry and worried after encountering the incident, and the accumulation of more will cause the function of the liver to be damaged.
The liver is responsible for the drainage of the whole body qi machine, after this function is damaged, the gas machine is depressed, the qi is depressed for a long time and the heat is dissolved, and the liver fire formed further promotes Xiao Zhang's bad temper, which is a vicious circle.
In addition, the relationship between the liver and the spleen is very close, the liver depression after the transverse violation of the spleen, so that the function of the spleen is damaged, the spleen is responsible for the transport of water in the body, the spleen is weak, the water is wet inside the stop, wet accumulation into phlegm.
Sputum wetness formed by spleen deficiency and stagnation formed by liver depression accumulate along the meridians in front of the neck, eventually forming thyroid nodules. This thyroid nodule formed by hepatic depression and spleen deficiency and sputum depression is one of the most common types in the clinic.
The treatment of this type of nodule should be based on liver thinning, qi management, phlegm, loose knots, and dampness as the main treatment principles, and I took this principle as a small opening square at that time, and instructed him to actively adjust his mentality while taking medicine on time, and try to maintain a peaceful state of mind.
So took medication conditioning for more than a year, in the middle because of the impact of the epidemic, Xiao Zhang has not been taking medicine, intermittent treatment until August 21, he went to the hospital for review and found that thyroid nodules were reduced from 2.2 cm to 1.7 cm, a quarter of the size.
After having the effect, Xiao Zhang quickly returned to the outpatient clinic to find me for a follow-up consultation, this time he promised not to stop the drug casually, but also seriously treated his short-tempered problem, with such an attitude to continue to treat, I believe that soon will receive his good news!