International Research in Chinese Medicine

Objective To observe the clinical efficacy of Weiyan Zhuyu Decoction in promoting the recovery of patients after thyroid surgery. Methods Sixty patients who underwent thyroid surgery at Mingguang City Hospital of Traditional Chinese Medicine from January 2023 to December 2025 were selected. Postoperative TCM diagnosis was consistent with the syndrome of phlegm-stasis interlock. Through a randomized controlled method, they were divided into an observation group and an experimental group, each with 30 cases. The observation group received conventional Western medical treatment, while the experimental group was administered Huaiyan Zuyu Decoction orally in addition to conventional treatment. Postoperative TCM symptom scores, inflammatory indicators, and clinical efficacy were compared between the two groups. Results All 30 patients in each group completed the study. There were no differences in the symptoms of throat foreign body sensation, pain during swallowing, voice condition, and incision pain between the two groups on the first postoperative day (all P > 0.05). There were differences in the scores of traditional Chinese symptoms on the fifth postoperative day between the two groups (all P < 0.05), and the scores of traditional Chinese symptoms in the experimental group decreased more significantly. There were no differences in white blood cell count and neutrophil count before the operation between the two groups (all P > 0.05), but there were differences in white blood cell count and neutrophil count on the fifth postoperative day (all P < 0.05), and the white blood cell count and neutrophil count decreased more significantly in the experimental group. Conclusion For patients after thyroid surgery, taking Weiyan Zhuyu Decoction after the operation can effectively improve traditional Chinese symptoms, reduce postoperative inflammatory reactions, and contribute to postoperative recovery.

Epiglottic detoxifying decoction; Thyroid surgery; Traditional chinese medicine symptoms; Inflammatory response; Enhanced recovery