国医大师李佃贵基于浊毒理论治疗结肠息肉思路  

Treatment thoughts of TCM master LI Dian-gui on colon polyp based on turbid toxin theory

作　　者：崔泽华 刘建平[2] 徐伟超[2] 马玉景 刘龙辉 赵蒙蒙 焦红 王玉婷 董紫薇 CUI Ze-hua;LIU Jian-ping;XU Wei-chao;MA Yu-jing;LIU Long-hui;ZHAO Meng-meng;JIAO Hong;WANG Yu-ting;DONG Zi-wei(Hebei University of Chinese Medicine,Shijiazhuang 050200,China;Hebei Provincial Hospital of Traditional Chinese Medicine,Shijiazhuang 050011,China)

机构地区：[1]河北中医学院,石家庄050200 [2]河北省中医院,石家庄050011

出　　处：《中华中医药杂志》2023年第2期634-636,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家中医药管理局第三届国医大师传承工作室及全国名老中医传承工作室建设项目[No.人社部发(2017)45];刘建平创新工作室[No.冀工字(2021)42]。

摘　　要：结肠息肉与结肠癌的发生密切相关,随着生活环境的改变,该病的发病率逐年升高。目前西医治疗结肠息肉以内镜下切除为主,但存在一定的复发几率。笔者通过跟随国医大师李佃贵教授学习,分析总结李佃贵教授治疗结肠息肉的思路。李佃贵教授认为结肠息肉的发生以浊毒内蕴为关键病机,临证时以化浊解毒为治疗大法,并根据患者症状、体征及肠镜病理结果结合健脾、理气、祛痰、化瘀等治法,在临床上取得了较好的疗效。并以验案彰显李佃贵教授基于浊毒论治结肠息肉的临证思路和用药特色。Colon polyps are closely related to the occurrence of colon cancer. With the change of living environment,the incidence rate of the disease increases year by year. At present,endoscopic resection is the main treatment of colonic polyps in western medicine,but there is a certain probability of recurrence. The author followed professor LI Dian-gui,a master of traditional Chinese medicine,to analyze and summarize professor LI Dian-gui’s ideas on the treatment of colon polyps. Professor LI Dian-gui believes that the key pathogenesis of colonic polyps is the accumulation of turbid toxin. In the clinical treatment,the treatment method is to remove turbid toxin. According to the patient’s symptoms,signs and pathological results of enteroscopy,combined with the treatment methods of strengthening the spleen,regulating qi,eliminating phlegm and dispersing blood stasis,it has achieved good clinical efficacy. And the case demonstrates professor LI Dian-gui’s clinical thinking and medication characteristics of treating colonic polyps based on turbid toxin theory.

关 键 词：结肠息肉 浊毒 名家经验 李佃贵 治疗思路 

分 类 号：R273[医药卫生—中西医结合]