运用蔡淦教授阴火理论防治结直肠腺瘤“炎-癌”转化的临证思路  

The clinical thinking of preventing and treating of"inflammation-cancer"transformation of colorectal adenoma by applying Professor CAI Gan's Yin-fire theory

作　　者：吴辰恒 陈萌[2] 丛军[2] 顾志坚[2] 李熠萌[2] 凌江红 WU Chenheng;CHEN Meng;CONG Jun;GU Zhijian;LI Yimeng;LING Jianghong(Department of Digestive Endoscopy,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,201203,China;Department of Gastroenterology,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine)

机构地区：[1]上海中医药大学附属曙光医院消化内镜中心,上海201203 [2]上海中医药大学附属曙光医院消化内科

出　　处：《中国中西医结合消化杂志》2024年第5期408-411,431,共5页Chinese Journal of Integrated Traditional and Western Medicine on Digestion

基　　金：国家中医药管理局中医药循证能力建设项目(No:2019XZZX-XH013);蔡淦全国名中医传承工作室项目(No:MZYGZS-2017003)。

摘　　要：蔡淦教授认为阴火与结直肠腺瘤的炎症机制相应,阴火稽留成积致结直肠腺瘤“炎-癌”转化;在治疗过程中,“补脾胃”须贯彻始终,“泻阴火”是防治“炎-癌”转化的关键;临证取健脾化痰、活血散结、清热解毒之法,扶正祛邪,标本同治。This paper summarizes the academic experience of Professor Cai Gan in the prevention and treatment of "inflammation-cancer" transformation of colorectal adenoma by applying Li Dongyuan's Yin-fire theory. Professor Cai Gan believes that Yin-fire corresponds to the inflammatory mechanism of colorectal adenoma, and Yin-fire retention causes "inflammation-cancer transformation" of colorectal adenoma. In the treatment process, "tonifying spleen and stomach" should be carried out throughout, and "dredging Yin-fire" is the key to preventing and treating "inflammation-cancer transformation". In clinical practice, the methods of invigorating the spleen and Qi, activating blood circulation, and dispersing knots are adopted, supporting the positive and eliminating evil, and treating both symptoms and signs.

关 键 词：结直肠腺瘤 阴火理论 “炎-癌”转化 蔡淦教授 

分 类 号：R735[医药卫生—肿瘤]