基于“坚者削之,结者散之”治疗消化道息肉理论探析  

Theoretical analysis of treating gastrointestinal polyps based on“cutting the hard and dispersing the knots”

作　　者：陈大蕾 牛建海[1] 刘红燕[1] 刘文英[1] CHEN Dalei;NIU Jianhai;LIU Hongyan;LIU Wenying(Spleen and Stomach Diseases Department,Baoding First Hospital of Traditional Chinese Medicine,Baoding 071000,China)

机构地区：[1]保定市第一中医院脾胃病科,河北保定071000

出　　处：《陕西中医》2025年第1期84-87,共4页Shaanxi Journal of Traditional Chinese Medicine

基　　金：河北省中医药管理局科技计划项目(2241ZF282)。

摘　　要：消化道息肉主要是指胃肠道息肉,目前本病临床上最常用的治疗方法为内镜下治疗,虽见效快,但并发症较多,且治疗后仍有较高的复发率。中医药对于预防本病复发有一定的优势,本课题组通过总结古今相关文献以及结合临床实践研究,认为消化道息肉的核心病机多以脾虚气滞为本,而脾胃气机壅滞进一步产生湿、痰、瘀等病理因素为标,故紧扣病机,根据“坚者削之,结者散之”理论,提出“消散法”辨治消化道息肉,临证时需灵活变通,随症加减,以期为中医药治疗消化道息肉提供新的见解。Gastrointestinal polyps mainly refer to polyps of stomach and intestine.At present,the most commonly used clinical treatment for this disease is endoscopic treatment.Although the effect is quick,there are many complications,and there is still a high recurrence rate after treatment.Traditional Chinese medicine(TCM)has certain advantages in preventing the recurrence of this disease.Our research group concluded that the core pathogenesis of gastrointestinal polyps is mostly spleen deficiency and qi stagnation,while the stagnation of spleen and stomach qi further produces dampness,phlegm,blood stasis and other pathological factors as the symptoms,by summarizing ancient and modern relevant literature and combining clinical practice research.Therefore,we should closely follow the pathogenesis and put forward the“dissipation method”to treat gastrointestinal polyps according to the theory of“cutting the hard and dispersing the knots”,which should be flexible in clinical practice and follow the symptoms.In order to provide new insights for the treatment of gastrointestinal polyps with traditional Chinese medicine.

关 键 词：消化道息肉 脾虚气滞 湿、痰、瘀 消散法 临床应用 理论探析 

分 类 号：R57[医药卫生—消化系统]