全国名中医冯五金教授基于窠囊学说论治结直肠息肉  

National famous traditional Chinese medicine Professor Feng Wujin in the treatment of colorectal polyps based on the theory of kenang

作　　者：刘溪龄 李晶[2] 冯五金[2] 张维亮[2] LIU Xiling;LI Jing;FENG Wujin;ZHANG Weiliang(The First Clinical College,Shanxi University of Chinese Medicine,Shanxi Province,Jinzhong030606,China;Department of Spleen and Stomach Diseases,Shanxi Institute of Traditional Chinese Medicine,Shanxi Province,Taiyuan030012,China)

机构地区：[1]山西中医药大学第一临床学院,山西晋中030606 [2]山西省中医药研究院脾胃病科,山西太原030012

出　　处：《中国医药导报》2025年第8期161-164,共4页China Medical Herald

基　　金：山西省中医药管理局科研课题(2023ZYYDA2007)。

摘　　要：结直肠息肉是结直肠癌的主要癌前病变,常规内镜下黏膜切除术后有一定的复发率,临床症状改善不明显。全国名中医冯五金教授基于朱丹溪“痰挟瘀血,遂成窠囊”的学术思想,结合其多年临证经验,将结直肠息肉归属于中医肠窠囊范畴整体论治,总结其核心病机为肠腑虚,毒邪聚,故以消托补法为治疗大法,以消为主,辅以托补,拟方肠窠囊方,全方收散并行,寒温相伍,临证效果颇佳。Colorectal polyps are the main precancerous lesions of colorectal cancer,there is a certain recurrence rate after conventional endoscopic mucosal resection,and clinical symptoms are not significantly improved.Based on Zhu Danxi’s academic idea of“phlegm and blood stasis,it becomes kenang”,National Famous Traditional Chinese medicine Professor Feng Wujin combined with his years of clinical experience,classifies colorectal polyps into the category of intestinal kenang in traditional Chinese medicine for the overall treatment,summarizes that its core pathogenesis is intestinal deficiency and poisonous gathering.The elimination and supplementation method is used as the treatment method,with elimination as the main method,supplemented by support,and the imitation prescription of intestinal kenang,the whole prescription is collected and dispersed in parallel,cold and temperature are combined,with good clinical efficacy.

关 键 词：结直肠息肉 窠囊学说 冯五金教授 

分 类 号：R259[医药卫生—中西医结合]