基于气血津液理论探讨肠道菌群相关结直肠腺瘤的发病及治疗思路OA
Investigating the Pathogenesis and Treatment of Intestinal Flora-Related Colorectal Adenomas Based on the Theory of Qi,Blood,and Fluids
肠道菌群失衡是当下胃肠道疾病治疗的研究热点,但立足于中医视角探讨肠道菌群相关胃肠道疾病防治的理论还未成熟.本文基于气血津液的中医理论,从结直肠腺瘤(Colorestal adenoma,CRA)的发病病机、生物学基础探究气血津液失衡与肠道菌群失衡的联系.气血津液失衡是CRA发病之本,痰湿瘀毒为气血津液失衡的病机演变,治疗据失衡偏颇,分期分因辨治CRA.气机异常行气益气,津液代谢异常化湿运湿,血行瘀滞消瘀补虚,气血津液失于调和则化浊解毒.希望本文能为肠道菌群的中医理论探究提供新思路,为肠道菌群相关CRA的诊治提供新方法.
Currently,the imbalance of intestinal flora being the focus of research on the treatment of gastrointestinal diseases,yet the theory of preventing and treating intestinal flora-related gastrointestinal diseases from the perspective of traditional Chinese medicine(TCM)is not mature.Based on the TCM theory of Qi,blood,fluid,this paper explores the relationship between abnormal Qi-blood-body fluid and intestinal flora imbalance from the pathogenesis core and biological basis of Colorectal adenoma(CRA),and classifies the causes and treatment of CRA by stages.The imbalance of Qi,blood,and fluids constitute the fundamental pathogenic mechanism of CRA.Phlegm,dampness,blood stasis,and toxins represent the pathological manifestations resulting from this imbalance.The therapeutic approach for CRA should be based on the specific nature and stage of the imbalance,with treatment tailored to the underlying causes.Dysregulation of Qi movement is primarily addressed through regulating and tonifying Qi;abnormal fluid metabolism is associated with the transformation and elimination of dampness;impaired blood circulation and blood stasis require the removal of stasis and nourishment of deficiency.Overall,the imbalance among Qi,blood,and fluids necessitate strategies aimed at clearing turbidity and detoxification.It is hoped that this study can offer a new idea for the exploration of the TCM theory of intestinal flora and a new approach for the diagnosis and treatment of intestinal flora-related CRA.
王雨鸽;杜姚;刘墨熙萱;赵成功;王艺灿;杨倩
河北中医药大学,石家庄 050011河北省中医院,石家庄 050011河北中医药大学,石家庄 050011河北中医药大学,石家庄 050011河北中医药大学,石家庄 050011河北省中医院,石家庄 050011
医药卫生
结直肠腺瘤肠道菌群气血津液分期分因辨证
Colorectal adenomaIntestinal floraQi-blood-fluidDifferentiation of stages and causes
《中国中医基础医学杂志》 2026 (8)
1678-1682,5
国家中医药管理局科技项目(GZY-KJS-2023-025)河北省中央引导地方科技专项(246Z7708G)河北省自然科学基金项目(H2023423001)河北省省级科技计划资助项目(246W7701D)河北省科学技术厅河北省重点研发计划项目(21377724D)河北省中医药管理局中医药类科研计划项目(2024010)河北省中医药管理局科研计划项目(2023060)
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