从肺论治大肠息肉

Colorectal Polyps Treated From the Lung

大肠息肉机特点为本虚标实、虚实夹杂。本虚主要为脾虚、肾虚,标实主要为气、湿、痰、瘀。而气、湿、痰、瘀这四大主要致病因素皆与肺相关,因此,从肺论治大肠息肉完全可行。"肺与大肠相表里"是祖国医学的传统理论,国内外许多学者试图从组胚学、免疫学、解剖学、神经内分泌学、肠道微生物学等各个角度探索肺与大肠之间生理、病理情况下的联络机制,并且也从分子水平为其提供新的线索,不断丰富和发展"肺合大肠"理论的科学内涵。随着研究的逐渐深入,在一定程度上揭示了肺与大肠之间的关系,但是纵观目前的研究,仍然存在一些问题,如机制研究不够充分,也无多中心、大样本、随机双盲的科学研究数据,有待进一步的深入研究。

The characteristics of colorectal polyps include deficient root and excess superficial and deficiency complicated with ex- cess. Deficient root main refers to spleen deficiency and kidney deficiency and excess superficial mainly refers to qi, dampness, phleghm and blood stasis. The four major pathogenic factors of qi ,dampness ,phleghm and blood stasis are related with the lung, so it is feasible to treat colorectal polyps from the lung. ＂The lung and the large intestine are internally and externally related＂ is the traditional theory of our national medicine. Many foreign researchers try. to explore the association mechanism between the lung and the large intestine physiologically and pathologically from perspectives of Histology and Embryology, immunology, anatomy, neuroendocrinology and enteric mierohiology, and ＇also they provide new clues from the molecular level, which constantly enrich and develop the scientific connotation of the theory of ＂ the lung associated with the larger intestine＂. With increasing deepening of the research,the relationship between the lung and the large intestine is revealed to certain degree. However,some problems still exist by making a general survey of current researches. For instance,the mechanism study is inadequate and there is no scientific data from experiment of multi-center,large sample size and randomized blind method, which needs further research.