安阿玥教授运用固本消积法治疗家族性腺瘤性息肉病的经验

Summary of professor An Ayue’s experience in treating familial adenomatous polyposis with the theory of consolidating body resistance and eliminating accumulation

家族性腺瘤性息肉病癌变率高,是临床治疗较为棘手的疾病之一,安阿玥教授将辨病与辨证相结合,提出了“固本消积”法治疗家族性腺瘤性息肉病。认为本病病位在大肠,与肝脾肾关系密切,病机为本虚标实,本虚以肾精亏虚、脾虚肝郁为基础,标实以痰瘀互结、热结肠腑为主。治则治法上,以补肾填精、健脾调肝,化痰祛瘀、清热散结为主。治疗理念上,强调扶正祛邪,标本兼治,并依据患者病情,病证结合,随证加减。

Familial adenomatous polyposis has a high cancer transformation rate,it is one of thorny diseases.Professor An Ayue combines disease differentiation with syndrome differentiation and proposes the theory of“consolidating body resistance the foundation and eliminating accumulation”in treating familial adenomatous polyposis.He belives that the location of familial adenomatous polyposis is in the intestinum crassum,closely related to the liver,spleen,and kidney.The pathogenesis of familial adenomatous polyposis is dificiency in origin and excess in superficiality.Deficiency in origin is based on kidney deficiency,spleen deficiency and liver stagnation.Excess in superficiality is mainly due to the accumulation of phlegm and blood stasis,as well as the heat in the colon and organs.In terms of treatment principles,he mainly focuses on tonifying the kidney and filling the essence,strengthening the spleen and regulating the liver,resolving phlegm and blood stasis,and clearing heat and dispersing nodules.He emphasizes the importance of supporting the right and eliminating evil,and treating both symptoms and root causes simultaneously,and combining disease and syndrome based on the patient’s condition,adding or subtracting with the syndrome.