通讯作者: 安祯祥, 407206115@qq.com

DOI：10.12201/bmr.202604.00114

Prevention and Treatment of Postoperative Recurrence of Colonic Adenoma and Adenoma-Carcinoma Transformation: Insights from the Theory of “Yin-Yang Self-Harmony Leading to Spontaneous Recovery”Chen Lang1? AN ZHENxiang1、2

• 摘要：结肠腺瘤性息肉是结肠癌最常见的癌前病变，“腺-癌转化”的阻断为结肠癌一级预防的关键环节。内镜下切除术后复发率高，且西医缺乏系统干预手段。“阴阳自和必自愈”理论源自《伤寒论》，强调结肠腺瘤术后复发及“腺-癌转化”的病机本质在于“阴阳自和能力不足”。本文系统梳理“阴阳自和必自愈”的理论内涵及其与结肠腺瘤病机的关联，结合验案探讨基于该理论的防治策略。

  关键词： 阴阳自和; 结肠腺瘤; 结肠癌; 腺-癌转化

   

  Abstract: Colorectal cancer, as one of the most common malignant tumors of the digestive system, poses an escalating public health risk due to its continuously increasing global incidence. Colonic adenomatous polyps are currently recognized as the most common precancerous lesions of colorectal cancer, and blocking the “adenoma-carcinoma transformation” has become a key link in primary prevention of colorectal cancer. Although endoscopic resection is available in Western medicine, the high postoperative recurrence rate remains a major clinical challenge, and Western medicine lacks systematic intervention strategies. The theory of “Yin-Yang self-harmony leading to spontaneous recovery,” originating from the Treatise on Cold Damage, emphasizes that the pathogenesis of postoperative recurrence of colonic adenoma and “adenoma-carcinoma transformation” lies essentially in “insufficient Yin-Yang self-harmony.” By reinforcing healthy Qi and eliminating pathogenic factors to assist Yin-Yang self-harmony, and by regulating the overall internal environment of the body, the body’s self-healing potential can be restored. This article systematically reviews the theoretical connotation of “Yin-Yang self-harmony” and its association with the pathogenesis of colonic adenoma, and explores prevention and treatment strategies based on this theory in combination with clinical case studies.

  Key words: Yin-Yang self-harmony; Colonic adenoma; Colorectal cancer; Adenoma-carcinoma transformation

  提交时间：2026-04-14

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2026-03-27	10.12201/bmr.202604.00114V1	下载

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