YUAN Yue,LEI Siyuan,WANG Jiajia,et al.Treatment of Granulation Tissue Hyperplasia after Tracheostomy Based on the Kenang (窠囊) Theory[J].Journal of Traditional Chinese Medicine,2025,66(07):746-749.
YUAN Yue,LEI Siyuan,WANG Jiajia,et al.Treatment of Granulation Tissue Hyperplasia after Tracheostomy Based on the Kenang (窠囊) Theory[J].Journal of Traditional Chinese Medicine,2025,66(07):746-749.DOI: 10.13288/j.11-2166/r.2025.07.015.
Treatment of Granulation Tissue Hyperplasia after Tracheostomy Based on the Kenang (窠囊) Theory
Granulation tissue hyperplasia after tracheotomy is a common clinical complication. Endoscopic treatment can temporarily relieve airway obstruction, however, it is associated with a high recurrence rate and poor long-term prognosis. Based on the traditional Chinese medicine (TCM)
Kenang
(窠囊) theory and combined with modern pathological mechanisms, this paper explores its correlation with the pathogenesis of post-tracheotomy granulation tissue hyperplasia. Drawing from clinical experience in applying the
Kenang
theory for treatment, this paper proposes that the fundamental pathogenesis of this condition lies in
qi
deficiency and organ dysfunction, while phlegm and blood stasis interlocking serve as the symptomatic manifestations. The treatment focuses on resolving phlegm and promoting blood circulation, dispersing nodules and eliminating stagnation, regulating
qi
flow, and reinforcing the body's vital energy while expelling pathogenic factors. This approach aims to dissolve phlegm and blood stasis, dissipate the
Kenang
, and ultimately prevent and treat granulation tissue hyperplasia.
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