Treatment of Low Anterior Resection Syndrome after Rectal Cancer Surgery Based on "Alleviating Acute Disorder at the<italic style="font-style: italic"> Po</italic> （魄） Gate and Regulating the Root of the Five <italic style="font-style: italic">Zang</italic> Organs"

HU Chenxi; YANG Ming; ZHANG Qiaoli; YANG Lu; WANG Mengqi; HUANG Jinchang

doi:10.13288/j.11-2166/r.2025.21.016

您当前的位置：

首页 >

文章列表页 >

Treatment of Low Anterior Resection Syndrome after Rectal Cancer Surgery Based on "Alleviating Acute Disorder at the Po （魄） Gate and Regulating the Root of the Five Zang Organs"

更新时间：2025-10-31

- Treatment of Low Anterior Resection Syndrome after Rectal Cancer Surgery Based on "Alleviating Acute Disorder at the Po （魄） Gate and Regulating the Root of the Five Zang Organs"
- Journal of Traditional Chinese Medicine Vol. 66, Issue 21, Pages: 2281-2286(2025)
- 作者机构：
  
  1.北京中医药大学第三附属医院，北京市朝阳区安外小关街51号，100029
  2.中国中医科学院中医临床基础医学研究所
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2025.21.016
  CLC：
- Received：04 July 2025，
  
  Revised：2025-08-11，
  
  Published：02 November 2025
- 稿件说明：
移动端阅览
胡晨曦,杨鸣,张巧丽等.从“缓魄门之急，调五脏之本”论治直肠癌术后低位前切除综合征[J].中医杂志,2025,66(21):2281-2286.

HU Chenxi,YANG Ming,ZHANG Qiaoli,et al.Treatment of Low Anterior Resection Syndrome after Rectal Cancer Surgery Based on "Alleviating Acute Disorder at the Po （魄） Gate and Regulating the Root of the Five Zang Organs"[J].Journal of Traditional Chinese Medicine,2025,66(21):2281-2286.
胡晨曦,杨鸣,张巧丽等.从“缓魄门之急，调五脏之本”论治直肠癌术后低位前切除综合征[J].中医杂志,2025,66(21):2281-2286. DOI： 10.13288/j.11-2166/r.2025.21.016.

HU Chenxi,YANG Ming,ZHANG Qiaoli,et al.Treatment of Low Anterior Resection Syndrome after Rectal Cancer Surgery Based on "Alleviating Acute Disorder at the Po （魄） Gate and Regulating the Root of the Five Zang Organs"[J].Journal of Traditional Chinese Medicine,2025,66(21):2281-2286. DOI： 10.13288/j.11-2166/r.2025.21.016.

摘要

认为直肠癌术后低位前切除综合征病位在魄门，以肛周气血运行不畅、肠道传导糟粕失序之症状为急，以五脏功能失调致魄门失司之病机为本，并强调五脏之职各有轻重，其中以脾肾为重，以心肝肺为辅。诊疗思路强调“缓魄门之急，调五脏之本”，以疏调肛周局部气血、调节肠道传导功能为先，斡旋脾胃升降之机、重振肾气司便之能为重，疏理肝气郁滞不舒、畅调肺气壅塞不通、安定心神失养不宁为辅。局部治疗以求直达病灶，整体治疗注重审证求因。

Abstract

The paper holds that low anterior resection syndrome （LARS） after rectal cancer surgery is primarily associated with dysfunction at the

（魄） gate， characterized by impaired

and blood circulation around the anus and disordered intestinal transport of waste. The fundamental pathogenesis involves dysregulation of the five

zang

organs， leading to loss of control at the

gate. Among the five

zang

organs， the spleen and kidney are considered primary contri-butors， while the heart， liver， and lung play secondary roles. T

he therapeutic strategy emphasizes on "alleviating the acute disorder at the

gate and regulating the root of the five

zang

organs". Local interventions aim to restore

and blood flow around the anus and normalize intestinal transport function. The main focus is on harmonizing the ascending and descending functions of the spleen and stomach and enhancing the kidney's role in defecation control. Supportive interventions target stagnant liver

， obstructed lung

， and unsettled heart-mind to achieve holistic balance. Local treatment directly address the lesion， whereas systemic treatment prioritizes pattern differentiation and root-cause regulation.

关键词

Keywords

references

BRAY F ， LAVERSANNE M ， SUNG H ， et al . Global cancer statistics 2022： GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries ［J］. CA Cancer J Clin ， 2024 ， 74 （ 3 ）： 229 - 263 .

KEANE C ， FEARNHEAD NS ， BORDEIANOU LG ， et al . International consensus definition of low anterior resection syndrome ［J］. Dis Colon Rectum ， 2020 ， 63 （ 3 ）： 274 - 284 .

ROSEN H ， SEBESTA CG ， SEBESTA C . Management of low anterior resection syndrome （lars） following resection for rectal cancer ［J］. Cancers （Basel）， 2023 ， 15 （ 3 ）： 778 .

PALES CGC ， AN S ， CRUZ JP ， et al . Postoperative bowel function after anal sphincter-preserving rectal cancer surgery： risk factors diagnostic modalities， and management ［J］. Ann Coloproctol ， 2019 ， 35 （ 4 ）： 160 - 166 .

李可欣 . 中医治疗直肠癌低位前切除综合征的系统评价及临床观察［D］. 北京：北京中医药大学， 2021 .

CROESE AD ， WHITING S ， VANGAVETI VN ， et al . Using sacral nerve modulation to improve continence and quality of life in patients suffering from low anterior resection syndrome ［J］. ANZ J Surg ， 2018 ， 88 （ 11 ）： 787 - 791 .

中国医师协会肛肠医师分会 . 低位前切除综合征诊治中国专家共识（2025版）［J/OL］. 中国普通外科杂志 .（ 2025-07-22 ）［ 2025-08-08 ］. https：//link.cnki.net/urlid/43.1213.r.20250722.0956.002 https://link.cnki.net/urlid/43.1213.r.20250722.0956.002 .

卫佳慧，赵优冬，张桓伟，等 . 结直肠癌非遗传危险因素研究进展［J］. 海军军医大学学报， 2025 ， 46 （ 1 ）： 32 - 39 .

黄显壮，黄海舸，吴妮娜 . 低位直肠前切除综合征的临床研究进展［J］. 右江医学， 2024 ， 52 （ 2 ）： 178 - 182 .

LIU Z ， LIU Y ， XU H ， et al . Effect of electroacupuncture on urinary leakage among women with stress urinary incontinence： a randomized clinical trial ［J］. JAMA ， 2017 ， 317 （ 24 ）： 2493 - 2501 .

蔡丽群，黄河，池伟，等 . 电针治疗功能性肛门直肠痛35例［J］. 中国针灸， 2016 ， 36 （ 1 ）： 41 - 42 .

徐慧岩，曹科，丁亚鹏，等 . 培土扶木法中药联合撮谷道治疗功能性肛门直肠痛的临床疗效观察［J］. 中华中医药杂志， 2024 ， 39 （ 11 ）： 6263 - 6266 .

江虹霖，姜欣，杨鸣，等 . 从火毒论治放射性肠炎［J］. 中医杂志， 2021 ， 62 （ 19 ）： 1732 - 1735 .

陈瑞鸥 . 针药联合治疗慢性放射性直肠损伤引发的肛门直肠痛的定量与定性研究［D］. 北京：北京中医药大学， 2023 .

岳广欣，陈家旭，王竹风 . 肝主疏泄的生理学基础探讨［J］. 北京中医药大学学报， 2005 ， 28 （ 2 ）： 1 - 4 .

EMMERTSEN KJ ， LAURBERG S . Low anterior resection syndrome score： development and validation of a symptom-based scoring system for bowel dysfunction after low anterior resection for rectal cancer ［J］. Ann Surg ， 2012 ， 255 （ 5 ）： 922 - 928 .

查看原文

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

The Correspondence between Five Zang Organs and Five Phases and the Order of Five Zang Organs as Seen in Unearthed Literature

Influence of TCM Jianpi Yishen Method on the Postoperative Patients of Rectal Cancer Treated with Chemotherapy

Effect of Xiaoqinglong Decoction （小青龙汤） on Th2 Immune Responses and Nasal Mucosal TSLP/OX40L Pathway in Allergic Rhinitis Model Rats

Research on the Correlation Between "Tiangui （天癸）" and Female Reproductive Genetic Diseases

The Philosophy and Practical Pathway of "Dao （道）-Shen （神）-Formula" in Traditional Chinese Medicine

Related Author

GU Man

ZHOU Qi

YAN Minmin

WU Jianxin

Related Institution

Institute for History of Medicine and Medical Literature， China Academy of Chinese Medical Sciences

Postdoctoral Research Station，China Academy of Chinese Medical Sciences

Lanxi Municipal Hospital of TCM, Lanxi

Address：No.16, Nanxiao street, Dongzhimen, Dongcheng District, Beijing Postal code：100700
Tel：010-64035632 Email：jtcmcn@188.com
Technical support is provided by Beijing Founder electronics co., LTD 京ICP备09064830号-19 京公网安备11010102007558号
It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.

⁰

Treatment of Low Anterior Resection Syndrome after Rectal Cancer Surgery Based on "Alleviating Acute Disorder at the Po （魄） Gate and Regulating the Root of the Five Zang Organs"

DOI：10.13288/j.11-2166/r.2025.21.016

摘要

Abstract

关键词

Keywords

references