Treatment of Granulation Tissue Hyperplasia after Tracheostomy Based on the Kenang (窠囊) Theory
10.13288/j.11-2166/r.2025.07.015
- VernacularTitle:以窠囊理论探析气管切开术后并发肉芽组织增生的治疗
- Author:
Yue YUAN
1
;
Siyuan LEI
1
;
Jiajia WANG
1
;
Jiansheng LI
1
Author Information
1. Collaborative Innovation Center for Chinese Medicine and Respiratory Diseases Co-constructed by Henan Province & Education Ministry of P.R.China/Henan Key Laboratory of Chinese Medicine for Respiratory Diseases,Henan University of Chinese Medicine,Zhengzhou,450046
- Publication Type:Journal Article
- Keywords:
tracheotomy;
granulation tissue hyperplasia;
Kenang (窠囊) theory;
phlegm and blood stasis interlocking
- From:
Journal of Traditional Chinese Medicine
2025;66(7):746-749
- CountryChina
- Language:Chinese
-
Abstract:
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.