从“寒湿气滞”辨治肿瘤恶性胸腔积液探析

Exploration on the Syndrome Differentiation of"Cold-dampness and Qi Stagnation"in Malignant Pleural Effusion of Tumors

恶性胸腔积液属于中医“悬饮”“痰饮”范畴,大多为原发恶性肿瘤转移到胸膜引起。目前关于恶性胸腔积液的中医病因病机标准尚未完全统一。本文主要从“寒湿气滞”的角度探讨其与肿瘤恶性胸腔积液之间的关系,总结出寒湿气滞是恶性胸水的关键病机,治疗应以温化寒湿为主,畅达气机为辅。并对恶性胸腔积液不同时期的辨证论治加以归纳,以期为恶性胸腔积液的临床治疗提供新的理论依据。

Malignant pleural effusion belongs to the category of"suspending fluid retention"and"indigestion"in traditional Chinese medicine,and most of them are caused by the metastasis of primary malignant tumor to the pleura.At present,the standard of TCM etiology and pathogenesis of malignant pleural effusion has not been completely unified.This article mainly discusses the relationship between it and malignant pleural effusion from the perspective of"cold-dampness and qi stagnation",and concludes that cold-dampness and qi stagnation is the key pathogenesis of malignant pleural effusion.It also summarizes the syndrome differentiation and treatment of malignant pleural effusion in different stages,in order to provide a new theoretical basis for the clinical treatment of malignant pleural effusion.