蔡新生教授温化法治疗恶性胸腔积液临床经验  

Clinical Experience of Professor Cai Xinsheng in the Treatment of Malignant Pleural Effusion by Using Warmly Resolving Method

作　　者：杨云超 蔡新生[2] YANG Yunchao;CAI Xinsheng(Grade 2021 Graduate,Shandong University of Traditional Chinese Medicine,Shandong Province,Jinan 250000,China;Department of Oncology,Weifang Hospital of Traditional Chinese Medicine,Shandong Province,Weifang 261000,China)

机构地区：[1]山东中医药大学硕士研究生2021级,山东济南250000 [2]潍坊市中医院肿瘤二科,山东潍坊261000

出　　处：《中国中医药现代远程教育》2025年第6期88-90,共3页Chinese Medicine Modern Distance Education of China

摘　　要：恶性胸腔积液(MPE)是肿瘤晚期常见的并发症之一,常见于肺癌、乳腺癌、淋巴瘤、妇科恶性肿瘤以及恶性胸膜间皮瘤,临床上以咳嗽咳痰、胸闷胸痛、呼吸困难等为主要症状,严重影响患者的生活质量,且预后往往较差,属于中医学“悬饮”范畴。病痰饮者,当以温药和之。中医认为阳虚是MPE的根源,水液代谢障碍为其基本病机。文章从肺脾肾脏主司水液代谢的生理功能出发,论述蔡新生教授以温阳为统领,根据患者疾病的表里虚实,运用温阳化饮法辨证论治MPE的临床经验。Malignant pleural effusion(MPE)is one of the common complications of advanced tumor,commonly seen in lung cancer,breast cancer,lymphoma,gynecological malignant tumor and malignant pleural mesothelioma.Clinically,the main symptoms are cough and sputum,chest tightness,chest pain,dyspnea,etc.,which seriously affects the quality of life of patients,and the prognosis is often poor.In traditional Chinese medicine,it belongs to the category of“suspending fluid”.Retention of phlegm and fluid should be treated with warmly resolving method.Traditional Chinese medicine believes that yang deficiency is the root cause of malignant pleural effusion,and water and fluid metabolism disorder is the basic pathogenesis.Based on the physiological function of fluid metabolism of lung,spleen and kidney,this paper discussed Professor Cai Xinsheng’s clinical experience in treating MPE with warmly resolving method as the leader and according to the symptoms of the disease.

关 键 词：悬饮 恶性胸腔积液 阳虚证 温化法 临床经验 蔡新生 

分 类 号：R249[医药卫生—中医临床基础]