探讨“温阳化饮”法对肺癌伴恶性胸腔积液的临证运用  

Exploring the Clinical Application of the “Warm Yang Hua Yin” Method in the Treatment of Lung Cancer with Malignant Pleural Effusion

作　　者：唐庆栋 周用 

机构地区：[1]湖北中医药大学第一临床学院,湖北 武汉 [2]湖北省中医院肿瘤科,湖北 武汉

出　　处：《中医学》2023年第11期3206-3210,共5页Traditional Chinese Medicine

摘　　要：结合古代中医理论思想与现代西医临床知识,以“阳气”为切入点,对肺癌晚期并发的胸腔积液的病因病机、治则治法及临证等方面,从气虚与阳虚两个角度进行了初步的探讨。运用“温阳化饮”法治疗胸水,能够较好地解决气虚与肺阴亏虚等这一类引起胸水的主要病因,从而在根本上解决积液给病人带来的不适与痛楚。运用中医中药治疗,具有其独到的特色优势,旨在为临床治疗肿瘤时减轻放化疗不良反应,使其作为一种辅助手段达到增效减毒的目的,给病人一个好的、较稳定的内环境以改善其生活质量便于后续治疗。Based on the theoretical ideas of ancient Chinese medicine and clinical knowledge of modern West-ern medicine, this article takes “Yang Qi” as the starting point to explore the etiology, pathogenesis, treatment principles, methods, and clinical manifestations of pleural effusion complicated by ad-vanced lung cancer from the perspectives of Qi deficiency and Yang deficiency. The use of the “Warm Yang Hua Yin” method to treat pleural effusion can effectively solve the main causes of pleural effusion, such as qi deficiency and lung yin deficiency, and fundamentally solve the discom-fort and pain caused by fluid accumulation in patients. The use of traditional Chinese medicine for treatment has its unique advantages, aiming to reduce adverse reactions to radiotherapy and chemotherapy in clinical treatment of tumors, making it an auxiliary means to achieve the goal of increasing efficacy and reducing toxicity, providing patients with a good and stable internal envi-ronment to improve their quality of life and facilitate subsequent treatment.

关 键 词：肺癌 胸腔积液 阳虚 温阳化饮 临证运用 

分 类 号：R73[医药卫生—肿瘤]