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樊柄杰,周彤,李铮,李经蕾,侯炜.基于“病痰饮者，当以温药和之”探讨恶性胸腔积液治疗思路[J].湖南中医药大学学报英文版,2021,41(11):1756-1760.[Click to copy
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| 基于“病痰饮者，当以温药和之”探讨恶性胸腔积液治疗思路 |
| 樊柄杰,周彤,李铮,李经蕾,侯炜 |
| (北京中医药大学, 北京 100029;中国中医科学院广安门医院肿瘤科, 北京 100053) |
| 摘要: |
| “病痰饮者，当以温药和之”源于医圣张仲景《金匮要略·痰饮咳嗽病脉证并治》，后世论治痰饮病皆以此为宗。恶性胸腔积液的病因病机、临床表现、疾病演变与痰饮致病均有关联。故拟从释义、内涵、遣药组方等方面对“痰饮致病，温药和之”治则进行剖析，探讨此治则在论治恶性胸腔积液中的以“缓者温运阳气，通调脏腑治其本；急者和其不和，速排水饮治其标”为治疗纲领，阐释“温药和之”思想在治疗恶性胸腔积液中的应用，活用古方，遵古而不囿古，以期为临床治疗恶性胸腔积液提供思路。 |
| 关键词: 恶性胸腔积液 金匮要略 痰饮病 治疗思路 温药和之 |
| DOI：10.3969/j.issn.1674-070X.2021.11.018 |
| Received:September 25, 2021 |
| 基金项目:国家自然科学基金面上项目（82074239）。 |
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| Discussion on the Treatment Ideas of Malignant Pleural Effusion Based on “Patients Suffered from Phlegm and Retained Fluid Should be Treated by Warm Medicine” |
| FAN Bingjie,ZHOU Tong,LI Zheng,LI Jinglei,HOU Wei |
| (Beijing University of Chinese Medicine, Beijing 100029, China;Department of Oncology, Guang'anmen Hospital of China Academy of Chinese Medical, Beijing 100053, China) |
| Abstract: |
| Patients suffered from phlegm and retained fluid should be treated by warm medicine originated from Synopsis of the Golden Chamber written by the medical sage Zhang Zhongjing, which was regarded as the canon to resist the phlegm and retained fluid. The etiology, pathogenesis, clinical manifestations and disease evolution of malignant pleural effusion are related to phlegm and retained fluid. Therefore, it is proposed to analyze the treatment principle of "patients suffered from drink pathogen should be treated by warm medicine" from the interpretation, connotation, dispatching medicine prescription and other aspects, and to explore the application of this treatment principle in the treatment of malignant pleural effusion, taking "the slow one warms and transports Yang Qi, dredges and regulates the Zang-fu organs to treat the root; the urgent one reconciles its discord, and the quick drainage drink to treat the treetop" as the treatment program, so as to expound the application of the thought of "reconcile with warm medicine" in the treatment of malignant pleural effusion, and to apply the ancient prescriptions flexibly, follow the ancient but not limit the ancient to the treatment of malignant pleural effusion, in order to provide ideas for clinical treatment of malignant pleural effusion. |
| Key words: malignant pleural effusion Synopsis of the Golden Chamber phlegm and retained fluid treatment principle reconcile with warm medicine |
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