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郭利华自拟健脾益气逐水方治疗肺癌恶性胸腔积液经验

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郭利华教授指出:恶性胸腔积液(Malignant pleural effusion,MPE)是临床中常见的并发症,肺癌引起的MPE是一种以虚为主,虚实夹杂的疾病.郭教授通过总结 30 余年的临床经验提出"培土制水、调气理肺"理论,以益气运脾、调气理肺、利水消癥为原则,着重运用调气药、健脾药,并自拟健脾益气逐水方,健脾益气、宽胸理肺、利水消癥使壅塞之肺气宣肃协调,以达气化则水湿自化之目的.此方经临床运用,确有治疗气虚饮停型MPE、改善生活质量的斐然作用.
GUO Lihua's Experience in Treating Malignant Pleural Effusion of Lung Cancer with Jianpi Yiqi Zhushui Prescription
Professor GUO Lihua pointed out that malignant pleural effusion(MPE)is a common complication in clinical practice.MPE caused by lung cancer is a disease with deficiency as the main symptom and mixed deficiency and excess.Professor GUO Lihua proposed the theory of"cultivating soil and controlling water,regulating Qi and regu-lating lung"by summarizing more than 30 years of clinical experience.Based on the principles of invigorating Qi and moving spleen,regulating Qi and regulating lung,and promoting diuresis and eliminating symptoms,he focused on the use of Qi regulating drugs and spleen strengthening drugs,and formulated a prescription for strengthening spleen,invigorating Qi and expelling water,which can invigorate spleen,invigorate Qi,expand chest and regulate lung,and promote diuresis and eliminate symptoms to make the blocked lung Qi clear and coordinated,so as to achieve the pur-pose of Qi transformation and water and dampness transformation.This prescription has been clinically used and has a remarkable effect in treating MPE of Qi deficiency and fluid retention type and improving the quality of life.

Xuanyinmalignant pleural effusionQi deficiency and water retention syndromeGUO Lihua

陈文凯、伍润梅、尹杰、杨小霞、郭利华

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云南中医药大学 云南 昆明 650500

云南省中医医院 云南 昆明 650021

悬饮 恶性胸腔积液 气虚水停证 郭利华

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(11)