Pattern differentiation and treatment of malignant pleural effusion based on the theory of"qi transformation in sanjiao"
Malignant pleural effusion(MPE)is a common complication in the advanced stage of cancers,and it is difficult to cure it with limited treatment strategies currently.In Chinese medicine,it is categorized as"pleural fluid retention"and"thoracic fluid retention".The theory of"qi transformation in sanjiao"indicates the changes in the circulation and metabolism of blood,qi,and body fluids in the upper,middle,and lower jiao.The dysfunction of qi transformation in sanjiao is the underlying pathological mechanism of MPE.The principles of regulating sanjiao and supplementing qi and warming yang should be applied throughout the treatment course of MPE.The treatment should be tailored to distinct pathological causes and locations,i.e.dispersing the lung qi to adjust the upper jiao,strengthening and circulating the spleen qi to treat the middle jiao,and warming and tonifying the kidney qi to regulate the lower jiao,in order to curb the malignancy and cut off the source of fluid retention.A medical record is presented as an example to illustrate.
malignant pleural effusionqi transformation in sanjiaowarming and supplementing yang qiregulating sanjiao
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