主 办:北 京 中 医 药 大 学
ISSN 2095-6606 CN 10-1157/R

现代中医临床 ›› 2021, Vol. 28 ›› Issue (2): 60-64.doi: 10.3969/j.issn.2095-6606.2021.02.013

• 思路与方法 • 上一篇    下一篇

“金水相生”理论在肺癌恶性胸腔积液中的应用探讨*

李小妹1, 沈洋2, 杨婕3, 卫月3, 孙韬3#   

  1. 1 北京中医药大学 北京 100020;
    2 北京中医药大学东直门医院;
    3 北京中医药大学东方医院
  • 收稿日期:2020-09-21 出版日期:2021-03-30 发布日期:2021-03-30
  • 通讯作者: #孙韬,女,硕士,主任医师、教授,硕士生导师,E-mail:doctor_st@126.com
  • 作者简介:李小妹,女,在读硕士生
  • 基金资助:
    *首都卫生发展科研专项项目(No.首发2020-2-1023)

Application of “metal-water generating” theory in malignant pleural effusion of lung cancer*

Li Xiaomei1, Shen Yang2, Yang Jie3, Wei Yue3, Sun Tao3#   

  1. 1 Beijing University of Chinese Medicine, Beijing 100020;
    2 Dongzhimen Hospital, Beijing University of Chinese Medicine;
    3 Dongfang Hospital of Beijing University of Chinese Medicine
  • Received:2020-09-21 Online:2021-03-30 Published:2021-03-30

摘要: 肺癌是临床常见的恶性肿瘤之一,肺癌患者在疾病发展中合并恶性胸腔积液(maligant pleural effusion,MPE)往往预后不良。“金水相生”又称“肺肾相生”“肺肾同源”,肺肾阴阳相资,共主呼吸,协调津液输布与代谢,经络相连,在生理方面密切相关。肺肾亏虚是肺癌MPE重要的发病因素。临床治疗手段加重肺肾亏虚。肺癌MPE治疗强调肺肾同治,金水相生理论可指导治疗肺癌MPE的遣药组方,并结合临床典型病案加以阐述。

关键词: 肺癌, 恶性胸腔积液, 肺肾亏虚, 金水相生

Abstract: The lung cancer is one of the most common malignant tumors in clinical practice. The prognosis of the lung cancer patients with malignant pleural effusion (MPE) is often poor. “Metal-water generation” is also known as “Mutual Generation between the Lung and Kidney” and “Lung and Kidney Homogeny”. The lung and kidney are closely related as they are both involved in breathing, coordination of fluid distribution and metabolism and they are connected by meridians. Deficiency of the lung and kidney is an important pathogenic factor of MPE in the lung cancer. Clinical treatment often aggravates the deficiency of the lung and kidney. The treatment of lung cancer MPE emphasizes the treatment of both the lung and kidney. The theory of metal-water generating can guide the prescription and medication of lung cancer MPE, which is expounded in combination with the typical clinical records.

Key words: lung cancer, malignant pleural effusion, deficiency of the lung and kidney, metal-water generating

中图分类号: 

  • R273