Therapeutic Approach to Malignant Pleural Effusion in Lung Cancer Based on the Transmission and Transformation of Damp Turbidity through the<italic style="font-style: italic"> Sanjiao </italic>（三焦）

TAN Ying; HAN Baojin; ZHONG Yiwei; CAI Ruijuan; MAO Qiyuan; LIN Hongsheng

doi:10.13288/j.11-2166/r.2025.21.017

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Therapeutic Approach to Malignant Pleural Effusion in Lung Cancer Based on the Transmission and Transformation of Damp Turbidity through the Sanjiao （三焦）

更新时间：2025-10-31

- Therapeutic Approach to Malignant Pleural Effusion in Lung Cancer Based on the Transmission and Transformation of Damp Turbidity through the Sanjiao （三焦）
- Journal of Traditional Chinese Medicine Vol. 66, Issue 21, Pages: 2287-2291(2025)
- 作者机构：
  
  中国中医科学院广安门医院，北京市西城区北线阁5号，100053
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2025.21.017
  CLC：
- Received：23 June 2025，
  
  Revised：2025-07-24，
  
  Published：02 November 2025
- 稿件说明：
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谭滢,韩宝瑾,钟毅薇等.基于湿浊三焦传变探讨肺癌胸腔积液的治疗思路[J].中医杂志,2025,66(21):2287-2291.

TAN Ying,HAN Baojin,ZHONG Yiwei,et al.Therapeutic Approach to Malignant Pleural Effusion in Lung Cancer Based on the Transmission and Transformation of Damp Turbidity through the Sanjiao （三焦）[J].Journal of Traditional Chinese Medicine,2025,66(21):2287-2291.
谭滢,韩宝瑾,钟毅薇等.基于湿浊三焦传变探讨肺癌胸腔积液的治疗思路[J].中医杂志,2025,66(21):2287-2291. DOI： 10.13288/j.11-2166/r.2025.21.017.

TAN Ying,HAN Baojin,ZHONG Yiwei,et al.Therapeutic Approach to Malignant Pleural Effusion in Lung Cancer Based on the Transmission and Transformation of Damp Turbidity through the Sanjiao （三焦）[J].Journal of Traditional Chinese Medicine,2025,66(21):2287-2291. DOI： 10.13288/j.11-2166/r.2025.21.017.

摘要

认为“湿浊蓄于下焦-逆传三焦-上凌肺络”为肺癌胸腔积液的核心病机，并据此阐释肺癌胸腔积液的形成路径：湿浊先蓄于下焦，肾与膀胱气化失司为病源；继而逆传三焦，少阳枢机不利为枢纽；最终上凌肺络，胸阳痹阻致水饮停聚。据此确立其辨治原则：温肾化气以固根本，通过温补肾阳、助膀胱气化阻断湿浊生成；疏利三焦以截传变，调畅水道阻止湿浊上犯；开泄上焦以逐饮邪，缓解肺络壅滞之症，为临床辨治恶性胸腔积液提供新思路。

Abstract

This paper proposes that the core pathogenesis of malignant pleural effusion in lung cancer lies in "accumulation of damp turbidity in the lower

sanjiao

（三焦）， retrograde transmission through the

sanjiao

， and upward invasion of the lung collaterals". This theory elucidates the pathophysiological process of effusion formation as follows： damp turbidity first accumulates in the lower

sanjiao

， where dysfunction of the kidney and bladder in

transformation serves as the source of disease； it then transmits retrogradely through the

sanjiao

， with stagnation of the

shaoyang

pivot acting as the key link； finally， the damp turbidity ascends to the lung collaterals， where obstruction of chest

yang

leads to fluid retention in the thoracic cavity. Accordingly， the therapeutic principles are established as follows： warming the kidney and promoting

transformation to strengthen the root， by tonifying kidn

yang

and faci-litating bladder

transformation to block the generation of damp turbidity； dredging and unblocking the

sanjiao

to interrupt its pathological transmission， by regulating water pathways and preventing upward encroachment of damp turbidity； and opening and dispersing the upper

sanjiao

to eliminate retained fluids， by relieving obstruction of the lung collaterals. This approach provides a novel perspective for the syndrome differentiation and treatment of malignant pleural effusion in lung cancer.

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references

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Therapeutic Approach to Malignant Pleural Effusion in Lung Cancer Based on the Transmission and Transformation of Damp Turbidity through the Sanjiao （三焦）

DOI：10.13288/j.11-2166/r.2025.21.017

摘要

Abstract

关键词

Keywords

references