〔摘要〕 恶性胸腔积液为肿瘤晚期常见并发症，目前的治疗策略有限且难以根治。中医学将其归属于“悬饮”“支饮”范畴。“三焦气化”理论指机体气血津液在上、中、下三焦输布代谢的气机变化。三焦气化失司是恶性胸腔积液的根本病机，通调三焦、益气温阳贯穿恶性胸腔积液治疗全过程，治疗时应根据病变原因和病变部位之不同，宣肃肺气以理上焦、健运脾气以治中焦、温补肾气以调下焦，以求扼其恶性、截饮之源。附医案一则加以阐明。

    〔关键词〕 恶性胸腔积液；三焦气化；温补阳气；调理三焦

    〔中图分类号〕R255.8 〔文献标志码〕A 〔文章编号〕doi：10.3969/j.issn.1674-070X.2024.09.019

    Pattern differentiation and treatment of malignant pleural effusion based on the theory of "qi transformation in sanjiao"

    LIU Yanxia1， YANG Pengfei2， JIANG Jiandong1， DAI Anwei1*， GU Zhancheng1*

    1. Kunshan Hospital of Chinese Medicine， Kunshan， Jiangsu 215300， China;

    2. Gansu University of Chinese Medicine， Lanzhou， Gansu 730000， China

    〔Abstract〕 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 ......