WANG Xingkuan's Differentiation and Treatment of Accumulation of Fluid in Chest Based on Theory of Collateral Disease
HUA Yuan
WANG Xiaoju
TIAN Jiaxuan
LAO Yanyuan
XIAO Biyue
WANG Xingkuan
Abstract：Professor WANG Xingkuan,based on his extensive clinical experience,believes that accumulation of fluid in the chest can be classified as a disorder of the chest collaterals.The overall pathogenesis is characterized by asthenia in origin and asthenia in superficiality,with deficiency of the lung and spleen qi and stagnation of the chest collaterals as the underlying cause.External invasion of pathogenic factors and internal generation of phlegm,stasis and toxins lead to disharmony of the chest collaterals,and even their obstruction,which is the core pathological link.The final outcome is the leakage of body fluids and the accumulation of fluid in the chest cavity.In terms of treatment,Professor WANG Xingkuan emphasizes the initial step of purging the lung,promoting diuresis and expelling pathogenic factors,and adheres to the principle that"tonification and unblocking are the most appropriate"for collateral disorders.He flexibly applies methods such as tonifying qi,promoting qi circulation and nourishing collaterals,regulating the lung and soothing the liver to unblock collaterals,and resolving phlegm,removing stasis and unblock-ing collaterals to treat accumulation of fluid in the chest.He often uses Jiaomu Gualou Decoction(椒目瓜蒌汤)created by FEI Boxiong as the basic formula with modification to achieve the effect of resolving fluid accumulation and unblocking collaterals.
Keywords：accumulation of fluid in the chestcollateral disease theorypleural effusiondeficiency of lung and spleen qiJiaomu Gualou Decoction(椒目瓜蒌汤)WANG Xingkuan
Publication Date：2025-06-05
Online Publishing Date：2026-05-22(First online date of this platform, not the publication date of the document)
Pages：5( 690-694 )