title: A case of unilateral pleural effusion secondary to congestive heart failure successfully treated with traditional Chinese herbal formulas.
abstract: OBJECTIVE
  A case is presented that illustrates the potential effect of traditional Chinese medicine (TCM) herbal formulas on treatment for unilateral pleural effusion secondary to congestive heart failure (CHF).
  
  
  METHODS
  A 79-year-old woman experienced episodic dyspnea with unilateral pleural effusion for 2 years. Thoracocentesis with pleural fluid analysis revealed no infection, tuberculosis, or malignancy. She had received conventional treatment for CHF but the symptoms persisted. Therefore, she visited the authors' TCM clinic for help.
  
  
  RESULTS
  This patient was treated with TCM herbal granules including Shengmaisan, Xiebaisan, and Tinglizi, 3 times a day for 4 weeks. The daily dosage was adjusted on the basis of the patient's clinical response and her follow-up chest x-ray studies. After 8 months of treatment, her symptoms improved and the pleural effusion showed significant regression.
  
  
  CONCLUSIONS
  It is suggested that TCM herbal formulas could play an important role in preventing the progression of unilateral pleural effusion secondary to CHF, in case of poor response to conservative treatment. Additional studies about the mechanism of action of the medication involved are warranted.
authors.affiliation: Division of Acupuncture and Chinese Traumatology, Department of Traditional Chinese Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
authors.forename: Han-Dao
authors.initials: HD
authors.lastname: Lee
authors.forename: Hsien-Hsueh Elley
authors.initials: HH
authors.lastname: Chiu
mesh_terms: D000368:Aged; D004365:Drugs, Chinese Herbal / Q000494:pharmacology / Q000627:therapeutic use*; D005260:Female; D006333:Heart Failure / Q000150:complications / Q000188:drug therapy*; D006801:Humans; D008517:Phytotherapy; D010996:Pleural Effusion / Q000188:drug therapy* / Q000209:etiology; D016896:Treatment Outcome
chemical_list: D004365:Drugs, Chinese Herbal