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从脾胃气化论治原发免疫性血小板减少症探析

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原发免疫性血小板减少症(ITP)是临床中常见的出血性疾病,属于自身免疫性血液系统疾病。本研究从脾胃气化角度论治ITP,认为本病病位在脾,"脾胃气化失常为ITP病机之本""阴火伤络为ITP病机之标",并提出"健脾和胃助气化""甘寒之品泻阴火"的治疗大法,临床运用当归六黄汤合茜根散治疗,为中医药治疗ITP提供新的辨治思路。
Exploration of the Treatment of Primary Immune Thrombocytopenia from the Perspective of Spleen and Stomach Qi Transformation
Primary immune thrombocytopenia(ITP)is a common bleeding disorder and an autoimmune hemato-logical disease.This paper discusses the treatment of ITP from the perspective of spleen and stomach qi transfor-mation.The disease primarily affects the spleen,and it is proposed that"disruption of spleen and stomach qi trans-formation is the root cause of ITP,"and"yin fire damaging the network vessels is the manifestation of ITP."Based on this understanding,the main treatment principles are"strengthening the spleen and harmonizing the stomach to assist qi transformation"and"using sweet-cold herbs to clear yin fire."Clinically,the combination of Danggui Liuhuang Decoction and Qiangen Powder is recommended for the treatment of ITP,providing a new diag-nostic and therapeutic approach for the use of traditional Chinese medicine in managing ITP.

Primary immune thrombocytopeniaSpleen and stomach qi transformationYin fire

孙慧、房丽君、闫理想、张莹、刘倩、范晨阳、周欣丽、朱赓达、史哲新

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天津中医药大学第一附属医院,国家中医针灸临床医学研究中心,天津 300381

原发免疫性血小板减少症 脾胃气化 阴火

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(12)