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熊继柏"风血同治"分期辨治过敏性紫癜经验

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总结熊继柏教授从"风血同治"角度治疗过敏性紫癜的临证经验.临证将过敏性紫癜分为急性期、迁延期,认为风邪贯穿疾病始终,治疗以唐容川《血证论·吐血》"治血四法",即止血、消瘀、宁血、补血为指导,提出"风血同治".急性期多见风热伤络证、血热妄行证,均治以凉血祛风、消瘀止血为法,常用自拟经验方紫萍消风散加减;迁延期正虚邪恋,常见阴虚火旺证、气虚不摄证,治以宁血补虚为法,分别以知柏地黄汤、归脾汤为基础方加减.同时认为风药有祛瘀、止血、凉血之功,将风药贯穿治疗全程.
XIONG Jibai's Experience in Treating Henoch-schonlein Purpura by Staged Diagnosis and Treatment with "Simultaneous Treatment of Wind and Blood"
This article aimed to summarise the clinical experience of Professor XIONG Jibai in treating henoch-schonlein purpura(HSP)from the perspective of"simultaneous treatment of wind and blood".HSP was devided into acute phase and transitional phase in clinic.It was considered that the wind pathogen exists throughout the disease course,and the treatment is guided by the"four methods of treating blood"in TANG Rongchuan's Treatise on Blood Syndromes-Blood Vomiting(《血证论·吐血》),which are stanching bleeding,expelling stasis,tranquilising blood,and tonifying blood.In the acute phase,wind-heat damaging collateral symdrome and blood-heat frenetic flow syn-drome are common,which could be treated by the method of cooling blood to dispel wind,and eliminating stasis to stop bleeding,with self-prescribed modified Ziping Xiaofeng Powder(紫萍消风散);in the transitional phase,syn-drome of effulgent fire due to yin deficiency and syndrome of qi deficiency failing to control are common,which could be treated by the method of tranquilising blood and tonifying deficiency,with modified Zhibai Dihuang Decoction(知柏地黄汤)and Guipi Decoction(归脾汤).At the same time,it is believed that wind-related medicinal has the function of eliminating stasis,stanching bleeding,and cooling blood,and the wind-related medicinal should be used through-out the treatment.

henoch-schonlein purpuratreatment of windtreatment of bloodfamous doctor's experienceXIONG Jibai

徐文峰、胡华、彭亚军、吴凡、蔡蔚、龚兆红、谭超、熊继柏

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湖南中医药大学第一附属医院,湖南省长沙市雨花区韶山中路95号,410007

湖南中医药大学

过敏性紫癜 治风 治血 名医经验 熊继柏

国家中医药管理局第七批全国老中医药专家学术经验继承工作项目国家中医药管理局第七批全国老中医药专家学术经验继承工作项目国家中医药管理局第七批全国老中医药专家学术经验继承工作项目湖南省中医重点专科湖南省中医药管理局中医药科研重点课题湖南省自然科学基金湖南省教育厅科学研究优秀青年项目长沙市科技计划项目

RSK-017-01RSK-017-02RSK-017-03czxmsbk-2023001A20240282024JJ942220B432kq2014220

2024

10.13288/j.11-2166/r.2024.13.003

中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCD北大核心
影响因子：1.464
ISSN：1001-1668
年,卷(期)：2024.65(13)