摘要
总结丘和明教授论治特发性血小板减少性紫癜(idiopathic thrombocytopenic purpura,ITP)的临床经验。丘和明教授认为ITP的主要病机为本虚标实,以五脏亏虚为本,火热妄行为标。临证借鉴清代唐容川《血证论》的学术思想,将其中的治血四法“止血、消瘀、宁血、补血”用于ITP的治疗。提出止血为先,以收敛止血、凉血止血治之;辨因消瘀,忌用破血之品;宁血即祛因,重在宁心肝肺;补血即补五脏,重在补肝脾肾。丘和明教授治疗ITP时,以止血、消瘀、宁血、补血为法,自创滋阴止血方(主要由熟地黄或生地黄、山药、山茱萸、仙鹤草、地稔、小蓟、连翘、荆芥穗、甘草等组成)为基本方,随症灵活加减,可有效改善患者临床症状及血小板计数水平,使患者逐渐摆脱激素依赖。
The clinical experience of Professor QIU He-Ming in treating idiopathic thrombocytopenic purpura(ITP)was Summarized.Professor QIU He-Ming believes that the main pathogenesis of ITP is characterized by deficiency in the origin and excess in the superficiality,the deficiency in the origin is manifested as the insufficiency of five zang organs,and the excess in the superficiality is manifested as the fire-heat intensity.Following the thoughts for the treatment of blood syndrome recorded in Treatise on Blood Syndromes,a book written by TANG Rong-Chuan in Qing dynasty,Professor QIU He-Ming adopted the tetrad-therapy of stopping bleeding,eliminating blood stasis,calming blood,and nourishing blood to treat ITP.During the treatment of ITP,therapy of stopping bleeding should be used firstly and can be achieved by astringency-inducing drugs and cooling blood,eliminating blood stasis should be used based on etiological differentiation and the herbs for activating blood should be avoided,calming blood is used for eleminating the pathogenic factors and herbs for tranquilizing heart,liver and lung can be utilized,and nourishing blood is used for tonifying five zang organs,in particular for tonifying liver,spleen and kidney.For the treatment of IPT,Professor QIU He-Ming has estalished a prescription of Ziyin Zhixue Recipe to stop bleeding,eliminate blood stasis,calm blood,and nourish blood,and the prescription is mainly composed of the herbs of Radix Rehmanniae Preparata or Radix Rehmanniae,Rhizoma Dioscoreae,Fructus Corni,Herba Agrimoniae,Radix Melastomae,Herba Cirsii,Fructus Forsythiae,Flos Schizonepetae,and Radix Glycirrhizae.The modification of Ziyin Zhixue Recipe based on symptoms is effective on relieving the clinical symptoms,improving the platelet level,and can make the patients be gradually free from steroid dependence.
作者
王礼琼
陈鹏
古学奎
何靖
丘和明(指导)
WANG Li-Qiong;CHEN Peng;GU Xue-Kui;HE Jing;QIU He-Ming(Advisor)(The First Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;Dept.of Hematology,the First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2021年第7期1481-1485,共5页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
广东省中医药局立项科研课题(编号:20192023)。
关键词
特发性血小板减少性紫癜
《血证论》
止血
消瘀
宁血
补血
丘和明
idiopathic thrombocytopenic purpura
Treatise on Blood Syndromes
stopping bleeding
eliminating blood stasis
calming blood
nourishing blood
QIU He-Ming
