XIONG Jibai's Experience in Treating Henoch-schonlein Purpura by Staged Diagnosis and Treatment with "Simultaneous Treatment of Wind and Blood"

XU Wenfeng; HU Hua; PENG Yajun; WU Fan; CAI Wei; GONG Zhaohong; TAN Chao

doi:10.13288/j.11-2166/r.2024.13.003

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XIONG Jibai's Experience in Treating Henoch-schonlein Purpura by Staged Diagnosis and Treatment with "Simultaneous Treatment of Wind and Blood"

更新时间：2024-06-28

- XIONG Jibai's Experience in Treating Henoch-schonlein Purpura by Staged Diagnosis and Treatment with "Simultaneous Treatment of Wind and Blood"
- Journal of Traditional Chinese Medicine Vol. 65, Issue 13, Pages: 1318-1322(2024)
- 作者机构：
  
  1.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
  2.湖南中医药大学
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2024.13.003
  CLC：
- Received：14 November 2023，
  
  Revised：2024-03-28，
  
  Published：02 July 2024
- 稿件说明：
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徐文峰,胡华,彭亚军等.熊继柏“风血同治”分期辨治过敏性紫癜经验[J].中医杂志,2024,65(13):1318-1322.

XU Wenfeng,HU Hua,PENG Yajun,et al.XIONG Jibai's Experience in Treating Henoch-schonlein Purpura by Staged Diagnosis and Treatment with "Simultaneous Treatment of Wind and Blood"[J].Journal of Traditional Chinese Medicine,2024,65(13):1318-1322.
徐文峰,胡华,彭亚军等.熊继柏“风血同治”分期辨治过敏性紫癜经验[J].中医杂志,2024,65(13):1318-1322. DOI： 10.13288/j.11-2166/r.2024.13.003.

XU Wenfeng,HU Hua,PENG Yajun,et al.XIONG Jibai's Experience in Treating Henoch-schonlein Purpura by Staged Diagnosis and Treatment with "Simultaneous Treatment of Wind and Blood"[J].Journal of Traditional Chinese Medicine,2024,65(13):1318-1322. DOI： 10.13288/j.11-2166/r.2024.13.003.

摘要

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。

Abstract

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 syndrome 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， syndrome of effulgent fire due to yin deficiency and syndrome of

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 throughout the treatment.

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references

SONG Y ， HUANG X ， YU G ， et al . Pathogenesis of IgA vasculitis：an up-to-datereview ［J］. Front Immunol ， 2021 ， 12 ： 771619 . doi： 10.3389/fimmu.2021.771619 http://dx.doi.org/10.3389/fimmu.2021.771619 .

TAN J ， TANG Y ， ZHONG Z ， et al . The efficacy and safety of immunosuppressive agents plus steroids compared with steroids alone in the treatment of Henoch-Schönlein purpura nephritis： a meta-analysis ［J］. Int Urol Nephrol ， 2019 ， 51 （ 6 ）： 975 - 985 .

杨燕，盛燕，张克青，等 . 清热利湿活血解毒中药联合西药治疗腹型过敏性紫癜湿毒内蕴证75例临床观察［J］. 中医杂志， 2016 ， 57 （ 9 ）： 763 - 766 .

张霞，徐闪闪，王龙，等 . 清热止血方联合雷公藤多苷对过敏性紫癜性肾炎血清源性多聚IgA诱导内皮损伤的保护作用及对NF-κB通路的影响［J］. 北京中医药大学学报， 2023 ， 46 （ 7 ）： 970 - 979 .

张蒙蒙，翟文生，李广，等 . 六种中成药联合西医常规治疗对儿童紫癜性肾炎疗效差异的网状Meta分析［J］. 中药药理与临床， 2023 ， 39 （ 7 ）： 65 - 73 .

魏建孔，白玉盛 . 中医药治疗过敏性紫癜的研究进展［J］. 新疆中医药， 2022 ， 40 （ 4 ）： 126 - 128 .

袁振华，任献青，丁樱，等 . 基于络病学说探讨小儿过敏性紫癜辨治规律［J］. 中医杂志， 2021 ， 62 （ 1 ）： 75 - 78 .

汪受传 . 从风论治儿童过敏性疾病［J］. 中医杂志， 2016 ， 57 （ 20 ）： 1728 - 1731 .

陶洪，刘慧英，彭昕欣，等 . 过敏性紫癜患儿临床特点及中医证候演变规律的研究［J］. 湖南中医药大学学报， 2023 ， 43 （ 5 ）： 935 - 939 .

袁佳晴，朱新景，王星星，等 . 基于“气血两清”理论探讨浮萍-紫草对银屑病模型小鼠皮肤屏障功能的影响［J］. 广州中医药大学学报， 2022 ， 39 （ 2 ）： 395 - 401 .

刘扬，何清湖，刘朝圣，等 . 国医大师熊继柏论中医治疗慢性病要有守有方［J］. 中华中医药杂志， 2018 ， 33 （ 12 ）： 5429 - 5431 .

郑国庆，罗克勤，王艳 . 风药治疗血证源流［J］. 时珍国医国药， 2000 ， 11 （ 7 ）： 634 - 635 .

欧莉，程虎印，赵鹏 . 荆芥炭对血液系统的作用研究进展［J］. 中国药业， 2010 ， 19 （ 14 ）： 19 - 20 .

王靖怡，高嘉良，王阶 . 风药治血探微［J］. 中华中医药杂志， 2020 ， 35 （ 5 ）： 2460 - 2463 .

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