1.河南中医药大学儿科医学院,河南省郑州市郑东新区金水东路156号,450046
2.河南中医药大学第一附属医院
yanyongbin827@sina. com
收稿:2022-03-29,
修回:2022-05-03,
纸质出版:2022-08-17
移动端阅览
李向峰,郑海涛,任献青等.丁樱运用养血安络法治疗儿童慢性免疫性血小板减少症经验[J].中医杂志,2022,63(16):1511-1515.
LI Xiangfeng,ZHENG Haitao,REN Xianqing,et al.Professor DING Ying's Experience in the Treatment of Chronic Immune Thrombocytopenia in Children by Nourishing Blood and Tranquilizing Collaterals[J].Journal of Traditional Chinese Medicine,2022,63(16):1511-1515.
李向峰,郑海涛,任献青等.丁樱运用养血安络法治疗儿童慢性免疫性血小板减少症经验[J].中医杂志,2022,63(16):1511-1515. DOI: 10.13288/j.11-2166/r.2022.16.003.
LI Xiangfeng,ZHENG Haitao,REN Xianqing,et al.Professor DING Ying's Experience in the Treatment of Chronic Immune Thrombocytopenia in Children by Nourishing Blood and Tranquilizing Collaterals[J].Journal of Traditional Chinese Medicine,2022,63(16):1511-1515. DOI: 10.13288/j.11-2166/r.2022.16.003.
总结丁樱教授运用养血安络法治疗儿童慢性免疫性血小板减少症(CITP)的临床经验。认为CITP病机为本虚标实,以气血不和为本,脉络不宁为标,提出养血安络法是基本治疗原则。养血法为治疗之本,根据气虚、阴虚、血瘀之侧重,分为益气生血、健运脾胃法,养阴补血、滋养肝肾法,活血养血、祛瘀生新法;安络法为治疗之标,根据伏毒、伏风、寒湿之侧重,分为清热宁血法、祛风柔肝法、散寒温络法。临证擅于运用归脾汤、左归丸加减治疗,并配合活血化瘀、清热解毒凉血、祛风柔肝、散寒温络等药物;同时强调从整体出发,养血安络原则应贯穿始终,守方缓图,使病情趋稳。
This paper introduced professor DING Ying's clinical experience in the treatment of chronic immune thrombocytopenia (CITP) in children. It is considered that CITP is the disease of root deficiency and branch excess, taking “disharmony of qi and blood” as the root and “restlessness of channels and collaterals” as the branch, and the method of nourishing blood and tranquilizing collaterals is the basic treatment principle of this disease. The method of nourishing blood is the root of treatment, which includes replenishing
qi
and invigorating blood, fortifying and activa-ting spleen and stomach method; nourishing
yin
and supplementing the blood, enriching and nourishing the liver and kidney method; and invigorating and nourishing blood, dispelling stasis to promote regeneration method, given in corresponding to the pathogenesis of
qi
deficiency,
yin
deficiency, and blood stasis. The method of tranquilizing collate-rals is the branch of the treatment, which can be divided into clearing heat and calming blood, dispelling wind and softening liver, dispelling cold and warming collaterals, separately corresponding to the pathogen of latent toxin, latent wind, and cold-damp. In clinical practice,
Guipi Decoction
(归脾汤) and
Zuogui Pills
(左归丸) with modifications are commonly used, together with medicinals that can invigorate blood and dissolve stasis, clear heat, resolve toxins and cool blood, dispel wind and soften the liver, dissipate cold and warm collaterals. Simultaneously, it is emphasized that the concept of holism should be taken, and the principle of nourishing blood and tranquilizing collaterals should be followed. It is appropriate to keep the prescription and slow the plan, so that the condition can be stabilized.
江载芳 , 申昆玲 , 沈颖 , 等 . 诸福棠实用儿科学 [M]. 8版 . 北京 : 人民卫生出版社 , 2015 : 1896 - 1898 .
RODEGHIERO F , STASI R , GERNSHEIMER T , et al . Standardization of terminology, definitions and outcome criteria in immune thrombocytopenic purpura of adults and children: report from an international working group [J]. Blood , 2009 , 113 ( 11 ): 2386 - 2393 .
王丽媛 , 刘亢亢 , 储金华 , 等 . 儿童免疫性血小板减少症病程慢性化影响因素的研究 [J]. 中国实验血液学杂志 , 2021 , 29 ( 3 ): 881 - 886 .
程志 , 吴艺 , 陈疏敏 , 等 . 中西医结合治疗儿童慢性血小板减少性紫癜36例 [J]. 中医研究 , 2005 , 18 ( 10 ): 45 - 46 .
邵静波 , 丁敬远 , 李珊珊 , 等 . 中西医结合治疗儿童慢性免疫性血小板减少症回顾性研究 [J]. 中国中西医结合杂志 , 2019 , 39 ( 1 ): 48 - 51 .
王雪峰 , 郑健 . 中西医结合儿科学 [M]. 2版 . 北京 : 中国中医药出版社 , 2016 : 196 .
郑容焕 , 刁娟娟 . 儿童免疫性血小板减少症中医治疗进展 [J]. 中医药临床杂志 , 2019 , 31 ( 12 ): 2363 - 2365 .
徐颖超 , 宋玲玲 , 刘朝霞 . 原发免疫性血小板减少症的中西医研究进展 [J]. 世界最新医学信息文摘 , 2019 , 19 ( 8 ): 128 - 129 .
代彦林 , 张霞 , 秦亚丹 , 等 . 丁樱教授从“伏毒”论治难治性免疫性血小板减少症经验 [J]. 时珍国医国药 , 2020 , 31 ( 7 ): 1793 - 1794 .
黄倩 , 刘燕 , 蔡力肖 , 等 . 慢性血小板减少症免疫机制的研究进展 [J]. 国际免疫学杂志 , 2019 , 42 ( 3 ): 333 - 337 .
郑海涛 , 闫永彬 , 丁樱 , 等 . 中医药在防治小儿肾病综合征中的作用及其机制研究 [J]. 中国药房 , 2020 , 31 ( 22 ): 2812 - 2816 .
王冰 , 关徐涛 , 王涛 , 等 . 免疫性血小板减少症治疗体会 [J]. 中医杂志 , 2016 , 57 ( 18 ): 1608 - 1610 .
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 .
李杨 , 刘丽 , 林庶如 . 四类中药组方对血小板减少性紫癜模型小鼠脾脏Bcl-2、Fas表达影响 [J]. 辽宁中医药大学学报 , 2018 , 20 ( 1 ): 52 - 54 .
张秋萍 , 毕慧欣 , 谢琳 . 重楼的药理作用及其临床应用研究进展 [J]. 医学综述 , 2018 , 24 ( 20 ): 4113 - 4117 .
0
浏览量
3
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010102007558号