[1]夏小军,段赟.中医药治疗白细胞减少症的思路与方法[J].西部中医药,2016,29(07):42-45.
　XIA Xiaojun,DUAN Yun.The Thinking and Method of TCM in Treating Leucopenia[J].Western Journal of Traditional Chinese Medicine,2016,29(07):42-45.
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中医药治疗白细胞减少症的思路与方法
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
29
期数:
2016年07期
页码:
42-45
栏目:
出版日期:
2016-07-15

文章信息/Info

Title:
The Thinking and Method of TCM in Treating Leucopenia
文章编号:
1004-6852(2016)07-0042-04
作者:
夏小军，段赟
甘肃省肿瘤医院，甘肃 兰州 730050
Author(s):
XIA Xiaojun, DUAN Yun
Gansu Provincial Cancer Hospital, Lanzhou 730050, China
关键词:
白细胞减少症; 治疗思路; 升白系列方; 夏小军
Keywords:
leucopenia;  therapeutic thinking;  prescription series of ShengBai;  Xia Xiaojun
分类号:
R255.7
文献标志码:
A
摘要:
白细胞减少症的发病是由先天禀赋不足，体质虚弱；后天失于调理，耗伤气血所致。疾病乏源于脾，病本于肾；肾与脾的虚损是本病发病之关键。病久不愈可出现毒热入血、热毒败血等病机变化；虚、瘀、热是其主要病理表现；阴、阳、气、血亏损是其主要的病机演变特点。临床辨证为气血两虚、肝肾阴虚、脾肾阳虚、正虚血瘀4型，分别采用自拟升白系列方进行治疗。同时应注意辨证论治，审证求因；调补脾肾，以治其本；气血互生，阴阳互根；活血化瘀，贯穿始终；擅用诸参，活用人参；顾护胃气，健脾调中。
Abstract:
The causes of leucopenia were physical weakness due to congenital deficiency; Qi and blood depletion due to loss of postnatal regulation. The disease was originated in the spleen and rooted in the kidney; renal and spleen deficiency was the key point of leucopenia. Long-term disease could manifest the changes of the pathogenesis: toxin-heat invading the blood, transforming into sepsis; deficiency, stagnation and heat were its main pathological manifestations; the deficiency of Yin, Yang, Qi and blood were the features of main pathogenesis development; the disease could be differentiated as four patterns of dual deficiency of Qi-blood, liver-kidney Yin deficiency, spleen kidney Yang deficiency, healthy Qi deficiency and blood stasis, which were treated with prescription series of ShengBai respectively. Simultaneously, we should pay attention to six points: syndrome differentiation and treatment, signs to identify etiology; regulating and tonifying spleen and kidney in order to treat the root cause; mutual generation of Qi and blood, interdependence of Yin and Yang; promoting blood circulation and eliminating the stasis throughout; use all kinds of the ginseng actively; taking care stomach Qi, invigorating spleen and regulating the middle energizer.

相似文献/References:

[1]姚金华,田占雍,赵淑芳,等.升白胶囊治疗白细胞减少症临床观察[J].西部中医药,2014,27(09):94.
[2]夏小军,段赟.中医药治疗多发性骨髓瘤的思路与方法[J].西部中医药,2015,28(12):47.
[3]夏小军,段赟.中医药治疗骨髓异常增生综合征的思路与方法[J].西部中医药,2015,28(10):65.
[4]王祎晟,徐瑛△,刘晏,等.益神颗粒治疗心脾两虚型白细胞减少症54例[J].西部中医药,2017,30(02):72.
　WANG Weisheng,XU Ying,LIU Yan,et al.Yishen Granules in Treating 54 Cases of Leukopenia of Heart and Spleen Deficiency Pattern[J].Western Journal of Traditional Chinese Medicine,2017,30(07):72.
[5]夏小军,段赟.中医药治疗自身免疫性溶血性贫血的思路与方法[J].西部中医药,2016,29(02):41.
　XIA Xiaojun,DUAN Yun.Thinking and Methods of TCM in the Treatment for Autoimmune Hemolytic Anemia[J].Western Journal of Traditional Chinese Medicine,2016,29(07):41.

备注/Memo

备注/Memo:
收稿日期：2015-11-06 作者简介：夏小军(1965—)，男，硕士研究生导师，教授，主任医师，享受国务院特殊津贴专家，全国首批优秀中医临床人才，甘肃省名中医。研究方向：血液病的中西医结合诊治。
更新日期/Last Update: 2016-07-15