| 李朗,邵科钉,刘琪,等.周郁鸿益气滋阴养胃方治疗慢性免疫性血小板减少症的经验[J].浙江中医药大学学报,2021,45(5):501-503, 517. |
| 周郁鸿益气滋阴养胃方治疗慢性免疫性血小板减少症的经验 |
| Experience of ZHOU Yuhong in Treating Chronic Immune Thrombocytopenic Purpura with Yiqi Ziyin Yangwei Decoction |
| DOI：10.16466/j.issn1005-5509.2021.05.011 |
| 中文关键词: 慢性免疫性血小板减少症 滋阴养胃 益胃汤 补中益气汤 脾胃同治 周郁鸿 医案 名医经验 |
| 英文关键词: chronic immune thrombocytopenic purpura nourishing Yin and tonifying the stomach yiwei Decoction Buzhong Yiqi Decoction simultaneous treatment of the spleen and stomach ZHOU Yuhong medical records experience of famous doctor |
| 基金项目:周郁鸿名老中医专家传承工作室建设项目(GZS2017005) |
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| 中文摘要: |
| [目的]介绍周郁鸿教授以益气滋阴养胃方治疗慢性免疫性血小板减少症(immune thrombocytopenic purpura，ITP)的经验。[方法]通过跟师临诊，收集周师门诊经典方药，整理经典病案，总结周师治疗慢性ITP的经验。从方药、治疗观念、治法、辨证经验等方面介绍益气滋阴养胃方运用经验，并列举一则病案加以验证。[结果]结合多年的临证经验，周师认为慢性ITP反复出血耗伤气阴，当补后天之本、脾胃同治，应以滋阴养胃为主，升阳健脾除湿为辅，佐以疏肝理气。益气滋阴养胃方由益胃汤合补中益气汤化裁而来，全方具有益气滋阴、调和脾胃之功。周师认为，慢性ITP的诊断应以辨病为先导，采用病证结合的辨证模式，遵循病有缓急、治当分期的治疗原则。所举案例中，患者经过西医西药治疗，疾病反复发作，效果不佳。中医辨证为脾胃虚弱证，首诊嘱患者查血常规，结合皮肤出血情况，判定为稳定期，并予以益气滋阴养胃方原方，疗效良好。[结论]周师治疗慢性ITP，紧扣中医病理特点，采用中西医结合分期治疗，灵活应用益气滋阴养胃方，疗效颇丰，值得借鉴。 |
| 英文摘要: |
| [Objective] To introduce the experience of Professor ZHOU Yuhong in treating chronic immune thrombocytopenic purpura(ITP) with Yiqi Ziyin Yangwei decoction.[Methods]Through following Professor ZHOU’s outpatient work，collecting typical traditional medicine prescriptions and typical medical cases， Professor ZHOU’s treating experiences were summarized. The experience of Professor ZHOU in application of Yiqi Ziyin Yangwei decoction was introduced from the aspects of prescription， treatment concept， treatment method and syndrome differentiation experience， and a medical record was enumerated to verify it.[Results] Combined with clinical experience of several years， Professor ZHOU holds that patients， diagnosed with chronic ITP， bleeding repeatedly， whose Qi and Yin were consumed severely. Therefore， the patients should be treated through supplying source of acquired constitution and simultaneous treatment of the spleen and stomach， primarily nourishing Yin and tonifying the stomach， secondly supplying Yang，invigorating the spleen and dispelling dampness， finally soothing the liver and rectifying Qi. Yiqi Ziyin Yangwei decoction was transformed from Yiwei decoction and Buzhong Yiqi decoction， which processed tonifying Qi and nourishing Yin， harmonizing the spleen and stomach effect.Professor ZHOU considers that diagnosis of chronic ITP should be based on the differentiation of disease and syndrome， follow the principle of “degree of urgency of disease is different” and treat the disease in stages.The patient in the case issued in this article， was treated through western medicine for many times， but relapsed repeatedly， who was differentiated as spleen-stomach weakness syndrome according to traditional Chinese medicine(TCM). At the primary treatment， the patient was asked to examine blood routine examination and diagnosed as stable stage of ITP according to blood routine examination and degree of bleeding of skin. Yiqi Ziyin Yangwei decoction was prescribed for 7 days， and good curative effect was gained.[Conclusion] Professor ZHOU treating chronic ITP is closely related to the pathological characteristics of TCM， combines TCM with western medicine to treat chronic ITP by stages， and flexibly applies Yiqi Ziyin Yangwei decoction， which has a good curative effect and is worthy of reference. |
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