Discussion on the treatment of toxic side effects of immunosuppressants from the perspective of "treating deficiency with three sources and two systems"
Special Theme: “You Gu Wu Yun”|更新时间:2023-05-09
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Discussion on the treatment of toxic side effects of immunosuppressants from the perspective of "treating deficiency with three sources and two systems"
Journal of Beijing University of Traditional Chinese MedicineVol. 46, Issue 4, Pages: 450-455(2023)
作者机构:
1.河南中医药大学儿科医学院 郑州 450046
2.河南中医药大学第一附属医院
作者简介:
Prof.DING Ying, Master of Chinese Medicine, Chief Physician, Doctoral Supervisor.School of Pediatrics, Henan University of Chinese Medicine, No.1, Jinshui Road, Jinshui District, Zhengzhou 450046.E-mail: dingying3236@ sina.com
基金信息:
National Natural Science Foundation of China(82205187);China Postdoctoral Science Foundation(2021M690940)
HAN Shanshan, DAI Yanlin, DING Ying, et al. Discussion on the treatment of toxic side effects of immunosuppressants from the perspective of "treating deficiency with three sources and two systems"[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(4): 450-455.
DOI:
HAN Shanshan, DAI Yanlin, DING Ying, et al. Discussion on the treatment of toxic side effects of immunosuppressants from the perspective of "treating deficiency with three sources and two systems"[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(4): 450-455.DOI: 10.3969/j.issn.1006-2157.2023.04.002.
Discussion on the treatment of toxic side effects of immunosuppressants from the perspective of "treating deficiency with three sources and two systems"
Immunosuppressants are widely used in the treatment of rheumatic immune diseases
but most of them have toxic side effects
causing damage to the immune
digestive
reproductive and other systems
not only reducing patient compliance
but also seriously affecting disease prognosis. At present
Western medicine has no clear solution for the toxic side effects of immunosuppressants. The theory of traditional Chinese medicine(TCM) states that immunosuppressants such as glucocorticoids and cytotoxic drugs are mainly aggressive products. Long-term use of immunosuppressants can damage the lung
spleen and kidney
damage the vital qi of the body
and lead to deficiency symptoms occur. "Treating deficiency with three sources and two systems" is the great method developed by Wang Qishi
a doctor in the late Ming Dynasty
to treat deficiency and fatigue. After continuous enrichment and development in later generations
this has become a classic theory for treating consumption diseases. We studied the toxic side effects of immunosuppressants from the perspective of "treating deficiency with three sources and two systems". We believe that the symptom of consumption caused by immunosuppressants should be treated from the "three sources" of lung
spleen and kidney
and the two types of syndromes of kidney yin deficiency and kidney yang deficiency should be treated from the "two systems" of lung and spleen. In clinical practice
we can determine the corresponding treatment principles according to different system’s injury syndromes
so as to provide a TCM scheme for safe clinical drug use and expand the theoretical system of toxicity reduction based on TCM.
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references
PONTICELLI C , GLASSOCK RJ . Prevention of complications from use of conventional immunosuppressants: a critical review [J]. J Nephrol , 2019 , 32 ( 6 ): 851 - 870 .
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