Exploring TCM treatment of primary immune thrombocytopenia based on the lung

WANG Yidan; XIE Ershuai; LIU Wenbin; WU Dijiong; ZHANG Yu; WU Liqiang; WANG Jun; CHEN Xinyi; YE Baodong

doi:10.3969/j.issn.1006-2157.2023.08.017

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Exploring TCM treatment of primary immune thrombocytopenia based on the lung

Hematology and Oncology | 更新时间：2023-09-08

- Exploring TCM treatment of primary immune thrombocytopenia based on the lung
- Journal of Beijing University of Traditional Chinese Medicine Vol. 46, Issue 8, Pages: 1172-1177(2023)
- 作者机构：
  
  1.浙江中医药大学　杭州　310053
  2.浙江中医药大学附属第一医院
  3.北京中医药大学东直门医院
- 作者简介：
  
  Prof. YE Baodong, Ph.D., Chief Physician, Doctoral Supervisor. The First Affiliated Hospital of Zhejiang Chinese Medical University, No. 54 Youdian Road, Hubin Street, Shangcheng District, Hangzhou 310006. E-mail: 13588453501@163.com
- 基金信息：
  
  National Natural Science Foundation of China(81603573);Innovative Talents Subsidy Program of Health Commission of Zhejiang Province(1S21702)
- DOI：10.3969/j.issn.1006-2157.2023.08.017
  CLC： R255.7
- Received：22 February 2023，
  
  Published：30 August 2023
- 稿件说明：
移动端阅览
WANG Yidan, XIE Ershuai, LIU Wenbin, et al. Exploring TCM treatment of primary immune thrombocytopenia based on the lung[J]. Journal of beijing university of traditional chinese medicine, 2023, 46(8): 1172-1177.
DOI：

WANG Yidan, XIE Ershuai, LIU Wenbin, et al. Exploring TCM treatment of primary immune thrombocytopenia based on the lung[J]. Journal of beijing university of traditional chinese medicine, 2023, 46(8): 1172-1177. DOI： 10.3969/j.issn.1006-2157.2023.08.017.

摘要

原发免疫性血小板减少症(ITP)是临床上最常见的出血性疾病，属中医学“血证”“紫癜”等范畴。古今医家多从脾或脾肾论治，亦有少数医家从心、肝论治。基于临证经验，发现从肺论治ITP也往往能取得较好的疗效。本文通过查阅大量古代医籍和现代文献，从“肺为血脏，助化血液”“金水相生，共化精血”的理论出发，系统提出了“肺气助脾统摄血液”及“肺气助心运行血液”的肺调控血液的观点。总结ITP的中医病因病机，为肺脏受邪、肺气不足、阳虚外寒，提出补益肺气、清热泻肺、滋阴降逆、温肺散寒的治疗法则，并推荐具体方药。从肺论治为中医治疗ITP提供了新的研究思路。

Abstract

Primary immune thrombocytopenia (ITP) is the most common hemorrhagic disease. In traditional Chinese medicine (TCM)

it belongs to the category of "blood syndrome" or "purpura." Ancient and modern physicians mostly treat it focusing on the spleen or spleen and kidney (TCM terms

not completely the same as the anatomical concepts)

and there are also a few doctors who treat it based on the heart or liver (see above). In clinical practice

we found that treatment of ITP based on the lung often achieved better clinical efficacy. Based on ancient medical books and modern literature

we systematically put forward a new viewpoint of regulating blood through "lung qi aiding spleen to control blood" and "lung qi helping heart to transport blood" based on the theory of "the lung is a blood-zang which can transform the blood" and "Jin-shui theoretical and mutual transformation between essence and blood." We also summarize three etiology and pathogenesis theories

lung qi affected by evil

lung qi deficiency

and yang deficiency with external cold manifestation. The four principles of replenishing and restoring lung qi

clearing heat and purging lung

nourishing yin and clearing lung

and warming lung for dispelling cold are proposed to treat ITP and we recommend classical prescriptions. This article broadens the scope of TCM treatment of ITP.

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