中西医治疗巨脾一例

Treating 1 cases of splenomegaly in integrative medicine

慢性粒细胞白血病（简称“慢粒”）是一种起源于骨髓多能造血干细胞水平的恶性克隆性增殖性疾病。常表现为感染、出血及贫血。中医虽无“慢粒”病名，但据其在病情发展过程中出现以上表现及倦怠乏力、心悸气短、自汗、盗汗、食纳减少、消瘦、肝脾肿大等临床症状，可归属“虚劳”、“血证”、“积”等范畴。在正虚前提下，感受邪毒，正邪相争，正不胜邪，邪气踞之，逐渐发展而成。内因为正气亏虚，外因情志抑郁、气滞血瘀或饮食不节，滋生痰浊或邪毒侵袭，留恋不去。以上诸邪气常交错夹杂，混合致病，痰、瘀、毒邪搏结于骨髓，连及脏腑，耗损正气而成虚劳。其病位多责之于肝脾，病理改变多为气滞、血瘀、痰结。邪毒久羁，变生多端，据以上病因病机采用中医扶正益气、活血化瘀解毒并配合羟基脲治疗巨脾一例效果显著。

Manli origin in malignant clonal proliferative disease of bone marrow pluripotent hematopoietic stem cell level. Performance for infected, bleeding, anemia. State of an illness development process appearance the clinical symptoms of fatigue, palpitations shortness of breath, spontaneous sweating, night sweats, food sodium reduction, weight loss, hepatosplenomegaly, can be attributed to ＂consumptive＂, ＂blood＂, ＂indigestion＂. In the Zhengxu context, catching pestilential pathogen, struggle between the vital energy and the pathogenic factor, vital QI cannot conquer pathogen, gather of evil influence, progressive of made development. Internal for Zhengqi deficiency and exhaustion, external cause for depressed emotion, QSBS or improper diet. All evil often staggered, mix cause disease, Sputum, Stasis, toxic factor in the marrow, injury to the liver, loss Zhengqi turn into consumptive disease. Pathological changes for stagnation of the circulation of vital energy, blood stasis, phlegm. Lingering pathogenic toxin, protean, significant effects of treating 1 cases of splenomegaly in integrative medicine