麻柔教授病证结合治疗骨髓增生异常综合征浅谈

Exploration of Academic Thoughts on Treating Myelodysplastic Syndrome with Combination of Disease and Syndrome by Prof. MA Rou

在中医学长期发展中,逐渐形成了病证结合的诊疗模式,这一模式适于发挥中西医双方优势,在临床诊疗中广泛应用。麻柔教授是中西医结合血液学专家,"参西而不背中",运用西医方法诊断疾病、中医方法治疗疾病的诊疗思路,在疾病诊疗过程中辨病与辨证相结合,根据骨髓增生异常综合征(myelodysplastic syndromes,MDS)的发病特点,认为此病本在"毒瘀",治以青黄散为主,解毒祛瘀,"去其所害";同时根据患者证候表现,总结出脾肾阳虚、肝肾阴虚两种常见证型,配合培补脾肾中药治疗,取得良好疗效。近年来临床研究与实验研究均取得一定成果,为进一步探讨麻柔教授病证结合治疗MDS学术思想提供了科学依据。

The diagnosis and treatment pattern using combination of disease and syndrome, fully developing the advantages of both traditional Chinese medicine （TCM） and Western medicine （WM） and be- ing widely used clinically, has been constructed in the long history of TCM. Prof. MA Rou, as a hematology specialist of integrative medicine （IM）, uses modern medical equipment to diagnose diseases and takes tra- ditional Chinese medical methods to treat diseases. He is loyal to TCM sciences and refers to the advanta- ges of WM. He holds the essence of MDS lies in toxic stasis according to its pathogenic features. He detoxi- ties and removes stasis using Qinghuang Powder. Meanwhile, according to patients＇ clinical manifestations, he summarized two common syndrome types, Pi-Shen yang deficiency syndrome and Gan-Shen yin defi- ciency syndrome. Better efficacy could be achieved by combining Chinese herbs for tonifying Pi-Sheno In recent years the application of Qinghuang Powder won some achievements in clinical study and experimen- tal study, thus providing scientific reliance for Prof. MA Rou＇s academic thought on treating MDS.