杨文华辨治溶血性贫血经验

Yang Wenhua's Experience in the Differentiation and Treatment of Hemolyticanemia

杨文华教授临床辨治溶血性贫血擅长从"湿""瘀""虚"着手,临床上运用清胆化湿、健脾补肾等法,取得了良好的疗效。杨文华教授认为溶血性贫血表现为贫血、黄疸,而黄疸与湿邪密切相关,湿为阴邪,致病易阻遏气机、伤人阳气,脾阳虚兼湿浊或湿热为阳黄、阴黄病机。临证治疗在疏肝利胆退黄的同时还应顾护脾运,活血化瘀并用。杨文华教授认为肾虚寒凝、胆汁外泄,气血虚弱、百骸失养也是该病的重要病机。

Professor Yang Wenhua is skilled at differentiating and treating hemolyticanemia from the aspects of dampness,blood stasis and deficiency. She applies methods of clearing gallbladder and resolving dampness,strengthening spleen and tonifying kidney and achieves good therapeutic effects. Professor Yang holds that hemolyticanemia manifesting as anemia,jaundice and jaundice has close relationship with damp pathogen which pertains to yin and likely to obstruct qi movement,impair yang qi. Spleen yang deficiency complicated with damp turbidity or damp heat is the pathogenesis of yang jaundice and yin jaundice. Clinically,protection of the transportation of spleen and activation of blood flow and resolving of blood stasis are also considered at the same time of soothing liver-gallbladder and removing jaundice. Professor Yang believes the key pathogenesis lies in the kidney deficiency,cold coagulation,external leakage of bile,deficiency of qi and blood and malnutrition of bones.