基于“五脏一体观”运用炙甘草汤辨治化疗后白细胞减少症

Syndrome Differentiation and Treatment of Leukopenia after Chemotherapy with Zhigancao Decoction Based on“Five-viscera Holistic View”

现代医学认为,白细胞是血液的重要组成部分,白细胞减少症影响全身机能的正常运作,机体防御屏障受创。中医学认为,化疗药物的毒副作用作为药毒之邪,易致五脏功能失和,有损机体五脏之精气血津液,从而化生各种虚证。因此,治疗白细胞减少症应把握“五脏一体观”,在五脏辨治方面,紧扣血液化生的主线,用药选经方炙甘草汤为基本方,临床可获满意疗效。

Modern medicine believes that white blood cells are an important part of blood.Leukopenia affects the normal functioning of the whole body,and the body's defense barrier is damaged.TCM believes that the toxic side effects of chemotherapeutic drugs as the evil of drug poisoning can easily lead to the loss of function of the five viscera,and damage the body's essence,blood and fluids,thereby transforming various deficiency syndromes.Therefore,in the treatment of leukopenia,“five-viscera holistic view”should be grasped.In the syndrome differentiation and treatment of five viscera,the main line of blood metaplasia is closely linked.Zhigancao Decoction should be chosen as the basic prescription,which can obtain satisfying efficacy in clinic.