张瑞霞益气补血法治疗原发性免疫性血小板减少症的医案一则

A case of Zhang Ruixia's Yiqi Buxue methods in treating primary immune thrombocytopenia

原发性免疫性血小板减少症(Primary Immune Thrombocytopenia,ITP)部分患者对激素敏感性差,依赖丙种免疫球蛋白及输注血小板治疗,目前最有效的艾曲泊帕价格昂贵且不能保障临床安全。中医药治疗在血证方面有悠久的历史,其立足于整体观,通过多系统、多靶点、多途径发挥作用。张瑞霞先生认为气血为人体活动的本源,认为气血阴阳脏腑调和则人安;气血、阴阳、脏腑功能下降,疾病丛生,血证乃发。张瑞霞先生认为血证多因气血不足所致,其临证应用参芪四物汤加减治疗经验颇深。故举一住院病案以证明其疗效。

Some patients with primary immune thrombocytopenia have poor sensitivity to hormones and rely on gamma immunoglobulin and platelet transfusion therapy.At present,the most effective etrobopar is expensive and cannot guarantee clinical safety.TCM medicine treatment has a long history in the treatment of Xuezheng(血证).It is based on a holistic view and works through multiple systems,multiple targets,and multiple channels.Mr.Zhang Ruixia believes that Qi(气)and blood are the source of human activities,and that the harmony of Qi and blood,Yin(阴)and Yang(阳),and viscera will lead to peace;the functions of Qi and blood,Yin and Yang,and viscera are decreased,diseases are clustered,and Xuezheng is caused.Xuezheng are mostly caused by deficiency of Qi and blood,and clinical experience of Mr.Zhang Ruixia in applying the Shenqi Siwu decoction(参芪四物汤)on Xuezheng is quite deep.Therefore,a hospitalized medical record is given to prove its efficacy.