王行宽教授治疗慢性再生障碍性贫血临床经验

Professor Wang Xingkuan's Clinical Experience in Treating Chronic Aplastic Anemia

总结王行宽教授治疗慢性再生障碍性贫血的临床经验。王行宽教授认为慢性再生障碍性贫血属中医“虚劳”“血劳”“髓劳”“血极”等范畴,可从“虚劳”论治。慢性再生障碍性贫血病证之本为脾肾亏虚、精血化源不足,心肝血虚、肝木失疏为疾病演变过程的重要病机,关键致病因素为瘀毒之邪,病变常累及脾、肾、心、肝等脏腑,故从脾肾心肝立论,以补脾益肾法与疏肝养血法联合应用,配合活血化瘀、清热解毒法治疗慢性再生障碍性贫血,临床常选方参芪左归汤加减,疗效明显。体现王行宽教授“多脏调燮、扶正祛邪、综合治理、杂病治肝”的学术思想。

To summarize the clinical experience of Professor Wang Xingkuan in the treatment of chronic aplastic anemia.Professor Wang Xingkuan believes that chronic aplastic anemia belongs to the categories of traditional Chinese medicine“vacuity strain”,“blood strain”,“marrow strain” and“blood pole strain”,which can be treated from“vacuity strain”.The root of chronic aplastic anemia is the deficiency of the spleen and kidney,deficiency of essence and blood source,deficiency of heart and liver blood,and loss of liver wood are the important pathogenesis of the disease evolution process,and the key pathogenic factor is the evil of stasis toxin,which often involves spleen,kidney,heart,liver and other organs.Therefore,based on the spleen,kidney,heart,and liver,the combined application of invigorating spleen and kidney and soothing liver and nourishing blood,combined with promoting blood stasis and clearing heat and detoxification to treat chronic aplastic anemia,Shenqi Zuogui Decoction is commonly used in clinical treatment,and the effect is obvious.It embodies Professor Wang Xingkuan's academic thought of “multi-viscera regulating Xie,Fuzheng dispelling evil,comprehensive treatment,miscellaneous diseases treating liver”.