运用角药治疗慢性再生障碍性贫血经验

Experience of managing chronic aplastic anemia with TCM herbal trios

角药是针对一定病因、病机、病症,将三味中药组合在一起以达到协同增效作用的一种配伍方法。慢性再生障碍性贫血是一种难治性血液系统疾病,中医认为其基本病机为正虚、血瘀、毒聚。本文归纳总结运用角药治疗慢性再生障碍性贫血的临证经验并阐释其配伍特点:生黄芪-当归-蒲公英益气和血解毒,人参-茯苓-白术健脾补气渗湿,熟地黄-菟丝子-车前子补肾填精明目,柴胡-升麻-葛根升阳举陷散火,仙鹤草-茜草-紫草补虚凉血止血,丹参-红花-土鳖虫祛瘀生新通络,三棱-莪术-鸡内金破血化瘀消癥,焦神曲-炒山楂-生麦芽和胃化滞调中。

Herbal trios are a compatibility method that combines three TCM herbal ingredients to achieve synergistic effect for a certain etiology,pathogenesis and symptoms.Chronic aplastic anemia is a refractory hematological disease.TCM believes that its basic pathogenesis is deficiency of healthy qi,blood stasis and toxin accumulation.This paper summarizes the clinical experience in the treatment of chronic aplastic anemia with herbal trios and explains their compatibility characteristics:Shenghuangqi(Radix Astragali)-Danggui(Radix Angelicae Sinensis)-Pugongying(Herba Taraxaci) tonify qi,harmonize blood and remove toxins.Renshen(Radix et Rhizoma Ginseng)-Fuling(Poria)-Baizhu(Rhizoma Atractylodis Macrocephalae) invigorate the spleen,tonify qi and drain dampness.Shudihuang(Radix Rehmanniae Praeparata)-Tusizi(Semen Cuscutae)-Cheqianzi(Semen Plantaginis) tonify the kidney to fill the essence and improve vision.Chaihu(Radix Bupleuri)-Shengma(Rhizoma Cimicifugae)-Gegen(Radix Puerariae Lobatae) ascend yang and purge fire.Xianhecao(Herba Agrimoniae)-Qiancao(Radix et Rhizoma Rubiae)-Zicao(Radix Arnebiae) tonify deficiency,cool blood,stop bleeding.Danshen(Radix et Rhizoma Salviae Miltiorrhizae)-Honghua(Flos Carthami)-Tubiechong(Eupolyphaga seu Steleophaga) resolve blood stasis,unblock collaterals.Sanleng(Rhizoma Sparganii)-Ezhu(Rhizoma Curcumae)-Jineijin(Endothelium Corneum Gigeriae Galli) resolve blood stasis,resolve mass.Jiaoshenqu(Massa Medicata Fermentata)-Chaoshanzha(Fructus Crataegi)-Shengmaiya(Fructus Hordei Germinatus) improve digestion,recuperate the weakness of the spleen and the stomach.