摘要
免疫性血小板减少症具有出血的证候特点,前人认为本病病位主要在肝、脾、肾,病机概括为外感邪热妄行,脾气受损而不摄血,肝肾阴虚灼络,瘀血内阻使血不循经。后人在总结前人经验的基础上,结合临床,将其病机总结为外感和内伤两大类。中医治疗此病多强调结合虚实、脏腑、出血之缓急辨证论治。常用组方有清瘟败毒散、二仙汤、二至丸、犀角地黄汤、归脾汤等经典方剂加减。
Immune thrombocytopenia has the characteristics of bleeding syndrome.The predecessors believed that the disease location was mainly in the liver,spleen and kidney.The pathogenesis is summarized as obstructed exogenous pathogenic heat.The spleen is damaged and unable to control blood,Yin-deficiency of liver and kidney burns collaterals,and blood stasis internal resistance blocks the meridians.On the basis of summarizing the experience of predecessors and combining with clinical practice,later generations summarized its pathogenesis into two categories:exogenous and internal injuries.TCM treatment of the disease mostly emphasizes syndrome differentiation and treatment according to the deficiency and excess of the syndrome,the condition of the viscera,and the bleeding condition.The commonly used prescriptions include classic prescriptions such as Qingwen Baidu San(清瘟败毒散),the Erxian decoction(二仙汤),Erzhi Wan(二至丸),the Xijiao Dihuang decoction(犀角地黄汤),and the Guipi decoction(归脾汤).
出处
《中医临床研究》
2022年第26期31-33,共3页
Clinical Journal Of Chinese Medicine
