大菟丝子饮加减治疗血小板减少性紫癜验案举隅

Case of thrombocytopenic purpura treated with Japanese Dodder Seed Yin addition and subtraction

关键词:  血小板减少性紫癜  大菟丝子饮  验案

Key words:  thrombocytopenic purpura  Japanese Dodder Seed Yin  case

摘要:

血小板减少性紫癜，是一种以血小板减少为特征的出血性疾病，主要表现为皮肤及脏器的出血性倾向以及血小板显著减少，可分为特发性血小板减少性紫癜、继发性血小板减少性紫癜和血栓性血小板减少性紫癜。属中医学"血证"、"紫癜"、"衄血"等范畴。血小板减少性紫癜与肝脾肾失调关系密切。肝实脾虚，肝木凌土，脾不统血或劳欲内伤、久病体虚等各种致病因素导致脾肾阳虚或肝肾阴虚，致脉络损伤或血液妄行，使血液溢出脉外。大部分患者则以皮肤瘀点瘀斑、齿鼻衄血等为主要表现，运用大菟丝子饮加减健脾补肝，益肾填髓，相得益彰。

Abstract:

Thrombocytopenic purpura is a kind of hemorrhagic disease characterized by thrombocytopenia, main performance for the skin and organs of hemorrhagic tendency and a significant reduction in platelets can be classified as idiopathic thrombocytopenic purpura, secondary thrombocytopenic purpura and thrombotic thrombocytopenic purpura. It belongs to the category of "blood certificate", "purpura" and "hemorrhagic". Thrombocytopenic purpura is closely associated with liver and spleen renal disorders. Hepatic sthenia (spleen deficient), wood ling earth, spleen blood no unification or kept for internal injuries, causative agent all kinds of pathogenic factors such as spleen kidney ying deficiency or kidney yin deficiency, cause damage or blood, thread, and makes the blood spilled pulse. Most of the patients were mainly manifested by the stasis of the skin and blood stasis and the nosebleed of the teeth. The Japanese Dodder Seed Yin addition and subtraction can be used to add and reduce the spleen and nourish the liver.