基于血气火关系探讨“从气论治”免疫性血小板减少症临证思路

Exploring the clinical thinking of “treating from qi” in immune thrombocytopenia based on the relationship among blood, gas and fire

关键词:  从气论治  血气火关系  免疫性血小板减少症  紫癜病  理论研究

Key words:  treatment from qi  relationship among blood,qi and fire  immune thrombocytopenia  purpura  theoretical research

摘要:

原发免疫性血小板减少症是以出血、乏力为主要特点的疾病，其治疗不离治血、治气、治火。文章基于血气火关系，对原发免疫性血小板减少症进行探讨。通过回顾文献，分析其“从气论治”理论依据；从辨病辨证角度，阐述“从气论治”临证思路及其机制。发现血气火3者关系密切，相互承载转化制约；“从气论治”主要分为气之不及与气之太过，治以益气固表、益气生血、益气摄血、温阳益气、补气祛阴火、行气化瘀及清气降火等；“气”与免疫因素关系密切，“从气论治”在原发免疫性血小板减少症的治疗中发挥十分重要的意义，可为中医治疗提供思路。

Abstract:

Primary immune thrombocytopenia is a disease characterized by bleeding and weakness, and its therapy is to treat blood, qi, and fire. In this paper, we discussed primary immune thrombocytopenia based on the relationship between blood, qi and fire. By reviewing the literature, we analyzed the theoretical basis of the "qi theory of treatment". From the perspective of disease identification and evidence recognition, we explained the clinical thinking of the "qi theory of treatment" and its mechanism. It was found that blood, qi, and fire are closely related to each other, and they carry on and transform to each other. The "qi theory of treatment" is mainly divided into the deficiency of qi and the excess of qi, and the treatment includes benefiting qi to consolidate the surface, benefiting qi to produce blood, benefiting qi to control blood, warming yang to benefit qi, tonifying qi to dispel yin fire, moving qi to remove stasis, and clearing qi to lower fire. Treating from qi plays an important role in the treatment of primary immune thrombocytopenia, which can provide ideas for traditional Chinese medicine treatment.