从脾肾两虚、痰浊、血瘀论治再生障碍性贫血

Theory of treating aplastic anemia from deficiency of spleen and kidney，phlegm turbidity，and blood stasis

关键词:  再生障碍性贫血  髓劳  脾肾为本  痰瘀为标

Key words:  aplastic anemia  suilao  spleen and kidney is the essence  external manifestations of phlegm and blood stasis

摘要:

再生障碍性贫血是一种骨髓造血功能衰竭性疾病，属血液系统常见疾病之一。中医结合其症状表现，归为“虚劳”“血证”“髓劳”等范畴，而在治疗中不能一味补虚活血，基于多年临床实践，不断钻研探索，归纳其发病为“脾肾为本，尤与肾密切相关；痰瘀为标，两者不可单一而论”，在治疗上形成了以补肾填精、健脾化痰、活血化瘀为主的治疗原则，临床收效甚佳。文章从再生障碍性贫血的病因病机、辨证论治等角度进行探讨，对脾肾两虚、痰浊、血瘀辨治的形成脉络与理论基础进行梳理总结，为中医药再生障碍性贫血治疗提供新方向。

Abstract:

Aplastic anemia is a type of disease characterized by exhaustion of bone marrow hematopoietic function and is one of the common disorders in the blood system. Chinese medicine categorizes this condition as "blood syndrome",suilao based on its symptoms. In treatment,it is important not to simply tonify deficiency and invigorate blood. Through years of clinical practice and continuous exploration,it has been concluded that the pathogenesis is based on 'spleen and kidney deficiency,particularly closely related to the kidneys;phlegm and blood stasis serve as the manifestations,and both aspects cannot be considered in isolation'. The treatment principles are centered around tonifying the kidney,with resolving phlegm,strengthening the spleen,promoting blood circulation,and removing blood stasis as supplements with achieving considerable clinical results. By integrating the etiology and pathogenesis of aplastic anemia,as well as syndrome differentiation and treatment,this paper summarizes the formation of the vein and the theoretical basis of the differentiation and treatment of "deficiency of spleen and kidney,phlegm turbidity,and blood stasis",providing a new direction for the treatment of aplastic anemia with traditional Chinese medicine.