急性白血病化疗后骨髓抑制期证候特征及干预策略

急性白血病化疗后骨髓抑制期症状变化复杂,中医证型是反映不同阶段病机特点的较好指标,主要为脾胃气虚、脾气虚兼胃阴虚;因患者体质差异随后表现为脾肾气（阳）虚,或肺胃阴虚、肝肾阴虚。治疗不宜过早补肾,以防滋腻碍于脾胃;健脾和胃,益气养血为第一要务;因阴阳体质差异,证型会向不同方向转化,阴虚多转为肺胃阴虚、肝肾阴虚;阳虚易转为脾肾阳虚型。肺胃阴虚、肝肾阴虚抑制期较长,恢复较慢;阴虚体质,在脾胃和合后,尽快应用滋补肺胃之阴兼有清热药物;脾肾阳虚抑制期较短,恢复较快,可谓＂阳虚易治,阴虚难调＂。

Research on Acute Lekemia After Chemotherapy Bone Marrow Suppression Syndromes Characteristics and Intervention Strategies

Acute leukemia after chemotherapy symptom complex,TCM syndrome type is a better index to reflect the characteristics of different stages of the disease,mainly for the Qi deficiency of spleen and stomach,spleen and stomach yin deficiency;because the patient physique difference then is spleen and kidney qi（Yang）deficiency,or lung and stomach yin deficiency,Yin deficiency of liver and kidney. Treatment of premature kidney,in order to prevent AIDS tired due to spleen and stomach;the spleen and stomach,replenishing qi and blood is the first priority;Yin and Yang syndrome because of physical differences,will transfer to the different directions,yin deficiency to lung and stomach yin deficiency,yin deficiency of liver and kidney;Yang Yi to the spleen kidney yang deficiency. The lung and stomach yin deficiency,yin deficiency of liver and kidney and inhibit the long,slow recovery;Yin deficiency constitution in the spleen and stomach,and soon after,application of nourishing lung and stomach yin has heat clearing drugs;spleen kidney yang deficiency inhibited period is short,quick recovery,can be described as ＂easy to treat Yang deficiency,yin deficiency is difficult to＂.