理血消癜汤治疗血小板减少性紫癜98例疗效观察

血小板减少性紫癜是一种常见的出血性疾病,其临床表现为皮肤粘膜及内脏出血倾向,血小板显著减少,中医将本病归属于：＂血虚＂、＂阴斑＂、＂肌衄＂、＂鼻衄＂、＂齿衄＂范畴.中医认为其病机主要为心脾两虚、摄血无力、肝脾肾虚弱、致气血化源不足而致本病.现代医学按其病因不同,将本病分为原发性和继发性两种.西医认为其原因可能与某些病因造成的自身免疫导致血小板大量破坏有关.治疗比较棘手,西医应用强的松等作免疫抑制治疗,可以在短期内控制病情,但此系治标之法,撒减激素后常易再度下降,引起病情反复发作,缠绵难愈.有鉴于此,我们试从中医角度对本病进行治疗.从2001年元月-2009年12月,我们根据中医理论采用健脾益气,凉血止血佐以滋补肝肾之法,自拟理血消癜汤治疗血小板减少性紫癜98例,取得了较为满意的疗效,现总结介绍如下.

Regulates the flow of blood disappears skin diseases including vitiligo the soup treatment blood platelet to reduce purpura 98 exam- ple curative effect observation

The blood platelet reduces the purpura is one kind of common hemorrhagic disease,its clinical manifestation for skin mucous membrane and internal organs hemorrhage tendency, blood platelet remarkable reduction, Chinese medicine this sickness ownership in.. ＂The blood deficiency and related debilities＂, ＂the cloudy spot＂, ＂myo -- nosebleed＂, ＂the nose is nosebleed＂, ＂the tooth is nosebleed＂ the category. The Chinese medicine thought its pathogenesis mainly for the heart spleen two empty,absorbs the blood incapably, the liver spleen kidney weak, sends the vitality source insufficient to send this gets sick. The modern medicine is dif- ferent according to its cause of disease,divides into this sickness the primary stage and the sequential two kinds. The doctor practi- cing western medicine thought its reason possible own immunity which creates with certain causes of disease to cause the blood platclet massive destructions related. The treatment quite is thorny, the doctor practicing western medicine applies the strong pine and so on to make the immunosuppression treatment~ may in the short--term the control condition,but this is takes stopgap meas- ures the law,after scatters reduces the hormone to be often easy to drop once again, causes the condition to manifest suddenly re- peatedly, tangled up ＇difficult. The taking this into consideration, we try from the Chinese medicine angle to carry on the treatment to this sickness. From January, 2001 -- December, 2009, we according to the Chinese medicine theory to use are good for the spleen the profit to be mad that, the cold hearted hematischesis assisted by the nutritious hepatorenal law,from planned to regulate the flow of blood disappears skin diseases including vitiligo the soup treatment blood platelet to reduce the purpura 98 examples,has obtained a more satisfactory curative effect,presently summarizes the introduction as follows.