从脾胃论治缺铁性贫血的探讨

从脾胃为气血生化之源的学说入手,探讨缺铁性贫血与血虚的相关性,血虚证的病因病机及治疗原则和健脾生血法治疗缺铁性贫血的临床运用。笔者认为缺铁性贫血属于中医血虚范畴,主要病机为气血两虚、脾胃虚弱,治疗上以健脾和胃、益气养血为原则。治疗缺铁性贫血,在补铁的基础上配合健脾生血法可以收获更好的临床疗效,并减轻补铁带来的不良反应。

Discussion on the Treatment of Iron Deficiency Anemia from Spleen and Stomach

From the theory that the spleen and stomach are the source of qi and blood, the relevance between blood deficiency and iron deficiency anemia, pathogenesis and therapeutic principle of blood deficiency syndrome, and clinical application of reinforcing spleen and generating blood to treat iron deficiency anemia are discussed in detail. It is believed that iron deficiency belongs to the category of blood deficiency of Chinese medicine, in which the main pathogenesis is deficiency of both qi and blood and weakness of spleen and stomach. The therapeutic principle is invigorating spleen and stomach along with nourishing qi and blood. To treat iron deficiency anemia, better clinical outcomes can be acquired and more side effects be reduced by reinforcing spleen and generating blood based on iron supplement.