胡晓梅主任医师温扶阳气治疗血液病方药特点  

Prescription characteristic of HU Xiao-mei in the treatment of blood disease with strengthening and warming yang

作　　者：方苏[1] 王月[1,2] 宋敏敏 曲文闻[1,3] 马俊丽[1,4] 胡晓梅[1] 

机构地区：[1]中国中医科学院西苑医院,北京100091 [2]京中医药大学,北京100029 [3]中国藏学研究中心北京藏医院,北京100029 [4]北京市昌平区南口铁路医院,北京102202

出　　处：《中华中医药杂志》2015年第2期457-461,共5页China Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：慢性紫癜病具有病程日久、病情反复等特点,常经过多种方案治疗后血小板仍难以恢复至正常水平。髓毒劳多发生于老年人,大约50%的患者伴有克隆异常,容易向白血病转化。造血干细胞移植、细胞毒性化疗药物不适用于高龄患者,一些新的治疗方法仍没有显示出令人满意的效果。胡老师温习中医古籍,重视"阳化气,阴成形"理论对血液病发病的影响,在多年的临床实践中,以小剂量附子温阳化气治疗慢性紫癜病、以小剂量雄黄温阳散寒治疗髓毒劳,取得了明显疗效。Chronic immune thrombocytopenic purpura（c ITP） presents as patients with a long course and condition waving. The platelet of patients with c ITP is difficult to back to the normal level in spite of various therapeutic schedule. Myelodysplastic syndrome（MDS） occurres mainly in the aged patients. Clonal abnormalities are found in 50% of patients with MDS, which tends to evolve into acute myeloid leukaemia. Hematopoietic stem cell transplantation and cytotoxic chemotherapy are generally unsuitable for the aged, and some new treatment options do not show a desired treatment results. Based on the Chinese ancient classical books, HU Xiao-mei pays attention to the theory of ‘yang representing qi, and yin forming shapes＇ on accession of hematology. In many years of clinical experience, HU Xiao-mei usually prescribes low-dose aconite in warming yang and promoting the flow of qi in treating c ITP and low-dose arsenic disulfide in warming yang and dispelling coldness in treating MDS, which have significant curative effect.

关 键 词：特发性血小板减少性紫癜 骨髓增生异常综合征 附子 雄黄 扶阳 中医药 

分 类 号：R249[医药卫生—中医临床基础] R259[医药卫生—中医学]