益血生胶囊基于肾主骨生髓化血理论治疗贫血的临床实践  

Clinical application of Yixuesheng Capsule in treating anemia based on the theory of kidney rules bone,generates marrow,and marrow generates blood

作　　者：张静娴 陈信义[1] 田劭丹[1] ZHANG Jingxian;CHEN Xinyi;TIAN Shaodan(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]北京中医药大学东直门医院,北京100700

出　　处：《北京中医药大学学报》2023年第5期731-735,共5页Journal of Beijing University of Traditional Chinese Medicine

基　　金：“重大新药创新”科技重大专项(No.2019ZX09201004-002-001)。

摘　　要：基于中医藏象理论,对《黄帝内经》“肾主骨,生髓,髓生血”理论之间的相关性进行阐释,论述其与西医学各类贫血之间的病理关系,并回顾补肾法治疗贫血理论体系的渊源,以及多位名老中医对补肾法治疗再生障碍性贫血等疾病的见解与认识。同时,基于方、证、药对应理论,以补肾法治疗再生障碍性贫血、缺铁性贫血的典型中成药益血生胶囊为例,按照中医药理论对其组方进行解析,总结其现代基础研究及临床应用疗效。通过益血生胶囊相关文献整理与分析表明,益血生胶囊治疗贫血效果佳,不良反应少,具有较好的临床推广应用价值,进一步证明肾主骨生髓化血理论的科学性和实用性,为再生障碍性贫血、缺铁性贫血、妊娠贫血等各类贫血的临床治疗提供重要的背景资料。Based on the theory of visceral manifestation in traditional Chinese medicine,this paper explains the correlation between the theory of“the kidney rules bone,generates marrow,and marrow generates blood”in Huangdi Neijing;discusses the pathological relationship with various types of anemia in western medicine;and reviews the origin of the theoretical system of kidney⁃nourishing therapy in treating anemia,as well as the views and recognition of many famous veteran doctors of traditional Chinese medicine on kidney⁃nourishing therapy in treating aplastic anemia and other diseases.At the same time,based on the theory of corresponding among prescriptions,syndromes and medicines,and taking the typical Chinese patent medicine Yixuesheng Capsule,which is used to treat aplastic anemia and iron deficiency anemia with kidney⁃nourishing therapy,as an example,the composition of the prescription is analyzed according to the theory of traditional Chinese medicine,and its modern fundamental research and clinical application effects are summarized.According to the collation and analysis of relevant literature on Yixuesheng Capsule,it is shown that Yixuesheng Capsule has a good effect in treating anemia with few adverse reactions,and it has a good clinical application value,which further proves the scientific and practical nature of the theory of kidney rules bone,generates marrow,and marrow generates blood,and can Journal of Beijing University of Traditional Chinese Medicine provide important background information for guiding the clinical treatment of various forms of anemia,such as aplastic anemia,iron deficiency anemia,and pregnancy anemia.

关 键 词：肾藏象 肾主骨 肾生髓 髓生血 贫血 

分 类 号：R273[医药卫生—中西医结合]