李发枝运用经方合方治疗特发性血小板减少性紫癜经验  

LI Fazhi’s experience in treating idiopathic thrombocytopenic purpura with combination of classical prescriptions

作　　者：翟梦洋 王丹妮[2,3,4,5] 郭会军 李唱[1,2] 张圆圆 李发枝(指导) ZHAI Mengyang;WANG Danni;GUO Huijun;LI Chang;ZHANG Yuanyuan;LI Fazhi(Henan University of Chinese Medicine,Zhengzhou 450046,China;AIDS Treatment and Research Center of the First Affiliated Hospital of Henan University of CM,Zhengzhou 450000,China;Key Research Room of AIDS,National Administration of Traditional Chinese Medicine,Zhengzhou 450000,China;Key Subjects of Infectious Diseases of Traditional Chinese Medicine,National Administration of Traditional Chinese Medicine,Zhengzhou 450000,China;Henan Key Laboratory of Viral Diseases Control with Traditional Chinese Medicine,Zhengzhou 450000,China;Third Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450003,China)

机构地区：[1]河南中医药大学,郑州450046 [2]河南中医药大学第一附属医院艾滋病临床研究中心,郑州450000 [3]国家中医药管理局艾滋病重点研究室,郑州450000 [4]国家中医药管理局中医传染病学重点学科,郑州450000 [5]河南省病毒性疾病中医药防治重点研究室,郑州450000 [6]河南中医药大学第三附属医院,郑州450003

出　　处：《中华中医药杂志》2024年第1期216-219,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金联合基金项目(No.U1904153);2022年河南省科技攻关项目(No.222102310570);河南省中医药科学研究专项课题(No.2019ZY1008,No.20-21ZY1046);河南省特色骨干学科中医学学科建设项目(No.STG-ZYX04-202135)。

摘　　要：文章分析了特发性血小板减少性紫癜的病因病机,李发枝认为特发性血小板减少性紫癜的病因病机为虚实寒热错杂,即中气虚寒、失于摄血和火热亢盛、迫血妄行同时并见。针对这种复杂的病机,李发枝教授提出合用《金匮要略》经方柏叶汤、黄土汤、泻心汤,三方切中方证病机并将其命名为出血三方。最后佐验案二则予以分享李发枝教授运用出血三方(柏叶汤、黄土汤、泻心汤)合方治疗特发性血小板减少性紫癜的临证经验,希望对中医师临证有所启发。This paper introduce the etiology and pathogenesis of idiopathic thrombocytopenic purpura.Professor LI Fazhi thought that the etiology and pathogenesis of idiopathic thrombocytopenic purpura are the cold-heat complex,namely,the‘middle qi’is deficient cold and the qi is not taking the blood,and fiery hyperactivity forces the blood to act in a wrong way.To address this complex pathogenesis,he proposed to use Synopsis of the Golden Chamber classical prescriptions Baiye Decoction,Huangtu Decoction,Xiexin Decoction to cut the pathogenesis and prescription syndrome and named them bleeding tripartite medicine.Finally two medical records as evidence to illustrate professor LI’s experience in treating idiopathic thrombocytopenic purpura with Baiye Decoction,Huangtu Decoction and Xiexin Decoction,hoping to inspire TCM doctors in clinical practice.

关 键 词：经方 柏叶汤 黄土汤 泻心汤 血小板减少性紫癜 中医 李发枝 

分 类 号：R259[医药卫生—中西医结合] R249[医药卫生—中医内科学]