从玄府理论探讨骨髓增生异常综合征的毒瘀阻滞证  

Discussion on the syndrome of toxin and blood stasis in myelodysplastic syndrome from Xuanfu theory

作　　者：郝晶[1] 吕佳欣 常延博 彭紫涵 胡子然 郭冬玉 戚天凤 何丹迪 高明洁[1] 王金环[1] Hao Jing;Lyu Jiaxin;Chang Yanbo;Peng Zihan;Hu Ziran;Guo Dongyu;Qi Tianfeng;He Dandi;Gao Mingjie;Wang Jinhuan(Department of Hematology,the First Hospital Affiliated Heilongjiang University of Chinese Medicine,Harbin 150040,China;First Clinical Medical College of Heilongjiang University of Chinese Medicine,Harbin 150040,China;Master Degree Student of Grade 2021,Heilongjiang University of Chinese Medicine,Harbin 150040,China;Doctoral Degree Student of Grade 2023,Heilongjiang University of Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学附属第一医院血液病科,哈尔滨150040 [2]黑龙江中医药大学第一临床医学院,哈尔滨150040 [3]黑龙江中医药大学,哈尔滨150040

出　　处：《国际中医中药杂志》2024年第4期415-419,共5页International Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81673968);全国中医临床特色技术传承骨干人才项目(国中医药人教函〔2019〕36号);黑龙江省中医药学会青年中医药科技创新项目(ZHY19-029);黑龙江中医药大学创新人才基金(2018KCD04)。

摘　　要：骨髓增生异常综合征(MDS)属于血液系统恶性肿瘤,临床上较难治愈。玄府理论由刘完素提出,在中医临证中独具特色,目前较少被应用于血液病。玄府理论在MDS的应用为疾病的治疗提供了新思路。玄府闭塞所引起的气血津液出入失常,造成毒瘀阻滞,是毒瘀阻滞证的病机所在。通过宣透骨玄府、外治宣通玄府、疏肝调理玄府,神机运转,玄府开阖恢复正常,毒瘀则有出路可行。本文从玄府理论分析MDS的毒瘀阻滞证,旨在为其临床治疗提供可行的理论依据。Myelodysplastic syndrome(MDS)is a malignant hematologic tumor,which is currently difficult to cure.The theory of Xuanfu was proposed by Liu Wansu,which is unique in the clinical evidence of Chinese medicine and is less frequently applied to hematological diseases.The application of Xuanfu theory in myelodysplastic syndrome provides new ideas for the treatment of the disease.The abnormal flow of Qi,blood and fluids caused by the occlusion of the Xuanfu is the cause of toxic stasis obstruction,which is the pathogenesis of toxic stasis obstruction.Thus,the method of dispersion of Bone from Xuanfu,the external treatment of Xuanfu,and regulation of liver qi and Xuanfu help to return to normal of opening and closing function of Xuanfu,and release toxic stasis.In this paper,we analyzed the evidence of toxin-stasis obstruction in myelodysplastic syndrome from the theory of Xuanfu,aiming to provide a feasible theoretical basis for clinical treatmentof the disease.

关 键 词：骨髓增生异常综合征 髓毒劳 玄府理论 毒瘀阻滞证 骨玄府 

分 类 号：R273[医药卫生—中西医结合]