黄世林诊治缺铁性贫血学术经验  

HUANG Shilin′s Experience in Treating Iron Deficiency Anemia

作　　者：梁颖[1] 汤聪 黄世林[1] 刘春雨[1] 陈楠楠[1] LIANG Ying;TANG Cong;HUANG Shilin;LIU Chunyu;CHEN Nannan(Department of Hematology,The 967th Hospital of The PLA Joint Logistic Support Force,Dalian 116021,Liaoning,China)

机构地区：[1]中国人民解放军联勤保障部队第967医院血液科,辽宁大连116021

出　　处：《辽宁中医杂志》2025年第3期17-19,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：中医药服务能力培育与提升专项计划面上项目(2021ZY037);大连市医学科学研究计划项目(2012030)。

摘　　要：缺铁性贫血是临床上最常见的营养不良性贫血之一,我国发病率约为20.1%。文章总结黄世林教授诊治缺铁性贫血的临床经验。黄世林教授命名缺铁性贫血为脾虚性血虚,认为病因主要与先天失养、饮食不节、久病不愈、慢性失血等相关。脾胃虚弱为本病发生的根本原因,脾胃损伤为其基本病机。将中医基础理论与现代血液学相结合,提出“脾生血”“胃源性贫血”观点,建立健脾和胃、益气生血治疗之法。根据病因病机,结合自身临床经验,中西互参,自拟和胃健脾方联合铁剂治疗缺铁性贫血,既能增加补铁量同时能够减轻西药不良反应,临床疗效显著。Iron deficiency anemia is one of the most common dystrophic anemia in clinic,with an incidence of about 20.1%in China.This paper introduced professor HUANG Shilin′s clinical experience in the diagnosis and treatment of iron deficiency anemia.Professor HUANG Shilin named iron deficiency anemia as blood deficiency caused by spleen deficiency,and believed that the etiology was mainly related to congenital malnutrition,improper diet,prolonged illness,and chronic blood loss.The weakness of spleen and stomach was the fundamental cause of this disease,the damage of spleen and stomach was its basic pathogenesis.Combining the basic theory of traditional Chinese medicine with modern hematology,he put forward the theory of“spleen producing blood”and“anemia of gastric origin”,and established the treatment method of strengthening spleen and stomach,replenishing Qi and nourishing blood.According to the etiology and pathogenesis,combined with their own clinical experience,integrated traditional Chinese and Western medicine,self-made Hewei Jianpi Recipe(自拟和胃健脾方)combined with iron is often effective in the treatment of iron deficiency anemia.

关 键 词：缺铁性贫血 脾虚性血虚 健脾和胃 益气生血 名医经验 

分 类 号：R255[医药卫生—中医内科学]