中医治疗血液病名家学术观点撷菁  

Essential viewpoints of prestigious experts on traditional Chinese medicine treatment of hematological diseases Ⅴ

作　　者：中华中医药学会血液病分会 中华中医药学会血液病创新研究与转化平台 侯丽 王金环(整理) China Association of Chinese Medicine Blood Disease Branch,Hematological Diseases;Innovative Research and Transformation Platform of China Association of Chinese Medicine;HOU Li(不详;Doctoral Supervisor,Dongzhimen Hospital,Beijing University of Chinese Medicine,,Beijing 100700)

机构地区：[1]不详 [2]北京中医药大学东直门医院 [3]中华中医药学会血液病分会 [4]黑龙江中医药大学附属第一医院

出　　处：《北京中医药大学学报》2025年第3期438-444,共7页Journal of Beijing University of Traditional Chinese Medicine

基　　金：中华中医药学会中医血液病名家学术思想与临床经验传承研究基金项目(No.2023XS-001);中央高水平中医医院临床科研业务费资助项目(No.CZ015);国家中医药管理局高水平中医药重点学科建设项目:中医血液病学(No.zyyzdxk-2023268)。

摘　　要：为传承与发展名老中医的学术思想,中华中医药学会血液病分会、中华中医药学会血液病创新研究与转化平台总结了邱仲川、陈信义、周永明、陈志雄、李铁的学术思想与临床诊疗经验。邱仲川教授对骨髓衰竭性疾病,提出“补肾为本,兼顾脾胃,气血阴阳同调”的观点;而对骨髓增殖性疾病则主张分期序贯,依据患者证候的动态演变,灵活施治。陈信义教授率先构建“中医药防治急性髓系白血病一体化体系”,并明确“脾统血”包括统血、生血与裹血等广义概念,丰富了“脾统血”的现代科学内涵,提出的“毒损骨髓”以及“痰瘀互阻”病机学说丰富了中医学对血液病的认识。周永明教授提出“脾肾气火”学说,倡导“健脾补肾活血”法,并在临床实践中不断完善和发展。陈志雄教授独创性提出岭南血证的临床理论体系及精准辨证实践体系。李铁教授总结出诊治血液病的血药应用,提出“辨舌”在诊治方面的重要性,注重“和”法在临床中的应用。对名老中医学术思想与临床诊疗经验进行总结、学习及交流,旨在培养中医血液病学后备人才、推动中医血液病学科建设,更好地传承、创新和发展中医药事业。To inherit and develop the academic legacy of esteemed senior traditional Chinese medicine(TCM)experts,China Association of Chinese Medicine Blood Disease Branch and Hematological Diseases′Innovative Research and Transformation Platform of China Association of Chinese Medicine summarized the clinical diagnostic and treatment philosophies of five distinguished professors,including QIU Zhongchuan,CHEN Xinyi,ZHOU Yongming,CHEN Zhixiong,and LI Tie.For bone marrow failure diseases,Professor QIU Zhongchuan emphasizes kidney tonification as the central approach while also considering the spleen and stomach and maintaining a balance among qi,blood,yin,and yang.For myeloproliferative diseases,he advocates a staged and sequential TCM treatment,tailoring treatments dynamically to patients′changing syndromes.Professor CHEN Xinyi pioneered the establishment of the"integration system of TCM prevention and treatment in acute myeloid leukemia,"where he defined the concept of"spleen generating blood"to include broader interpretations such as spleen-containing blood,spleen-engendering blood,and spleen-holding blood.His propositions on the pathogenesis theories of"toxin damaging bone marrow"and"phlegm and blood stasis obstruction"enrich the understanding of blood diseases in TCM.Professor ZHOU Yongming introduced the theory of"spleen kidney qi fire"and proposed the method of"strengthening the spleen,tonifying the kidney,and promoting blood circulation."These theories have been refined through continuous clinical practice.Professor CHEN Zhixiong developed a precise differentiation of TCM patterns to diagnostic and treatment framework for blood disorders in southern China,incorporating diverse theoretical foundations to tailor his approach.Professor LI Tie focused on the application of blood medicines in the diagnosis and treatment of blood diseases,emphasizing the importance of"tongue diagnosis and differentiation"in diagnosis and treatment and emphasizing the application of the"harmony"methods in clinical practice.The objective

关 键 词：中医血液病 名老中医 临证经验 学术思想 传承创新 

分 类 号：R273[医药卫生—中西医结合]