摘要
再生障碍性贫血之病因病机尚需进一步阐明,其治疗经历了以补脾益气到补肾为本的过程。目前临床一般遵从脏腑辨证的规律,从肾、脾入手进行论治。文章从气化理论的角度分析再障病情的发展变化,提出再障的病机以肾为本,以脾为标,以心为主,以肝、肺为变的总原则。胃为生气之源,胆为升发之本,胆随胃降,胃随胆升,对于再障的辨治至关重要,符合气化整体观念之临床真实世界。
The etiology and pathogenesis of aplastic anemia need to be further clarified,and its treatment process has experienced with invigorating spleen and replenishing qi to tonifying kidney.At present,the clinical generally follow the rules of syndrome differentiation of zang-fu viscera,and treatment from the kidney and spleen.In this article,the development and changes of aplastic anemia were analyzed from perspective of qi transformation theory.The pathogenesis of aplastic anemia was put forward.And its general principles are that tonifying kidney as radical treatment,invigorating spleen as symptomatic treatment,invigorating heart as main treatment and regulating liver and lung as modified treatment.That stomach being source of qi,gallbladder being root of ascending and dredging,gallbladder qi with stomach qi descending and stomach qi with gallbladder qi ascending,are essential for the syndrome differentiation and treatment of aplastic anemia,and it is consistent with the overall concept of qi transformation in clinical real-world.
作者
马萌
MA Meng(Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2018年第12期5538-5541,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
关键词
再生障碍性贫血
脾肾阳虚
气化理论
敛肺降火
升肝降胃
土枢四象
一气周流
Aplastic anemia
Yang deficiency of spleen and kidney
Qi transformation theory
Astringing lung and lowering fire
Ascending liver and descending stomach
The earth was the nodal point of Sixiang
Circumfluence of qi
作者简介
通讯作者:马萌,上海市浦东新区蔡伦路1200号上海中医药大学科技实验中心,邮编:201203,电话:021-50806000转2501E-mail:mm975022@163.com.
