从“风、虚、瘀”辨治免疫性血小板减少症的经验

关键词：免疫性血小板减少症；风；虚；瘀；祛风柔肝；化瘀健脾；补肾填精；风药；中图分类号：R259.582 文献标志码：A 文章编号：1007-3213（2025）08-2053-05DOI：10.13359/j.cnki.gzxbtcm.2025.08.033

Abstract：Immunologic thrombocytopenic purpura（ITP） is an immune-mediated hemorrhagic disorder thatcan be categorized as purpura disease in traditional Chinese medicine（TCM）. Modern TCM views ITP as a syndrome being deficiency inthe originand excess inthe superficiality，andthe treatmentofITP isusually from the pathogenesis of heat，deficiency，and stasis.Professor Deng Cong proposes that the onset of ITP results from the interaction of internal etiological factorsand external etiologicalfactors，the invasion of wind acting as the exogenous cause， while emotional disturbances and chronic fatigue serving as endogenous contributors.The primary pathogenic factors are wind，deficiency，and stasis.The onset of ITP is dueto wind stirring latent pathogens，liverfailing to store blood，spleen failing to govern blood，and kidney failing to generate blood，which cause the extravasationof blood from the vessels.ITP primarily involves the liver，spleen and kidney.Internal stiring of wind pathogen， liver failing to store blood，spleen failing to govern blood，and kidneyfailing to generate blood arethe critical factors contributing to the refractory ITP.Syndrome differentiation and treatment ofITPrequires the identificationof the functional characteristics of the liver，spleen，and kidneys as wellas their interrelationships.Therapeutic strategies should focus on dispeling wind and soothing the liver，resolving stasis and strengthening the spleen， and tonifying the kidneys to supplement essence，with emphasis on using wind-dispelling medicinals，liversoothing medicinals，and medicinal with affinity to flesh and blood.Professor Deng Cong's approach to treating ITP from the pathogenesis of wind，deficiencyand stasis willprovide an additional option for the treatment of ITP， particularly for the patients with chronic and refractory thrombocytopenic purpura.

Keywords：immunologic thrombocytopenic purpura（ITP）；wind；deficiency；stasis；dispeling wind and soothing the liver；resolving stasisand strengthening the spleen；tonifying the kidneys to supplement essence; wind-dispelling medicinals； Deng Cong

免疫性血小板减少症（immunologic thrombocy-topenicpurpura，ITP）是临床上一种常见的出血性疾病，其主要特征为无明显诱因的血小板计数降低。（剩余7309字）