基于“壮火食气”“少火生气”理论治疗原发免疫性血小板减少症

Treatment of Primary Immune Thrombocytopenia Based on the Theory of “Superheat Consuming Qi” and “Less Fire and Qi”

摘要: 原发免疫性血小板减少症是一种自身免疫性出血性疾病，以皮肤黏膜甚或内脏出血为主要临床表现，病情迁延难愈，极大影响患者生活质量及心理健康。其发病机制尚未明确，中医病因病机复杂，主要特点是火盛气伤，虚实夹杂。王金环教授结合多年临床经验，认为ITP发病与气火平衡失调密切相关，将“壮火食气”“少火生气”理论与本病结合，采用清热凉血、滋水涵木、益气温阳之法以清壮火之势，达生少火之功，火平则气乃壮，邪去则病自安。

Abstract: Primary immune thrombocytopenia is an autoimmune hemorrhagic disease, with skin and mucous membrane or even visceral bleeding as the main clinical manifestations. The disease is protracted and difficult to heal, which greatly affects the quality of life and mental health of patients. Its pathogenesis is not yet clear. The etiology and pathogenesis of traditional Chinese medicine are complex, and the main characteristics are fire and qi injury, deficiency and excess. Based on years of clinical experience, Professor Wang Jinhuan believes that the pathogenesis of ITP is closely related to the imbalance of qi and fire. He combines the theory of “strong fire eating qi” and “less fire generating qi” with this disease, and adopts the methods of clearing heat and cooling blood, nourishing water and nourishing wood, and supplementing qi and warming yang to clear the potential of strong fire, so as to achieve the function of producing less fire. If the fire is flat, the qi is strong, and if the evil goes away, the disease will be relieved.