李斯文教授从“补肾活血”论治化疗后白细胞减少症经验

Professor Li Siwen’s Clinical Experience in Treating Leukopenia after Chemotherapy Based on the Principle of “Tonifying the Kidney and Promoting Blood Circulation”

摘要: 文章介绍了李斯文教授从“补肾活血”理论出发，论治化疗后白细胞减少症的临床经验。李斯文教授认为化疗后白细胞减少症的病机关键在于肾脏亏虚、血脉瘀滞，病位在骨髓；治疗上以健脾益肾为本，活血化瘀为标，通过健脾益肾、活血化瘀，保证气血生化有源，五脏得以精微物质滋养，正气得复。现总结其经验，并列举临床病案1则。

Abstract: This article presents the clinical expertise of Professor Li Siwen in treating chemotherapy-induced leukopenia based on the “Kidney-Tonifying and Blood-Activating” theory. Professor Li posits that the pathogenesis of this condition is rooted in kidney deficiency and blood stasis, with the bone marrow being the primary locus of pathology. The therapeutic approach prioritizes reinforcing the spleen and tonifying the kidneys as the fundamental strategy, while activating blood circulation and resolving stasis serve as adjunctive measures. This dual approach ensures adequate production of qi and blood, facilitates the nourishment of the five viscera with essential substances, and promotes the restoration of healthy qi. The article summarizes his clinical experience and includes one illustrative case study.