High points for Chinese medicine emergency emergency Chronic thrombocytopenic purpura treatment of some of the problems, seeking expert

Modern medical treatment of primary thrombocytopenic purpura is mainly the application of adrenocorticotropic hormone, and splenectomy can be considered in cases where the hormone is ineffective. Immunosuppressive drugs such as cyclophosphamide, although a small number of cases can have good efficacy, but because of the easy recurrence of drug withdrawal, winter side effects, so its value is still debated. Secondary thrombocytopenic purpura, in addition to hormones to reduce bleeding and input platelets, etc., mainly for the cause of the treatment.

This disease in Chinese medicine literature in the "blood evidence", "rash" and other records. For example, Zhu Danxi called "internal injuries and spots", and there are also called "miscellaneous diseases and spots" in later generations. It is believed that this disease can be caused by the etiology and pathogenesis of the disease, such as external infection of seasonal evils, deficiency of qi and blood, deficiency of yin and fire, and obstruction of blood stasis, etc. The treatment of this disease is mainly based on the examination of the cause of the main treatment. For the blood heat blazing treatment to clear heat and detoxification, yin deficiency fire blazing treatment to nourish yin to lower the big, gas does not take in blood treatment to replenish the gas to take in blood, wind-heat injuries to the treatment of wind and cool the blood, stagnation of meridians treatment to get rid of the Ji and activate the blood, to the course of the disease appeared in the heat segregation of the pericardium, the death of the yang deficiency and so on variations; and when the heart to clear and open up, back to the yang and fixed off.

[Name of the prescription]Qing Zi Fang

[Functions] Functions clearing heat and cooling blood, activating blood circulation and removing blood stasis. Indicating pediatric idiopathic thrombocytopenic purpura.

[Prescription composition] Qingdai 3 grams, comfrey 9 grams, dandelion 9 grams, lateral cypress charcoal 9 grams, 10 grams of raw land, cypress 9 grams, fried gardenia 9 grams, 15 grams of senna, 15 grams of salvia, Agaricus 9 grams, 3 grams of woodruff, 5 grams of licorice, decocted with water.

[Diagnosis plus and minus]None

[Course of treatment effect]45 cases were treated, 20 cases of which the disease duration was more than 1 year, and had been ineffective with prednisone, vincristine, and the remaining 25 cases of which the disease duration was more than 2 months, and 12 cases of which were ineffective in the treatment of traditional Chinese medicine in the outside hospitals. After taking this formula, all the cases were basically controlled by bleeding symptoms in about 1 week, 16 cases were cured (including 8 cases with a disease duration of more than 2 years), 14 cases were effective, 14 cases were improved, 1 case was ineffective, and the total effective rate was 98%.

[Source of prescription]Yan Huimin, Beijing Children's Hospital, et al.

[Remarks]This disease is mostly caused by solid heat, Yin deficiency and fire exuberance, and the evidence of evil heat forcing the blood to act rashly. Therefore, this prescription adopts clearing heat and cooling the blood as the main treatment, and it uses Qingdai, Ziqi, Kaipi, Shengdi, Xianhecao and so on to clear heat and cool the blood; Danshen to activate blood circulation and remove blood stasis; Muxiang to reconcile the qi and blood in order to move the qi to strengthen the power of removing the stasis and moving the blood; and a small amount of Colla Corii Asini to nourish the blood. This formula is not only in line with the traditional rules, but also rich in new ideas. It can be regarded as a model for clinical evidence.

[Name of the formula] Yi-Qi Liang-Blood Tang

[Functions and Indications] It can benefit Qi and nourish Blood, cool Blood and activate Blood. It is used for treating pediatric thrombocytopenic purpura of the blood-heat paranoia type.

[Prescription composition]Astragalus 12 grams, licorice 3 grams, red peony 12 grams, white peony 12 grams, Angelica sinensis 9 grams, danshi 6 grams, Xianhecao 15 grams, Xiqi Cao 9 grams, earth rhubarb 9 grams, decocted with water.

[Add and subtract according to the evidence] If the bleeding does not stop and the purpura is serious, add ginseng panax ginseng powder or Yunnan Baiyao.

[Treatment efficacy] Treatment of 27 cases, the results of the obvious 7 cases, effective 7 cases, progress 10 cases.

[Prescription source]Tan Xuefeng, First People's Hospital, Jingdezhen City, Jiangxi Province.

[Remarks on the prescription]This formula is based on Astragalus and Glycyrrhiza glabra to benefit qi; Angelica sinensis and Paeonia lactiflora to replenish blood; Radix Paeoniae lactiflorae and Dampi to cool blood and activate blood; Cimicifuga to activate blood and stop blood circulation; Cimicifuga to stop blood circulation; Rhizoma Xianxue to stop blood circulation; and Rhizoma Dioscorea to clear heat and detoxify. The formula is concise and effective for thrombocytopenic purpura in which blood heat is more prevalent and qi and blood are deficient.

[Name of the formula]Ganoderma Lucidum

[Functions] It benefits the heart and replenishes the license plate. Generate blood to fill the veins. Indicates pediatric idiopathic thrombocytopenic purpura.

[Prescription composition] Ganoderma lucidum bacteria (artificial culture), decoction meter, filtering, concentration, each milliliter contains 0.175 grams of raw medicine. Each oral 10 a 15 milliliters, three days 3 times. The course of treatment 2 weeks Monday 2 months.

[Diagnosis and addition and subtraction]None

[Course of treatment]30 cases of treatment, more than half a year after the treatment for follow-up, in addition to three cases of lost visits, the remaining 27 cases. In 14 cases of chronic type, there were 7 cases with obvious effect, 2 cases with good effect, 1 case with progress and 4 cases with no effect; in 13 cases of acute type, there were 12 cases with obvious effect and 1 case with good effect. Platelets rose to more than 100,000 in 12 cases, 6 cases of 60,000 to 90,000, 8 cases of 40,000 to 50,000, and 1 case of 21,000 to 30,000. The minimum length of hospitalization was 14 days and the maximum was 106 days.

[Prescription source]He Dexing, Department of Pediatrics, Quzhou City People's Hospital, Zhejiang Province

[Prescription Remarks]Ganoderma lucidum is a nourishing and strengthening agent, which plays the role of supporting and cultivating the root of the body, and it has the effect of generating blood, filling the veins, benefiting the heart and replenishing the cards. Studies have shown that Ganoderma lucidum contains alkaloids, sterols, amino acids, lactones, sugars, coumarins, etc. Pharmacological effects include enhancement of adrenocorticotropic hormone, lowering blood cholesterol, etc., suggesting that it may work through the regulation of the body's internal environment and enhancement of adrenocorticotropic hormone.

[Name of the prescription]Tonic blood and cool blood soup

[Functions] Functions benefit qi and tonify blood, cool blood and activate blood. Indications: Thrombocytopenic purpura.

[Prescription composition]Astragalus 12 grams, licorice 3 grams, red peony 9 grams, white peony 9 grams, Angelica sinensis 6 grams, danshi 6 grams, Xianhecao 15 grams, Xiqiang grass 9 grams, soil rhubarb 12 grams, decocted with water. 6 years of age and younger children discretionary reduction.

[Identification and addition and subtraction] Purpura serious, tongue blue, bleeding is difficult to stop, discretionary addition of Yunnan Baiyao or Sen Sanqi powder; is the surface of the qi is not solid, go to angelica, danpi, cimicifuga, soil rhubarb, Xianhecao, add Gui Jie, ginger, jujube; Yin deficiency fire, go to angelica, danpi, cimicifuga, on the rhubarb, plus Codonopsis, Poria, Atractylodes, tortoise version of the yellow essence, red jujube.

[Course efficacy]Application of 45 cases, the age of the smallest 35 days, the largest 10 years old; the first time found 14 cases, recurring onset of 31 cases, 17 cases had bone marrow aspiration, were confirmed as primary thrombocytopenic purpura. Among them, 7 cases of blood heat type, 7 cases of obvious effect, 7 cases of effective, 10 cases of progress, 3 cases of ineffective; 3 cases of apparent effect, 7 cases of effective, 4 cases of progress, 2 cases of ineffective; 1 case of effective, 1 case of progress, 1 case of yin deficiency and fire type. The total effective rate was 88.9%. 31 cases were followed up after 2 years, with 21 cases of stable condition, including 8 cases stable for more than 2 years; 6 cases stable for 1 or 2 years, 7 cases stable for more than half a year, 6 cases with mitigated condition, and 4 cases unstable.

[Source of prescription] Tan Xuefeng, First People's Hospital, Jingdezhen City, Jiangxi Province.

Warming the spleen and kidneys

Source Lai Zhiyuan, "Chinese Medicine Secret Recipe Book"

Composition of Astragalus, Radix et Rhizoma Ginseng, Radix Angelicae Sinensis 20 grams each, nutmeg and Radix Rehmanniae 18 grams each, Cinnamon and Radix Rehmanniae 12 grams each, Chinese yam 15 grams, Codonopsis pilosulae 30 grams, Colla Corii asiatica 12 grams (molten).

Use water to decoct, 1 dose per day, 2 times a day.

FunctionsWarming and tonifying the spleen and kidney.

The formula uses Astragalus, Codonopsis, Chinese yam, and nutmeg to tonify the spleen and warm the blood; Angelica sinensis, Colla Corii Asini to nourish the blood and camp to stop the bleeding; and cinnamon, ripened epimedium, to warm and tonify the kidney yang, to take the meaning of the "source of the benefit of the fire"; and reuse of Xianhe Cao to enhance the role of the hemostatic. The medicine is specialized and powerful, and its effect is quite remarkable.

Primary treatment for primary thrombocytopenic purpura.

Adding and subtracting insomnia, palpitation, shortness of breath and fatigue, add sour jujube nut, Poria, Schisandra; dullness, add Chen Pi, burnt hawthorn, grain buds; lumbago and leg weakness, spermatorrhea and impotence, menstrual disorders, add jujube skin, Cuscuta sinensis, Szechuan Sequence, deer horns gelatin (melting); bleeding, add Chen Palm charcoal, blood carbon, Bai Mao Gen.

Therapeutic efficacy of the treatment of 23 cases, apparent effect (platelets greater than 100,000 cubic millimeters, bleeding disappeared, after stopping the drug to maintain at least half a year or more) 6 cases; effective (bleeding disappeared, platelets greater than 100,000/cubic millimeters, after stopping the drug can not be maintained) 10 cases; progress (bleeding symptoms are reduced, platelets are less than 100,000/cubic millimeters, but the original increase of 20,000/cubic millimeters) 4 cases, invalid! 3 cases.

Yi qi and blood soup

Source Zhang Jingren, Shanghai Journal of Traditional Chinese Medicine (2) 1987

Composition of Codonopsis pilosula, Astragalus 15-30 grams each, 6 grams of roasted licorice, rhinoceros horn powder 3 grams (or 30 grams of water buffalo horn instead of) (swallowed), 30-60 grams of raw huangdi (Chinese rhubarb), Mudanpi, Angelica sinensis 9 grams each, 15 grams of peony, 30 grams of Cynanchum officinale, Rhizoma Rheum palustris, and Pig's Bamboo Fish. 10 grams of red dates, 4 grams of Panax notoginseng powder (swallowed).

Use water to decoct, 1 dose per day, 2 times a day.

Functions Benefiting qi, strengthening the spleen, cooling blood and activating blood circulation.

Main Treatment Thrombocytopenic purpura.

Adding and subtracting pinching stasis poison, adding 15 grams each of raw Pu Huang and charcoal of Cimicifuga; epistaxis, epistaxis, adding 30 grams of Bai Mao Root, 15 grams of Lateral Cypress Leaf; blood in stool, adding 15 grams of charcoal of Diyu, 9 grams of charcoal of Scutellaria Baicalensis; blood in urine, adding 15 grams of Cockle Herb; internal exacerbation of heat and toxin, adding 6 grams of Renzhong Huang, 30 grams each of Dazhongye and Xi Gongshen, 15 grams of Ziqi; excessive bleeding, adding 9 grams of Pu Huang fried Agaricus, Ten Ash Pill, 15 grams of Niu Xie Zhi Chews.

Therapeutic efficacy of the treatment of 18 cases, 5 cases of apparent effect, 5 cases of effective, 4 cases of progress, 4 cases of ineffective.

Attachment after the improvement of the condition, you can insist on taking the agent of benefiting qi and cooling blood to consolidate the therapeutic effect.

Pingpura Tang

Source Wang Jinyuan, Shaanxi Traditional Chinese Medicine (3) 1988

Composition of Astragalus 30-60 g, Bletilla and Huangjing 15 g each, Licorice 15-30 g, Dampi 20 g, Agaricus, Red Peony and Forsythia 10 g each, Bupleurum, Salviae Miltiorrhizae and Xianhe Cao 30 g each.

MethodsWater decoction, 1 dose per day, 2 times a day.

FunctionsClearing heat and cooling blood, benefiting qi and blood ingestion, activating blood circulation and removing blood stasis.

The formula of Astragalus, Rhizoma Polygonati Odorati, Glycyrrhiza Uralensis strengthens the spleen, benefits the qi and takes in blood; Dampi, Salviae Miltiorrhizae, Paeoniae Lactiflorae invigorates and removes stasis of blood and cools blood; Forsythia Root and Rhizoma Polygonati Root cool and stop blood circulation; Colla Corii Asini nourishes and stops blood circulation; Bryoniae Fructus and Fructus Bryoniae Alba astringentis stop blood circulation. The combination of all the medicines can clear heat and cool blood without damaging the spleen, astringent and stopping bleeding without leaving blood stasis, so that the whole party can receive the effect of treating qi and blood at the same time.

The main treatment for thrombocytopenic purpura.

Adding and subtracting blood-heat type, add 10 grams of Scutellaria baicalensis, 30 grams of comfrey; qi deficiency type, add 15 grams of Dangshen, 10 jujubes; yin deficiency type, add 30 grams of dibasic dermatophyte; blood stasis is obvious, add 6 grams of Panax quinquefolii powder (in 2 doses).

Therapeutic efficacy of the treatment of 70 cases, the total effective rate of 85.7%, before and after the treatment of platelet count comparison P value <0.001, there is a very significant difference.

Lu he eliminates purpura soup

Source Yang Jin, Zhejiang Journal of Traditional Chinese Medicine (2) 1988

Composition Shanglu (first decocted) 20 grams, Xianhecao, raw ground elm 30 grams each, Codonopsis, Atractylodes macrocephala, Cornu Cervi Pantotrichum, Salviae Miltiorrhizae 10 grams, Astragalus, Shouwu, Shuidi, Codonopsis, 15 grams each, raw licorice 6 grams.

Methods water decoction, 1 dose per day, twice a day. 30 days for a course of treatment.

Functions benefit qi and nourish yin, activate blood and stop bleeding.

The formula reuse Shangluo a flavor, there is a small poison, the decoction time should be long, there is to support the correctness of the deficiency, stopping bleeding blood function; Xianhe Cao Ning blood to stop bleeding, in order to facilitate the birth of blood purpura; Dangshen, Astragalus, atractylodes, ripe land, the first Wu, cornelian cherry, Dan Shen nourishes the spleen and kidney, beneficial to the qi and nourish yin, XuanShen QingJian nourishing yin, conducive to the treatment of the root; Licorice to harmonize the medicines and to relieve the toxicity of the Shangluo. The combination of all the drugs, *** play the benefit of qi and nourish yin, blood stopping the work of blood.

The main treatment for thrombocytopenic purpura.

Additions and subtractions: if there is heat in yin deficiency, subtract Codonopsis, Atractylodes macrocephala, add Cyperus rotundus, Zhimu, Dampy, turtle shell; if there is qi deficiency, add Poria, jujubes; if there is deficiency of cold in the spleen and kidneys, go to XuanShen, add Pseudostelloria japonica, Cuscuta chinensis, Boneset; if blood stasis is blocked, add Loss of Smile.

Therapeutic efficacy of the treatment of 50 cases, cured (platelets in more than 100,000/cubic millimeter, no bleeding, all the symptoms are removed, follow-up for six months without recurrence) 38 cases; improved (platelets to raise 2 to 30,000/cubic millimeter, symptomatic relief, no obvious bleeding tendency) 10 cases; ineffective 2 cases. The total effective rate was 96%.

Yi qi nourishing blood soup

Source Deng Tietao, "Deng Tietao Clinical Experience Series"

Composition of astragalus, ginseng 15 grams, 12 grams of atractylodes macrocephala, 9 grams of Chaihu, 5 grams of ascending hemp, 3 grams of Chenpi, 5 grams of roasted licorice, 12 grams of yellow essence, 30 grams of Xianhecao, 15 grams of Shouwu.

Use 1 dose daily, decocted with water, 2 to 3 times daily.

Functions Benefiting qi, nourishing blood, cooling blood.

Main Treatment Thrombocytopenia.

The efficacy of clinical repeated use, the effect is quite good.

Attachment and Tianjin late famous doctor Zhang Xian Wu self-proposed empirical formula: Astragalus 30 grams, Poria, angelica, white peony, danshen, XuanShen 15 grams, ginseng (another stew), chuanxiong, safflower, peach kernel 10 grams, raw land, ripe earth 60 grams, 30 grams of cranesbill grass, cedar grass 20 grams. 1 dose per day, water decoction, take 2 times a day, 1 hour after breakfast and dinner, 10 doses for 1 course of treatment. After observing the treatment of thrombocytopenic purpura, it does have the function of hemostasis and platelet elevation.

And Shanxi late famous doctor Jin Wenqing self-proposed experience: 30 grams of crane grass, 10 grams of comfrey, 12 grams of jujube, 20 grams of brown sugar. Daily 1 dose, decoction, 3 times a day orally, after the elimination of symptoms and then served more than 1 week. This formula is effective in treating various types of thrombocytopenic purpura. It has treated 40 cases, with the addition and subtraction of medicines, resulting in 34 cases cured, 5 cases improved, 1 case invalid, and the number of platelets increased after treatment. The above two prescriptions are quoted from "Famous Medical Doctors' Treatment and Examination Prescriptions".

Regulating blood, nourishing the liver and strengthening the spleen soup

Source: Zou Jingming, "Compendium of Secret Formulas of Famous Doctors"

Composition: 12g of angelica, 15g of white peony, 20g of raw earth, 12g of dandylion, 9g of Colla Corii asiatica, 12g of atractylodes, 12g of Poria and 6g of Radix et Rhizoma Glycyrrhizae.

Usage 1 dose daily, decoction with water, divided into 2 times a day.

FunctionsTonifying the blood and nourishing the kidney, nourishing the liver and strengthening the spleen, benefiting the qi and tonifying the middle.

The cause of this disease is multi-factorial, but the pathogenesis of this disease is nothing more than Yin deficiency of the liver and kidney, the liver loses its function of storing blood and the spleen and qi is weak and loses its ability to unify the blood, so that the blood doesn't follow the normal path and overflows outside the veins and channels and develops into this disease. In this formula, Angelica sinensis and Radix Paeoniae Alba can nourish and invigorate Blood, nourish Blood and astringent Blood; Radix Rehmanniae Praeparata and Rhizoma Dendriticae nourish Yin and cool Blood to eliminate blood stasis; Radix Aristolochiae and Colla Corii Asini nourish Yin and nourish Blood; Atractylodes Macrocephalae, Poria, Radix Glycyrrhiza Uralensis strengthen the Spleen, benefit the vital energy and nourish the middle. The combination of these herbs has the effect of nourishing yin and tonifying blood to nourish the liver, so that blood can be stored; strengthening the spleen, tonifying qi and tonifying the middle, so that blood can be united; and enabling blood to run in the normal way without being carried away.

Mainly used in treating primary thrombocytopenic purpura with bleeding from skin and mucous membranes as the main symptom.

Adding and subtracting according to clinical experience, the treatment of this disease should be sweet and cold, should not be warm and dry or bitter cold, warm and dry hurt yin, bitter and cold hurt yang, are not conducive to this disease. After many years of practice, screening steady and effective this formula as the main prescription for the treatment of this disease. However, due to the age of the patient, the strength of the body, the duration of the disease and the different severity of the disease, so the selected prescription should be added or subtracted. For example, if children are slightly affected by seasonal evils, they are prone to harboring internal heat, forcing blood to move uncontrollably, and this disease occurs. For the treatment of this disease, it is advisable to clear away heat, cool the blood and nourish the yin, so this formula removes Atractylodes macrocephalus and Poria, and adds Rhizoma Rhinoceros horn, Honeysuckle, and Lian Qiao; for young and middle-aged men with insufficient kidney yin and inflammation of the deficiency, this disease occurs, and this disease is accompanied with epistaxis and bleeding of gums, so it is advisable to nourish yin and lower the fire and guide the downward movement of the heat. Loss of its ability to store and regulate blood, and prone to this disease, mostly accompanied by impatience, stringy pulse, if the blood overflows epistaxis, bleeding gums, blood overflows to make excessive menstruation, the treatment is appropriate to drain the liver fire, this formula can be added fried gardenia, Chai Hu, etc.; such as due to excessive thinking, labor injuries to the mind and spirit, loss of its ability to dominate and unify the blood and the occurrence of the disease, no matter men and women, young and old, the disease course of the day, there can be a deficiency of qi and blood, may be accompanied by palpitations and forgetfulness, The treatment is to replenish qi and blood, this formula subtracts danpi, dry lotus grass, raw land, add ripened land, astragalus, ginseng, farzhi, fried jujube nut, cinnamon, dragon bone, oyster and so on.

Therapeutic effect of many years of use, the treatment of a lot of experiments, the efficacy of satisfactory.

Additionally to give you a secret formula, it is said to have cured more than four hundred people, but this formula is only a basic formula, you need to make additions and subtractions to be good.

When listening to Prof. Lin Caizhi of Guangxi University of Traditional Chinese Medicine, he told us his "secret formula" for treating thrombocytopenic purpura, and said that this formula may be the one that will make you famous in the future.

Prescription: Radix et Rhizoma 15, Fructus Lycium barbarum 15, Epimedium 15, Achyranthes bidentata 15, Radix et Rhizoma Polygoni Multiflori 15, Semen Cuscutae 30, Radix Angelicae Sinensis 15, Cornu Cervi Pantotrichum 15, Fructus Erythraleae 15, Rhizoma Ligustici 15, Rhizoma Ligustici Chuanxiong 15, Gardenia Charcoal 10, Semen Hortensiae 6

He didn't explain much about the prescription, and just said that the patient with Thrombocytopenic Purpura has deficiency of qi, blood, yin and Yang.

These methods are not just a copy of what I've been doing, they are all from professional sources, not the kind of post that sends out a whole bunch of secret recipes, each recipe is verified and reviewed by professionals, and you're lucky that I happen to have collected the recipes for this disease.

These Chinese medicine treatment methods, you'd better go to find a professional to help you look at and then more appropriate, because Chinese medicine is the need for dialectic, but these can provide treatment ideas.

Also, the hormones must try to stop, or it will be harder to wean off