参芪地黄汤治疗原发免疫性血小板减少症医案举隅

【中图分类号】R249.2/.7 【文献标志码】A 【文章编号】1007-8517（2026）04-0081-04

DOI：10.3969/j. issn.1007 -8517. 2026. 04. zgmzmjyyzz202604015

Case Demonstration of Shenqi Dihuang Decoction in the Treatment of Primary Immune Thrombocytopenia

YU Yingping1 SHI Xingqian2 * WANGYan' YAO Lint 1.Yunnan University of Chinese Medicine，Kunming 65Oooo，China; 2.KunmingHospital of Traditional Chinese Medicine，Kunming 65OoOO，China

Abstract：Primaryimmunethrombocytopenia（ITP）isoneof themostcommonhemorhagicdisordersinhematologicdiseases. IntraditionalChinesemedicine，itisclasifiedunder“purpuradisease”（ZidianBing），withahigherincidenceamong women.For refractoryITPpatients withprolongddiseasecourse，CMtheoryatributestheetiologyandpathogenesis todeficiencyrootedecess patern（BenXuBiaoShi），whereinnateconstitutionaldeficiencyandexternalpathogeninvasionleadtodiseasemanifestationThe treatment principlefocusesontonifyingdeficiencyand eliminating pathogens.Thispaper presents acase studyofShenqi Dihuang DecoctioninthetreatmentofIT，documentedduringclinicalaprenticeship.GuidedbythehlisticconceptofCM，thetreattployedpatendiferentiationndtailoedforulamodificatio，ahievingremakableficacyTefindingsmtoprovidelinical insights into TCM- based management of hematologic disorders.

Key words：Primary Immune Thrombocytopenia；Purpura Disease（Zidian Bing）；Shenqi Dihuang Decoction

原发免疫性血小板减少症（primaryimmunethrombocytopenia，ITP）是一种获得性自身免疫性出血性疾病，以外周血血小板计数减少、出血为主要临床表现是血液疾病中最为常见的出血性疾病之一[1，以女性发病居多。（剩余5834字）