中医药研究论丛

232.13 再生不良性贫血之中医治疗病例报告
TJ TCM.23(2) : 169-182, 2020
再生不良性贫血之中医治疗病例报告
A Case Report of Aplastic Anemia Treated
with Traditional Chinese Medicine 
吴立工1 林郁甯1*
1 花莲慈济医院中医部,花莲,台湾
【摘要】
再生不良性贫血,是以全血球低下为主要表现的骨髓造血障碍疾病,临床症状常见贫血、面色苍白、疲倦不适、易受感染和出血瘀斑。在中医的病因病机主要为毒邪侵髓、肾精亏虚、脾胃虚弱、髓海瘀阻。西方医学运用免疫抑制剂、皮质类固醇、环孢菌素、化学治疗或骨髓移植进行治疗,但仍存在许多风险与副作用。本案例为一名44 岁男性,在103 年7 月於林口长庚确诊为再生不良性贫血,於103/12/11 求诊花莲慈济医院中医科,就诊中医後,未服用西药或进行西医治疗,仅处方口服科学中药,後诸症逐渐平稳,全血球计数也陆续恢复正常,因本案例治疗效果极佳,故分享给中西医同道,期望本案可以做为临床医师治疗时的叁考。
【关键词】再生不良性贫血、再生障碍性贫血、中医药、病因病机
 
Li-Gong Wu1Yu-Ning Lin1*
1Department of Chinese Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, Hualien, Taiwan
【Summary】
Aplastic anemia (AA) is a bone marrow disease which causes defects on hematopoietic stem cells and leads to pancytopenia. Clinical symptoms are anemia, pale skin, fatigue, getting infection easily, bleeding, bruising and petechiae. On pathogenesis of TCM, aplastic anemia is categorized in four major group, which is 1.Kidney essence deficiency 2. Spleen chi and blood deficiency 3.Poison in bone marrow and 4.Blood stasis in bone marrow. Immunosuppressor, corticosteroids, chemotherapy or bone marrow transplantation are the major treatments in western medicine. However, it still has horrible risks and side effects. This case is a 44-year-old male office staff who was diagnosed with aplastic anemia in Chang Gung Memorial Hospital in July 2014. He did not receive any western medicine or treatment. He have started TCM therapy since December 11th, 2014 in Hualien Tzu Chi Hospital. His symptoms gradually disappeared after TCM concentration medicine treatment. Moreover, the results of complete blood gradually became normal. As a consequence, we share this very successful case to all doctors. Hope this case report can be used as a reference for the treatment of aplastic anemia by chinese and western doctors.
【Keywords】Aplastic anemia (AA), Traditional Chinese Medicine (TCM),Pathogenesis, Mechanism