Idiopathic thrombocytopenic purpura
Idiopathic thrombocytopenic purpura is an autoimmune-related diseases. Manifested as skin, mucosa petechia petechiae, or see gum bleeding, epistaxis, and menorrhagia, severe internal bleeding may occur. The disease in clinical practice can be divided into two types: acute type more common in children or young people, sudden onset, chills, fever, followed by purple skin and mucosa of epilepsy, significantly reduced platelet count, bone marrow, no platelet formation; chronic type more common in adults, especially adult women, more common, mitigation and alternating episodes, symptoms less severe, platelet count decreased, reduce the formation of platelets in the bone marrow.Timely diagnosis and treatment of the disease measured with good prognosis. Idiopathic thrombocytopenic purpura is a Chinese “Blood,” “Consumption” and other areas.
[Etiology and pathology]
Idiopathic thrombocytopenic purpura often the cause of endogenous or exogenous toxic heat evil heat, Yonge context, forcing blood Wang Xing, caused the overflow of blood skin; or diet weary, injury Heart, due to blood deficiency can not be proactive.
Pathological changes of the exogenous toxic heat, within the V-blood, collaterals of the injury, and blood does not follow through, overflow in the veins; or heat transfer evil, the stomach fumigation, and too spicy wine syrup, heat-induced stomach volts, thermal disturbance Yinxue evil, blood overflow in the skin, so the incidence of acute, skin, mucous membrane bleeding extensively. Or by the weary internal injuries, recurrent bleeding, injury Heart, with the blood gas consumption, measured blood loss of unifying overflow outside the collaterals; wang, yin is venae dystrophy, Huo-wang context injuries, false fire action,disrupt the business of blood, blood with the fire moving from by Wang Xing, causing overflow of blood veins, in general, less bleeding, in addition to the skin, mucous membrane bleeding, but no extensive bleeding.
[Diagnostic points
An acute type of rapid onset of bleeding symptoms are severe, more common in children. Slow onset of chronic type, there is an apparent tendency to bleed.
2 blood tests thrombocytopenia, prolonged bleeding time, poor clot contraction, capillary fragility test was positive. Normal clotting time.
3 Bone marrow megakaryocytes increased or normal, with a mature barrier.
4 platelet surface IgG, IgM or complement increased.
[Type] dialectical
1 blood heat Wang Xing symptoms: skin purple petechia or ecchymosis, or accompanied by epistaxis, teeth bleed, blood in the stool, hematuria, or fever, dry mouth, constipation. Red tongue, yellow, and pulse a few strings. More common in the early or acute type of the disease.
Syndromes: heat toxin V-blood, of fire moving blood, burns collaterals, forcing blood Wang Xing, overflows often said, so skin purpura, or with other blood evidence; hot fiery poison is evil, Yu steam heat, so fever; Heat disability allowance, it is dry mouth, constipation; red tongue, yellow, and pulse a few strings for the excess heat of the signs.
2 wang symptoms: purpura more, when issued upon, often accompanied by epistaxis, or menorrhagia teeth bleed, zygomatic red, irritability, thirst, dysphoria hot, or hot flashes, night sweats. Scarlet tongue, less pain, rapid pulse. More common in the chronic form of the disease.
Syndromes: wang, virtual fire injured vein, blood overflow pulse, so see the skin purpura, or bleeding elsewhere, such as epistaxis, or menorrhagia, etc. teeth bleed; virtual fire burning, so the zygomatic red tide heat; virtual fire disturbed mind, the upset;
Yin loss disability allowance, so thirsty; Jin Yin fire forced leaked it sweats; purple-red tongue, little coating, rapid pulse are the wang of the levy.
3 gas is not taken blood symptoms: long illness, recurring purpura, Shenpi fatigue, dizziness, pale or sallow complexion, loss of appetite. Pale tongue, weak pulse. More common in the chronic form of the disease.
Syndromes: long illness, temper deficiency, failure in unifying the blood does not follow through, so the recurring purple epilepsy; blood depletion, then see Shenpi fatigue, dizziness, pale or sallow; spleen can not be shipped of water, grain, so the loss of appetite; pale tongue, weak pulse, signs of blood deficiency.
[Type] treatment
1 blood heat Wang Xing rule is: detoxification, cooling to stop bleeding.
Recipe: clear soup business folded gray Decoction.
Habitat of rhino horn tip 3 g 30 g 15 g bamboo heart Scrophulariaceae 12 Winter oats 15 Kdan reference 30 grams berberine 6 grams 15 grams of honeysuckle forsythia Daji 15 g 15 g 15 Kehe thistle leaves 6 grams Oriental Arborvitae 12 g Rhizoma Imperatae 30 Kexi leather palm roots 15 g 15 g 12 Kedan Pi addition and subtraction with the disease: high fever, severe bleeding extensively, plus 30 grams of gypsum, gentian 9 grams, Lithospermum 9 grams, the purging fire heat ; abdominal pain, blood in the stool, plus white peony root 12 grams, 9 grams of licorice, Wulingzhi 9 grams (including fry), Puhuang 9 grams, 6 grams wood, to steal 12 grams, with urgency and pain relief, blood circulation of qi to stop bleeding.
2 wang rule is: Yin Jiang Huo, Ning network to stop bleeding.
Recipe: Sin root powder based.
Scutellaria madder root 15 g 9 g 9 Abu Oriental Arborvitae plastic habitat 15 grams 12 grams 6 grams of licorice subtraction with the disease: hot flushes and night sweats were evident, plus Scrophulariaceae 12 grams, turtle version 9 grams, Ligustrum lucidum 12 grams, dry prostrata 12 grams, in order to strengthen the power of Yin.
3 gas is not taken blood rule is: qi blood.
Recipe: Decoction spleen.
15 grams of astragalus angelica 10 grams 10 grams Atractylodes Codonopsis 12 grams Polygala wood 6 g 3 g Semen 9 g 9 g longan meat, palm charcoal Zhigancao 6 g 30 g 9 g Agrimony jujube 7 subtraction with the disease: kidney virtual waist and knees, impotence, nocturnal emission, or irregular menstruation, plus dogwood 9 grams, dodder seed 12 grams, Sichuan off 12 grams, antler 9 g to Bushentianjing.
[Chinese medicine]
1 piece every 4 compound placenta, 3 times a day.
2 Guipi every 10 three times a day.
[Simple] side
1 30 grams of gypsum, Treats 15 g 15 g gallic, catechu 6 g, fried thick mouth, day 50 to 10 minutes. For purpura and teeth bleed more worse.
2. Jujube 50, Rhizoma Imperatae 30 grams, Shuijianbi, 1 day, 3 times food service soup dates. For the chronic form of the disease.