XIONG Jibai's Experience in Treating Henoch-schonlein Purpura by Staged Diagnosis and Treatment with "Simultaneous Treatment of Wind and Blood"
10.13288/j.11-2166/r.2024.13.003
- VernacularTitle:熊继柏“风血同治”分期辨治过敏性紫癜经验
- Author:
Wenfeng XU
1
;
Hua HU
1
;
Yajun PENG
1
;
Fan WU
2
;
Wei CAI
1
;
Zhaohong GONG
1
;
Chao TAN
1
Author Information
1. The First Hospital of Hunan University of Chinese Medicine
2. Hunan University of Chinese Medicine
- Publication Type:Journal Article
- Keywords:
henoch-schonlein purpura;
treatment of wind;
treatment of blood;
famous doctor's experience;
XIONG Jibai
- From:
Journal of Traditional Chinese Medicine
2024;65(13):1318-1322
- CountryChina
- Language:Chinese
-
Abstract:
This article aimed to summarise the clinical experience of Professor XIONG Jibai in treating henoch-schonlein purpura (HSP) from the perspective of "simultaneous treatment of wind and blood". HSP was devided into acute phase and transitional phase in clinic. It was considered that the wind pathogen exists throughout the disease course, and the treatment is guided by the "four methods of treating blood" in TANG Rongchuan's Treatise on Blood Syndromes - Blood Vomiting (《血证论·吐血》), which are stanching bleeding, expelling stasis, tranquilising blood, and tonifying blood. In the acute phase, wind-heat damaging collateral symdrome and blood-heat frenetic flow syndrome are common, which could be treated by the method of cooling blood to dispel wind, and eliminating stasis to stop bleeding, with self-prescribed modified Ziping Xiaofeng Powder (紫萍消风散); in the transitional phase, syndrome of effulgent fire due to yin deficiency and syndrome of qi deficiency failing to control are common, which could be treated by the method of tranquilising blood and tonifying deficiency, with modified Zhibai Dihuang Decoction (知柏地黄汤) and Guipi Decoction (归脾汤). At the same time, it is believed that wind-related medicinal has the function of eliminating stasis, stanching bleeding, and cooling blood, and the wind-related medicinal should be used throughout the treatment.