Deng Cong's Experience in Treating Immunologic Thrombocytopenic Purpura from the Pathogenesis of Wind,Deficiency,and Stasis
10.13359/j.cnki.gzxbtcm.2025.08.033
- VernacularTitle:邓聪从"风、虚、瘀"辨治免疫性血小板减少症的经验
- Author:
Qi ZHANG
1
;
Cong DENG
Author Information
1. 广州中医药大学第八临床医学院,广东 佛山 528000;佛山市中医院,广东 佛山 528000
- Keywords:
immunologic thrombocytopenic purpura(ITP);
wind;
deficiency;
stasis;
dispelling wind and soothing the liver;
resolving stasis and strengthening the spleen;
tonifying the kidneys to supplement essence;
wind-dispelling medicinals;
Deng Cong
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2025;42(8):2053-2057
- CountryChina
- Language:Chinese
-
Abstract:
Immunologic thrombocytopenic purpura(ITP)is an immune-mediated hemorrhagic disorder that can be categorized as purpura disease in traditional Chinese medicine(TCM).Modern TCM views ITP as a syndrome being deficiency in the origin and excess in the superficiality,and the treatment of ITP is usually from the pathogenesis of heat,deficiency,and stasis.Professor Deng Cong proposes that the onset of ITP results from the interaction of internal etiological factors and external etiological factors,the invasion of wind acting as the exogenous cause,while emotional disturbances and chronic fatigue serving as endogenous contributors.The primary pathogenic factors are wind,deficiency,and stasis.The onset of ITP is due to wind stirring latent pathogens,liver failing to store blood,spleen failing to govern blood,and kidney failing to generate blood,which cause the extravasation of blood from the vessels.ITP primarily involves the liver,spleen and kidney.Internal stirring of wind pathogen,liver failing to store blood,spleen failing to govern blood,and kidney failing to generate blood are the critical factors contributing to the refractory ITP.Syndrome differentiation and treatment of ITP requires the identification of the functional characteristics of the liver,spleen,and kidneys as well as their interrelationships.Therapeutic strategies should focus on dispelling wind and soothing the liver,resolving stasis and strengthening the spleen,and tonifying the kidneys to supplement essence,with emphasis on using wind-dispelling medicinals,liver-soothing medicinals,and medicinal with affinity to flesh and blood.Professor Deng Cong's approach to treating ITP from the pathogenesis of wind,deficiency and stasis will provide an additional option for the treatment of ITP,particularly for the patients with chronic and refractory thrombocytopenic purpura.
