从脾论治免疫性血小板减少性紫癜的理论基础与临床实践

Immune thrombocytopenic purpura is autoimmune disease. In the most of patients, the first discovered symptom is that the purpura appears on skin all over the body. The pathogenesis of repeated bleeding and long disease course is related to failure in controlling blood caused by spleen deficiency in TCM. According to this, we analyze the regulation in ITP treatment in the way of theory and practice in this article. In basic theory, we find that the concept of "Pi-Zang organ" in TCM and "spleen" in modern medicine has a same part on the base of many classical ancient literature, and we analyze the feasibility in treating ITP from spleen deficiency by the way of pathology, physiology and therapy. On the other hand, by exploring the clinical data of ITP in recent 5years, we find that the ITP patients who were diagnosed and treated from spleen in TCM have more clinical improvements and less bleeding problems. So , advantages in treating ITP from spleen are worth exploring.