What are the traditional Chinese medicine treatments for aplastic anemia?

Aplastic anemia is a common disease of decreased autoimmunity. Clinically, there are many ways to treat this disease, but Chinese medicine has a good effect, such as tonifying the kidney and strengthening yang, nourishing kidney yin, nourishing yang, nourishing the heart and spleen, invigorating qi and producing blood, and tonifying the kidney and detoxifying.

(I) Kidney-tonifying and marrow-producing method

Currently, the most effective TCM treatment for aplastic anemia is to tonify the kidneys first. Experiments have also confirmed that effective prescriptions for treating aplastic anemia can stimulate the growth of bone marrow hematopoietic stem cells.

1. Kidney-tonifying and Yang-strengthening Method

It is suitable for patients with aplastic anemia with main symptoms of yang deficiency. In addition to the symptoms of blood deficiency, the clinical manifestations also include cold body and limbs, edema of the face and limbs, spontaneous sweating, light or no bleeding, loose stools, soreness of the waist and knees, pale and fat tongue with teeth marks, white tongue coating, and a weak and large pulse, or a deep and thin pulse. The prescription is Yougui Pills with modifications.

2. Nourishing Kidney Yin

It is suitable for patients with acute aplastic anemia and some chronic aplastic anemia with symptoms mainly of kidney yin deficiency. This type is characterized by obvious bleeding and common fever. Clinically, in addition to the symptoms of blood deficiency, there are also fever and epistaxis, hot hands and feet, dizziness, dry mouth and throat, night sweats, dry stool, soreness of the waist and knees, little tongue coating, and a thin and rapid pulse. The prescription is Da Cuscuta Zi Yin with modifications.

3. Nourishing Yin and Supporting Yang

It is suitable for those with symptoms of kidney yin deficiency and kidney yang deficiency, or those with neither obvious symptoms of yin deficiency or yang deficiency. The prescription uses Da Cuscuta Seed Drink and adds aphrodisiac ingredients.

(II) Heart and spleen nourishing method

It is suitable for people with symptoms of both heart and spleen deficiency, and is mostly used for people with milder chronic aplastic anemia. It is often used in combination with kidney-tonifying drugs to treat aplastic anemia. Symptoms: Pale or sallow complexion, poor appetite, abdominal distension and tightness, loose stools, fatigue, pale tongue with white coating, and weak pulse. The prescription is Guipi Decoction with added ingredients.

(III) Qi-tonifying and blood-generating method

It is suitable for patients who only have symptoms of deficiency of both Qi and blood, but the symptoms of Yin and Yang and the five internal organs are not yet obvious. Most of them are mild cases of chronic aplastic anemia, and are used as auxiliary treatment for symptomatic treatment. Symptoms: Pale or sallow complexion, dizziness, palpitations, shortness of breath, fatigue, pale red tongue with thin coating, and thin and weak pulse. The commonly used prescription is Bazhen Decoction with modifications.

(IV) Kidney-tonifying and blood-activating method

Blood-activating and stasis-removing drugs have the function of improving the bone marrow hematopoietic microenvironment and immunosuppression, thereby relieving the bone marrow suppression caused by "marrow stasis" and immune abnormalities, thus promoting the growth of hematopoietic cells. This is consistent with the theory of traditional Chinese medicine that "if blood stasis is not removed, new blood will not be produced". In clinical practice, for patients who have not seen any effective results from tonifying treatment and who do not have an obvious bleeding tendency, adding some blood-activating and blood-stasis-removing drugs on the basis of kidney-tonifying treatment can improve the efficacy of the treatment for some patients.

(V) Kidney-tonifying and detoxifying method

Some authors believe that the occurrence of aplastic anemia is related to toxic evil, and that heat-clearing and detoxifying drugs should be used under the premise of tonifying the kidney, because the disease in a small number of patients is related to viral infection, and the invasion of external evil can often aggravate the condition. It is mainly used for patients with acute aplastic anemia accompanied by fever, and also has a certain effect on chronic aplastic anemia.

Therefore, experts suggest that family members of patients with aplastic anemia should pay attention to the patient's diet, and during the acute phase, the patient should strictly rest in bed. Paying attention to psychological care, keeping the oral cavity clean, and maintaining good hygiene for the patient will be of great help in alleviating the condition.