TCM treatment of aplastic anemia

Aplastic anemia can be regulated through some methods of traditional Chinese medicine, because the rational use of some traditional Chinese medicine methods can play a role in health conditioning: Zhibai Dihuang Pills combined with Xijiao Dihuang Decoction is also a traditional Chinese medicine treatment method.

1. Chronic myelopathy (chronic aplastic anemia) due to yin deficiency and excessive fire, forcing blood to flow:

Heat toxins enter the body, consume essence and damage yin, and force blood to flow abnormally.

Characteristics of the syndrome: dizziness and fatigue, pale complexion, flushed cheekbones, hot sensation in the five parts of the body, frequent dreams at night, soreness of waist and knees, hot flashes and night sweats, thirst and desire to drink, petechiae and ecchymosis on the skin, bright blood, tender purple-red tongue with thin or little coating, and thready and rapid pulse.

Treatment: Nourish yin and reduce fire, cool blood and stop bleeding

Prescription: Zhibai Dihuang Pills combined with Xijiao Dihuang Decoction with modifications.

Prescription: 30g water buffalo horn slices, 20g raw earth, 15g moutan bark, 15g white peony root, 10g rhizoma anemarrhenae, 9g phellodendron, 15g cooked rehmannia root, 15g cornus fruit, 20g yam, 18g oriental rhizome, 15g turtle shell, 30g Imperata root, 30g agrimony, 30g fresh lotus root node

If bleeding is obvious: add 30g of Callicarpa ovata, 15g of Bletilla striata, 15g of Cirsium armeniaca, 10g of Sanguisorba officinalis, 10g of Platycladus orientalis, and 10g of Semen Cynanchum according to the different bleeding sites.

Chinese patent medicine: Linghuang Liangxue Granules (containing antelope horn powder, peony bark, red peony root, magnolia, etc.) 12g, taken twice a day (morning and evening) (prepared by our hospital)

2. Chronic myelopathy (chronic aplastic anemia) kidney yin deficiency type

It is common in patients with chronic aplastic anemia or acute aplastic anemia who develop into Yin deficiency type after treatment.

Characteristics of the syndrome: hot flashes and night sweats, hot palms and soles, pale face and red cheeks, insomnia and frequent dreams, sore waist and weak legs, palpitations and easy fright, bright blood color, tender and red tongue with thin coating with little or no moisture, and thready and rapid pulse.

Treatment method: Nourish yin and benefit the kidney, replenish qi and generate marrow.

Prescription: Zuogui Pills with modifications.

Prescription: 15g cooked rehmannia root, 15g raw rehmannia root, 15g cornus fruit, 15g Chinese yam, 18g processed Polygonatum, 15g Polygonatum, 15g Ligustrum lucidum, 15g Eclipta prostrata, 15g Cuscuta australis, 15g Psoralea corylifolia, 15g Poria, 15g Angelica sinensis, 15g Millettia reticulata, 30g Agrimoniae, 15g Rubia cordifolia, 15g roasted turtle shell, 15g charred hawthorn, 24g raw astragalus, 18g Lycium barbarum, 15g donkey hide gelatin (melted)

Chinese patent medicine: Xianqi Shengxue Granules (containing Pseudostellaria baicalensis, Ligustrum lucidum, Lycium barbarum, donkey-hide gelatin, etc.) 15 grams, taken once a day (at noon) (prepared by our hospital).

This disease is caused by the deficiency of liver and kidney yin, and the decline of vital energy and blood. Deficiency of liver and kidney yin will cause low back pain, dizziness, and night sweats. Deficiency of qi will cause insufficient air for breathing, shortness of breath when moving, poor appetite, spontaneous sweating, and fatigue. Low blood levels will cause palpitations, pale lips and face, and a thin pulse. This is because of liver and kidney deficiency, which leads to blood deficiency. The treatment is mainly based on tonifying the kidney, so a large amount of raw rehmannia, Polygonum multiflorum, Cornus officinalis, yam, wolfberry, and donkey-hide gelatin are used to produce blood and nourish the liver, and astragalus, white atractylodes, jujube, and licorice are used to benefit the spleen, using the essence of grain water to assist qi. Blood is produced by Qi, and Qi is nourished by blood, so it is effective.