Discussion on Diagnosis and Treatment of Primary Immune Thrombocytopenia Based on Xuanfu Theory
ZENG Qing
DING Xiaoqing
GUO Ming
CHEN Haiyan
LIU Junxia
LI Ling
LIAO Jing
LIAO Junyao
Abstract：This article explores the pathogenesis and treatment strategies of primary immune thrombocytopenia(ITP)in traditional Chinese medicine based on Xuanfu theory.ITP is characterized by deficiency and damage of the liver,spleen and kidney as its root causes,with heat and blood stasis as its symptoms.The core pathogenesis is the abnormal opening and closing of Xuanfu,which leads to the disorder of qi and blood circulation.In the early stage,due to deficiency of constitution or invasion by external pathogenic pathogens,Xuanfu is deprived of nourishment and its opening and closing are out of balance.In the middle stage,stagnation of qi and blood leads to the formation of phlegm and blood stasis.In the final stage,Xuanfu leakage causes bleeding.The treatment follows the principle of combining tonification and dredging.It involves tonifying and opening Xuanfu to strengthen the spleen,nourish the kidney,and nourish Xuanfu,which is combined with qi-promoting and blood-activating medicinals to prevent congestion.Eliminating pathogenic factors and opening Xuanfu involves using wind medicinals to expel pathogenic factors and unblock meridians,insect-induced medicinals are used to remove blood stasis,and blood-cooling medicinals are used to clear heat and stop bleeding.
Keywords：primary immune thrombocytopeniapatho-genesisXuanfupurpuraneuro-endocrine-immune system
Publication Date：2025-11-05
Online Publishing Date：2026-05-22(First online date of this platform, not the publication date of the document)
Pages：6( 1210-1215 )