再生不良性貧血——中醫治驗例報告

Hypoplastic Anemia-A Chinese Medical Case Report

再生不良性貧血，中國醫學以陽生陰長，血隨氣行之理治之。一病例報告：王小弟，六歲，1989年二月發病，有出血傾向、脈細弱、舌紅少苔、唇乾目澀、大便乾，為氣陰兩虛，不能生血。以聖愈湯（即：當歸、川芎、地黃、白芍、黃耆、人參）加味治之。約六個月的治療過程中，前五次診療，因血中有潛在之熱，大便軟、噴嚏等症狀，藥味略有增減，俟病情穩定、進步；六診以後，即以八珍湯加黃耆、阿膠、藕節、仙鶴草等藥，服四日停三日，至驗血正常為止。

Hypoplastic anemia in Chinese medicine is viewed in terms of blood moving with qi, i.e., as a manifestation of the principle that when yang arises yin grows. This paper describes a Chinese medical approach to its treatment, as exemplified by the case of a six-year old boy by the name of Wang, who first showed signs of the disease in February 1989. Symptoms included tendency to hemorrhage, fine weak pulse, red tongue with little fur, dry lips and eyes, and dry stool, indicating qi-yin vacuity and failure to engender blood. Sagely Cure Decoction (sheng yu tang), which consists of tangkuei, ligusticum, white peony, astragalus, and ginseng, was chosen as the basis for treatment. This formula was varied during the first five consultations to address latent heat in the blood, soft stool, and sneezing. Then, after the condition 'had stabilized and improved, this treatment was replaced with Eight-Gem Decoction (ba zhen tang) plus astragalus, ass hide glue, lotus root node, and agrimony, taken in four-day periods separated by three-day intervals, until the blood tests proved normal.