Professor Tao Shuchun The Treatment Of Idiopathic Thrombocytopenic Purpura Experience

Idiopathic thrornbocytopenic purpura(ITP) is a bleeding disease caused by the over-damage of peripheral PIT. Up to now it is thought that what leads to this disease is the antibody of PIT which generates from the inside body. This antibody damages PIT severely , shortens its life span It also causes the denaturation and imnaturation of magakaryocytes in the bone marrow while the number is normal or more. The mechanism of this disease is thought to relate to the Auto-Inmuno System, so it is also called auto-inmunothrombocytopenic purpura In terms of the therapy of this disease, Western Medicine insists that corticosteroid hormone should be chosen in the first place, then splenectomy and immunodepressives. There also has some other methods such as cyclosporin A, large dose of gamma globulin, large dose of urbason in short time and interferon, etc. But the consequence of these methods is not very satisfying with much more side-effects and bad prostecdtive efficacy .According to clinical experience for many years, professor Tao Shuchun concludes the pathogen of ITP into mainly three aspects: heat, deficiency and stasis. Heat mainly refers to blood heat, including excessive heat, deficient heat. Deficiency refers to Qi deficiency, blood deficiency and Yin deficiency. Qi deficiency include spleen Qi deficiency, Qi deficiency of spleen and kidney. Deficiency of Qi and Yin. Blood stasis is not only the pathological products, but also the pathogenic factor. Blood stasis in meridians cause blood circulate abnormally which lead to severe bleeding. Blood stasis attack from the beginning to the end of the disease. So activating blood and driving stasis is the basic method of therapy in TCM. According to the theory "New blood is not generated because of inner blood stagnation " of Tang rongchuan, based on the treating principle of using purgatives to treat diarrhea, Professor Tao uses curative methods of replenishing Qi and enriching blood, dispelling blood stagnation and giving rise to new blood. The main prescription is modified from DA HUANG ZHE CHONG WAN of Zhang zhongjing. This prescription can both reinforcing deficiency and dispelling evils, eliminating blood stasis with no harm to the body and strengthening the body constitution without worry about the undispelled stasis. The main purpose of this prescription is driving blood stasis, generating new blood and stopping bleeding. At the same time, according to the pathogenesis of different patients , Professor Tao using the principle of syndrome differentiation, got satisfying effects. The thinking of Professor Tao made a new way and method in treating ITP, which need us introducing and recommending widely.