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Summary of Professor Xiong Shaoquan’s experience in the treatment of refractory chemo-therapy-induced thrombocytopenia in patients with malignant tumors with “Sanwei Shenghuo Dan” |
LUO Yingzhe LI Ru XIONG Shaoquan HE Lifang HUANG Xingmei WU Guoyu |
The First Department of Oncology, Hospital of Chengdu University of Traditional Chinese Medicine, Sichuan Province, Chengdu 610072, China |
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Abstract Due to repeated chemotherapy in patients, refractory chemo-therapy-induced thrombocytopenia is a side effect of chemotherapy, which manifests as irreversible bone marrow hematopoietic dysfunction. Routine use of platelet-promoting factors such as recombinant human thrombopoietin, interleukin-11 and etc. has been difficult to achieve ideal clinical efficacy. Professor Xiong Shaoquan believes that the internal binding of static blood and poison caused the deficiency of the spleen kidney, and other viscera. Repeated chemotherapy leads to damaging the kidney yin and yin deficiency involving yang which results to the decline of vital gate fire. Therefore, Professor Xiong Shaoquan proposes that the main pathogenesis of this disease is “decline of vital gate fire and the deficiency of both kidney yin and yang” and created the “Sanwei Shenghuo Dan” to treat the disease. “Sanwei Shenghuo Dan” is composed of Aconiti Lateralis Radix Praeparata, Polygonati Rhizoma, Jujubae Fructus. The three herbs are prepared in a ratio of 1∶1∶1. According to the specific situation, “Sanwei Shenghuo Dan” need to be used in addition or subtraction others herbs on the basis of this prescription. On the one hand, replenishing the vital gate fire to strengthen the kidney yang; on the other hand, strengthening zhongzhou to produce the middle qi. When the kidney fire is strong, qi and blood grow, and when the middle qi is sufficient, the qi and blood biochemistry are active and the platelets can be restored to normal. A case study is attached in order to provide new ideas and methods for the clinical prevention and treatment of refractory chemo-therapy-induced thrombocytopenia.
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[1] Weycker D,Hatfield M,Grossman A,et al. Risk and consequences of chemotherapy-induced thrombocytopenia in US clinical practice [J]. BMC Cancer,2019;19(1):151.
[2] 中国临床肿瘤学会抗淋巴瘤联盟,中国临床肿瘤学会抗白血病联盟,中国临床肿瘤学会抗肿瘤药物安全管理专家委员会,等.重组人白介素-11防治血小板减少症临床应用中国专家共识(2021年版)[J].临床肿瘤学杂志,2020,25(12):1129-1137.
[3] 杨宏,孔天东,陈露,等.重组人血小板生成素对化疗所致血小板减少症的预防方案优化研究[J].药物评价研究,2022,45(1):98-103.
[4] 贺栋,万柏林,邹民,等.重组人血小板生成素与白介素- 11联合治疗白血病化疗后血小板减少症临床疗效分析[J].系统医学,2021,6(20):49-52.
[5] 中国抗癌协会临床肿瘤学协作专业委员会.肿瘤化疗所致血小板减少症诊疗中国专家共识(2019版)[J].中华肿瘤杂志,2020,47(2):108.
[6] 韩蕊,林文前,刘裔军,等.化疗患者血小板输注疗效的影响因素研究[J].中国输血杂志,2019,32(11):1131-1133.
[7] Machlus KR,Thon JN,Italiano JE,et al. Interpreting the developmental dance ofthe megakaryocyte:a review ofthe cellular and molecular processes mediating platelet formation [J]. Br J Haematol,2014,165(2):227-236.
[8] 周然,王峰,曹蕾,等.重组人血小板生成素联合白介素- 11衍生物治疗化疗所致血小板减少症的临床观察[J].现代药物与临床,2014,29(1):59-63.
[9] 史艳侠,邢镨元,张俊,等.中国肿瘤化疗相关性血小板减少症专家诊疗共识(2019版)[J].中国肿瘤临床,2019, 46(18):923.
[10] 贾英杰,于建春,杨佩颖,等.扶正解毒祛瘀法防治化疗后骨髓抑制的探讨[J].中医杂志,2014,55(3):198-201.
[11] 李可馨,曹勇.从健脾补肾化瘀法探析化疗后骨髓抑制的治疗[J].中国中医基础医学杂志,2012,18(4):410-411.
[12] Holinstat M. Normal platelet function [J]. Cancer Metastasis Rev,2017,36(2):195-198.
[13] 姜丁荣,张国骏,徐玲.张国骏运用健运中州法治疗癌症经验[J].江西中医药,2014(3):17-19.
[14] 王晓群,杨佩颖,李小江,等.贾英杰教授治疗恶性肿瘤化疗后骨髓抑制经验[J].时珍国医国药,2015,26(5):1224-1225.
[15] 苏红,吴晓勇,傅汝林.傅汝林教授治疗大肠癌患者化疗后骨髓抑制验案举隅[J].贵阳中医学院学报,2016, 38(1):49-51.
[16] 宋爱英,张佩,唐寅,等.宋爱英教授治疗化疗后血小板减少的经验总结[J].生物技术世界,2015(11):92.
[17] 王珏莲,古学奎,陈志雄.“命门火衰”与血瘀证的关系探讨[J].广州中医药大学学报,2014,31(3):473-475.
[18] 客蕊,张旭明,迟庆滨.中医药防治恶性肿瘤化疗后血小板减少症的研究进展[J].江苏中医药,2021,53(9):77-81.
[19] 赵梦,冯阳,施京红,等.附子对再生障碍性贫血治疗作用的研究[C]//.第十二届全国免疫学学术大会摘要汇编, 2017:433.
[20] 齐聪聪,黄晓芹.黄精对造血系统药理作用的研究进展[J].中国民族民间医药,2015,24(24):21-23.
[21] Cui X,Wang S,Cao H,et al. A Review: The Bioactivities and Pharmacological Applications of Polygonatum sibiricum polysaccharides [J]. Molecules,2018,23(5):1170.
[22] 尚昱志,李陈玲,韦露秋,等.基于网络药理学的大枣补血机制初探[J].中国食物与营养,2021,27(5):58-62.
[23] 冯思颖,吴威妮,褚庆民,等.基于网络药理学探讨葶苈大枣泻肺汤治疗慢性心力衰竭的作用机制[J].西部中医药,2021,34(5):26-31.
[24] Chen J,Tsim KWK. A Review of Edible Jujube,the Ziziphus jujuba Fruit:A Heath Food Supplement for Anemia Prevalence [J]. Front Pharmacol,2020,11:593655.
[25] 张红梅,范颖,梁茂新.附子潜在功用的考察与分析[J].北京中医药,2016,35(10):988-991.
[26] 洪洋,王琦,张勇.附子入药方剂的现代研究进展[J].世界中医药,2020,15(23):3574-3579.
[27] 陈熹,李玉洁,杨庆,等.大枣现代研究开发进展与展望[J].世界科学技术-中医药现代化,2015,17(3):687-691. |
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