The clinic treatment of idiopathic thrombocytopenic purpura with the theory of spleen controlling blood

• 1、Dongzhimen Hospital, Beijing University of Chinese Medicine

Abstract："Spleen controls blood" is an important part of the spleen as theory; the original meaning is the spleen has the function keeping the blood moving in the meridian courses, not escaping outside the pulse. On the other hand, if the physiological function is disorder, it can lead to "spleen failing to control blood" pathological phenomena appearing. According to the meanings of the word "统（control）", the generalized concept is referring to the spleen having the function of "command" and "wholly govern". The doctors classified blooding slowly, pink blood, menorrhagia, uterine bleeding incessantly as "spleen failing to control blood" pattern. Corresponding, the western medicine includes Gastrointestinal bleeding slowly, Hemorrhoids bleeding slowly, Menstruation, idiopathic thrombocytopenic purpura, chronic aplastic anemia and some other blood disease. Especially, we think chronic period of ITP bleeding has the same pattern with "spleen failing to control blood" pattern. Considering the generalized explanation and the change of the hematology of ITP, strengthening spleen, replenishing qi and controlling blood method can't solve all the problems of such diseases. All above, we think ITP including four physiological changes, pathological process, treatment principles, such as blood nourishing can control, blood moving can control, blood stagnation can control, and blood wrapped can control by reviewing the literature and the treatment of ITP.

Keywords： Spleen controls blood Spleen fails to control blood Idiopathic Thrombocytopenic Purpura