I visited a 70 -year -old male patient. When he came here at the time, he was diagnosed with lung puncture in June to be diagnosed with "left lobe malignant tumors, adenocarcinoma, C-T4NXM1A IVA stage (two lungs), EGFR wild type". From June to July, Pemeusse and Card Platinum scheme chemotherapy was performed. After the first chemotherapy, the first level 1 platelet reduced (80*10^9/L). The second chemotherapy was chemotherapy. Later, level 4 reduced platelet decrease (22*10^9/L). At this time, the situation was quite dangerous, so the hospital temporarily stopped chemotherapy. After two weeks of "rescue treatment" after TPO (reorganization of human platelets), platelet rose to 60*10^9/L, and then fell again. Our hospital for consultation.
Blood conventional and other test results diagnosis is chemotherapy -related platelet reduction, blood white cell count 3.6 × 10^9 /L, hemoglobin level 110 g /L, platelet count 32^9 /L; At first diagnosis, patients have the phenomenon of deficiency and realism such as fatigue, soft waist and knees, hot night sweats, and skin purpura. The diagnosis is virtual labor , blood syndrome (purpura), which belongs to the deficiency of the original standard, the liver, spleen and kidney deficiency deficiency deficiency , Hydrotoxic injury.
In "Jingyue Quanshu", there is "bloody yin, not suitable for moving, but moving is disease. Forced blood to do it, and those who are damaged are mostly due to qi, and qi wounds can not survive. " The hot poisonous prosperity should mainly strengthen the spleen and liver, supplement the liver, supplemented by diarrhea, cooling blood and detoxifying. The prescriptions that are opened are also some strengthening the spleen and qi, nourishing the blood; soft liver and kidney, filling lean marrow, turning the yin and blood; nourishing the kidney and helping the yang; cooling blood to stop bleeding and dispersing stasis; Drugs. Aiming at the characteristics of platelet reduction, liver, spleen and kidney deficiency, and thermal vessels of thermal and injured as the target, starting with the spleen and nourishing liver and kidney, combined with diarrhea detoxification and dispersing blood stasis, the aim is to correct the solid and clear the heat poison , To support the deficiency without stagnation, the diarrhea is detoxifying and not hurt. When
HTML came to the second consultation in mid -August, the patient said that the purpura was improved after taking the medicine. Usually, the spirit was improved, and the phenomenon of soft waist and knee was also relieved. white blood cell count 4.5 × 10^9 /L, hemoglobin level is 115 g /L, and platelet counts 56 × 10^9 /L. After the diagnosis, the patient's thermal poisonous injury and trauma are disappearing, and the symptoms of bleeding are reduced. At this time, the recipe should strengthen the soft liver and the kidneys, which can help to benefit qi and blood, but also nourish the cool blood.patients conducted three clinics at the end of August. After the medicine, the purpura did not attack again, the situation of fatigue and weak waist and knees improved, and the phenomenon of heat and night sweats had not occurred. Sleeping at night also improved a lot. White blood cell counting is 5.6 × 10^9 /L, hemoglobin level is 124 g /L, platelet counts 118 × 10^9 /L, and the number of platelets is returned to normal. As a result of the diagnosis, the patient's blood was slow, merged and bleeding calmed down. Restore and create conditions for the entire process of chemotherapy.
chemotherapy -related platelet reduction mechanism can be summarized as hepatic and spleen and kidney deficiency. Liver, spleen and kidney deficiency is the fundamental foundation of chemotherapy -related platelet -related platelet reduction, fever, injury, injury, blood stasis, and internal stasis. Products are also pathogenic factors such as chemotherapy -related platelet reduction.
Due to the different tumor type and chemotherapy scheme, patients with different diseases, different diseases, and individual constitution are different. The specific conditions are treated specific at the time of diagnosis. Do not judge patients by themselves. This article only intended to introduce Chinese medicine to treat thrombocytopenia very well.
