Summary Of Treatment Of Idiopathic Thrombocytopenic Purpura

Objective:To value the curative effect of the comibination treatment project of Chinese and Western Medicine During the acute attack stage period of chronic Idiopathic Thrombocytopenic Purpura(CITP) by a randomized contolled trial.Try to study the optimized remedial project during the acuteattack stage period of ITP.Methods:(1)Reviewing TCM ancient works about ITP and the TCM achievements of the ITP in the latest years.(2)Generalizing the reseach progress of the diagnosis,treatment and prevention ofITP.(3)The patients suffering from CITP during acute period and differentiation for fire heat forcing nutrient blood to overflow randomely divided into two groups.One is the control group and the other is the cure group.The patients in the cure group were treated with combinationtreatment project of Chinese and Western medicine.Therapeutic methods are following:Clearing Heat,resolve toxin,cool blood and relieve blood stasis.Prescriptions used are XiJiao Di Huang Decoction and San Qi.Modification:For patients with Yin deficiency,Er zi Pill was added to Nourishing Yin and Cleating Heat.For patients with Qi deficiency,Shen Qi Si Wu Decoction and Si Jun Zi Decoctionwereadded to Tonifying the Spleen,Replenishing Qi and Control blood.The patients in the control group were treated with Western therapy.All the patients were curedfor 1 month,visited for 6 months.Indexes evaluated were following: effect indexes(the whole effect,integra of main symptoms in TCM,the number of PLT,the times to be in the hospital again).Result:No significant differences among two groups with the whole effect.It seemed that the cure group has the advantage in increasing PLT steady,improving bleeding symptom,decreasing the side effects such as swift,insomnia,night sweat and fatigue, shortening the times to be in the hospital again.Conclusion:The ITP is one of the diseases of Western medicine,but the TCM ancient books and records about ITP were abundant and detailed.Though a great deal of progresses of ITP were achieved by the modern ITP doctors,more research was needed in the integrated Chinese and Western Medicine treatment program on the acute stage period of ITP.There is no statistical significance on the ratios of significant effective and the whole curative effect between the two comprehensive cure groups.It is need to increase sample quality for future study.