Idiopathic Thrombocytopenic Purpura in Children Treated with Replenishing Qi and Tonifying Kidney and the Changes in Thrombocyte Aggregate Function

Print Letter

Shi Yu-min, Wu Qing-shong, et alChin J Integr Med 11 (1), 1991.

Institute of TCM-WM, Children's Hospital, Shanghai Medical Center, Shanghai

ABSTRACT

Forty-one children with idiopathic thrombocytopenic purpura (ITP) were reported in this paper. Of all, 36 with petechia and ecchymosis, 28 with nasal hemorrhage, 5 with hematochezia and subcutaneous hematoma. According to the TCM differentiation, 24 and 17 of all belonged to the type of impairment of Yin due to blood heat and both deficiencies of Qi and tonifying Kidney and its basic prescriptions were: dried Racix Rehmanniae, Radix Angelicae Sinensis, Radix Paeoniae Rubra, Radix Rubiae, Fructus Psoralese, stir-frying Radix Astragall, Semen Cuscutae, Caulis Spatholob; Chinese Jujubae, Radix et Rhizoma Rhei. The average duration was 5.02 months. Results: 24 cases cured, 6 recovered, 10 improved, 1 failed, with total effective rated of 97.6%. 22 of the cured were followed-up without reoccurrence in average 10.4 months after withdrawal. In 32 cases the aggregation of adrenaline induction was tested. The results before and after treatment showed that the replenishing Qi and tonifying Kidney may have a better effect on both acute and chronic children with ITP without recurrence after withdrawal.