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采用方证对应的原则 ,将缺铁性贫血病人 (4 9例 )辨证分为肝血虚证、心血虚证、气血两虚证 ,用加味补肝汤进行治疗 ,并观察治疗前后血红蛋白 (Hb)、血清铁蛋白 (SF)、白细胞介素 2 (IL - 2 )、红细胞耗氧率 4项指标与异常眼底治疗前后变化情况 ,及临床疗效、证候疗效 ,以验证我所制订的肝血虚证辨证标准的准确性 ,以及肝血虚证辅助实验诊断指标的可行性。结果表明 ,肝血虚证经加味补肝汤治疗后 Hb、SF、IL - 2及红细胞耗氧率 4项指标均有明显改善 ,且临床疗效与证候疗效分别达 90 %。从而提示 ,我所制订的肝血虚证辨证标准实用可行 ,加味补肝汤是治疗肝血虚证的有效方剂 ,Hb、SF、红细胞耗氧率等指标可考虑作为肝血虚证的辅助实验诊断指标
According to the principle of reciprocal cardiology, patients with iron deficiency anemia (49 cases) were divided into liver and blood deficiency syndromes, blood deficiency syndromes, and qi and blood deficiency syndromes. Treated with Jiawei Bugan Decoction, and observed before and after treatment hemoglobin ( Hb), Serum Ferritin (SF), Interleukin 2 (IL-2), Erythrocyte Oxygen Consumption Rate and Changes Before and After Abnormal Fundus Treatment, Clinical Efficacy, Syndromic Efficacy, Verification of My Liver Formulation The accuracy of blood deficiency syndrome differentiation criteria, and the feasibility of assisted laboratory diagnostic indicators for liver and blood deficiency syndrome. The results showed that the four indicators of Hb, SF, IL-2 and oxygen consumption of red blood cells after hepatic blood deficiency were treated with Jiawei Bugan Decoction were significantly improved, and the clinical efficacy and syndrome efficacy were respectively 90%. This suggests that the criteria for syndrome differentiation of liver and blood deficiency that I have developed is practical and feasible. Jiawei Bugan Decoction is an effective prescription for the treatment of liver and blood deficiency syndrome. Hb, SF, red blood cell oxygen consumption rate and other indicators may be considered as auxiliary experiments for liver and blood deficiency syndrome. Diagnostic index