Thrombocytopenia

Brief introduction: Primary hemorrhagic thrombocythemia is a myeloproliferative disease characterized by unexplained abnormal hyperplasia with persistent platelet increase. Cause: Unexplained abnormal hyperplasia. Chinese medicine believes that: the basic pathogenesis of this disease is blood stasis, blood stasis can be caused by cold coagulation, qi stagnation, qi deficiency, heat evil, yin deficiency, liver stagnation and other factors. Tang Rongchuan's "The Theory of Blood Syndrome" listed Xiaoxiao as one of the four methods of blood test, and explored the relationship between blood stasis and bleeding. Emphasize that "everyone is bloody, and he is eager to take advantage of it." He believes that "spit, sputum, and blood are all inseparable, and the blood of the blood is incompatible with the blood of the body." Can not be added to good blood, but counter-resistance of new blood, so the blood test is always based on sputum. Examination: Clinical manifestations: symptoms and signs caused by bleeding, thrombosis, splenomegaly. Platelet count: >1000 ×109/L. Platelets aggregated in blood samples, which can have large platelets. Marrow hyperplasia is active and above, megakaryocytes are enlarged, large, and cytoplasm is abundant. Secondary thrombocytosis and other myeloproliferative diseases should be excluded. Laboratory examination: Bone marrow: proliferative active and above, megakaryocytes increased. Platelet aggregation test. Neutrophil alkaline phosphatase staining (NAP) Diagnosis: Platelet count more than 400,000 / mm3 is thrombocytosis.