Differentiation and treatment of chemotherapy-induced thrombocytopenia based on "harmony between water and earth" by ZHENG Qin'an

QIANG Rui; LIU Baoli; PANG Bo

doi:10.16025/j.1674-1307.2026.04.020

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Differentiation and treatment of chemotherapy-induced thrombocytopenia based on "harmony between water and earth" by ZHENG Qin'an

更新时间：2026-06-10

- Differentiation and treatment of chemotherapy-induced thrombocytopenia based on "harmony between water and earth" by ZHENG Qin'an
- Beijing Journal of Traditional Chinese Medicine Vol. 45, Issue 4, Pages: 525-528(2026)
- 作者机构：
  
  1.北京中医医院顺义医院肿瘤科，北京 101300
  2.首都医科大学附属北京中医医院科研处，北京 100010
  3.中国中医科学院西苑医院，北京 100053
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2026.04.020
  CLC：
- Received：08 January 2025，
  
  Published：25 April 2026
- 稿件说明：
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强睿，刘宝利，庞博.基于郑钦安“水土合德”思想辨治化疗相关性血小板减少症［J］.北京中医药，2026，45（4）：525-528.

QIANG Rui,LIU Baoli,PANG Bo.Differentiation and treatment of chemotherapy-induced thrombocytopenia based on "harmony between water and earth" by ZHENG Qin'an[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(04):525-528.
强睿，刘宝利，庞博.基于郑钦安“水土合德”思想辨治化疗相关性血小板减少症［J］.北京中医药，2026，45（4）：525-528. DOI： 10.16025/j.1674-1307.2026.04.020.

QIANG Rui,LIU Baoli,PANG Bo.Differentiation and treatment of chemotherapy-induced thrombocytopenia based on "harmony between water and earth" by ZHENG Qin'an[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(04):525-528. DOI： 10.16025/j.1674-1307.2026.04.020.

摘要

化疗相关性血小板减少症（CIT）是化疗后最常见的血液学毒性表现，显著影响患者的远期生存获益，是肿瘤治疗过程中不容忽视的不良反应。水土合德乃郑钦安思想之大乘，其强调脾土肾水为立命之主，合德是脾肾功能正常的体现。脾肾既济，水土相交，则血液生化不竭；化疗药毒，直中脾肾，水土失德则生血之本匮乏。CIT治疗之要，在于扶正益脾、温肾助阳，以达到水土合德的状态。

Abstract

Chemotherapy-induced thrombocytopenia （CIT） is the most common hematological toxicity after chemotherapy. It significantly affects the long-term survival benefit of patients and is an adverse reaction that should not be ignored during tumor treatment. The concept of "harmony between water and earth" represents the core of academic thought of ZHENG Qin'an. He emphasized that spleen-earth and kidney-water are fundamental to life， and that harmony between them reflects the normal function of the spleen and kidney. When the spleen and kidney function in coordination and water and earth interact harmoniously， the transformation and generation of blood become inexhaustible. However， chemotherapeutic drug toxicity directly damages the spleen and kidney， and disharmony between water and earth results in insufficiency of t

he source of blood production. Therefore， the key to CIT treatment lies in strengthening healthy

and reinforcing the spleen， warming the kidney and supporting

yang qi

， so as to restore harmony between water and earth

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references

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