摘要
随着人们生活水平提高,工作压力增加,饮食习惯改变,我国痛风患病率有所增加,且增加程度和年龄呈正相关。痛风是因为嘌呤代谢紊乱或尿酸排泄失常,所引发的以血尿酸升高,伴有结缔组织内尿酸钠结晶沉积为特征的一种疾病。发病后可形成各部位痛风石,从而引起关节畸形及活动障碍,严重者可形成痛风性肾病。“痛风”一词首见于元代朱丹溪《格致余论》,属中医学“痹证”“白虎历节”等范畴。该病以先天禀赋不足、后天失于调摄,脏腑功能失调为病理基础。其中急性期的痛风性关节炎多见于青壮年,由于素体阳盛,嗜食膏粱厚味,复感外邪化热,邪留经络关节,导致血行不畅成瘀,风湿热兼瘀血阻滞筋脉关节,进而出现关节的红、肿、热、痛。从该病的发病机制、辨证论治、选方用药及治疗心得方面进行了相应的论述。在明确其发病机制的基础上,采用口服痛风四妙散加减,联合中药外敷法,再通过辨证选穴针刺,刺络放血疗法等治疗该病,并根据兼证的不同配伍,标本兼顾,能很好地缓解症状。嘱患者配合在去除诱发因素的基础上,保持心情舒畅,可使治疗效果明显提高。因此,运用该法治疗急性期痛风性关节炎有起效快、镇痛效果好、疗效显著等优点。
With the improvement of people’s living standards, increased work pressure, and changes in eating habits, theprevalence of gout in my country has increased in recent years, and the degree of increase is positively correlated with age.Gout is a disease characterized by increased blood uric acid and deposition of sodium urate crystals in connective tissue due todisorder of purine metabolism or abnormal excretion of uric acid. After the onset, tophi can be formed in various parts, whichcan cause joint deformities and movement disorders. In severe cases, gouty nephropathy can be formed. The term " gout" wasfirst seen in Zhu Danxi’s " Gezhi Yulun" in the Yuan Dynasty, and it belongs to the categories of " Bizheng" and " White TigerCalendar Festival" in Chinese medicine. The pathological basis of the disease is inadequate congenital endowment, acquiredimpaired regulation, and dysfunction of viscera. Among them, gouty arthritis in the acute stage is more common in young andmiddle-aged people. Due to the yang of the body, the thick taste of the ointment, the recurrence of external evils and heat,the evils stay in the meridians and joints, resulting in poor blood flow andstasis. Rheumatism and blood stasis block the mus-cles and veins and joints, and then redness, swelling, heat and pain of the joints appear. This article discusses the pathogene-sis of the disease, syndrome differentiation and treatment, prescription selection and treatment experience. On the basis of clar-ifying its pathogenesis, the treatment of the disease was carried out by taking the addition and subtraction of Gout Simiao San,combined with external application of Chinese medicine, dialectical acupuncture, bloodletting therapy, etc., and according tothe different compatibility of the syndromes, the specimens were taken into consideration., Can relieve the patient’s symptomswell. Advise the patient to maintain a comfortable mood on the basis of removing the predisposing factors, which can signifi-cantly improve the therapeutic effect. Therefore, using this method to treat acute gouty arthritis has the advantages of quick on-set, good analgesic effect, and remarkable curative effect.
作者
马舒楠
汲泓
MA Shunan;JI Hong(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,Cina)
出处
《实用中医内科杂志》
2021年第6期77-80,共4页
Journal of Practical Traditional Chinese Internal Medicine
基金
辽宁省自然科学基金(201602480)。
关键词
痛风性关节炎
痹证
加味四妙散
中药汤剂
外治法
中医治疗
刺络放血
中药外敷
水调散
gouty arthritis
arthritis
modified Simiao Powder(加味四妙散)
Chinese medicine decoction
external therapy
Chinese medicine treatment
bloodletting by bloodletting
external application of Chinese medicine
Shuitiao San(水调散)
