魏子孝分期辨治痛风性关节炎经验浅析

Discussion on Experience of Professor WEI Zi-xiao in Differential Treatment of Gouty Arthritis

痛风性关节炎是临床常见的代谢异常引起的关节病变,中医药治疗具有疗效好、不良反应少等优势。魏子孝教授主张分期辨治。急性发作期属"湿热痹",以清利湿热为法;间歇期以脾肾亏虚为主,以健脾补肾为法;慢性期基本病机为肝肾亏虚、痰瘀互结,治疗重在活血、化痰或补益肝肾。另外还主张参考现代中药药理研究成果,辨病用药,同时注意饮食生活调护。

Gouty arthritis is a clinical common joint disease caused by metabolic disorder.TCM therapy hasunique advantages,such as good efficacy and few adverse reactions.Professor WEI Zi-xiao advocates differentialtreatment for this disease.In his opinion,acute gouty arthritis is equivalent to TCM damp-heat arthralgia,and therapyof eliminating dampness and heat should be used.During the intermission,therapy of reinforcing spleen andnourishing kidney is appropriate because of deficiency of them.Deficiency of liver and kidney and phlegm and bloodstasis are basic pathogenesis in chronic phase of the disease,therefore,activating blood,reducing phlegm andnourishing liver and kidney should be adopted.In addition,Professor WEI pays attention to pharmacological researchachievement of TCM,disease differentiation and life and diet regulating in treatment of the disease.