崔公让运用祛痹痛风饮治疗痛风性关节炎经验

Cui Gong-rang′s Experience of Treating Gouty Arthritis with Qubi Tongfeng Yin

崔公让教授认为痛风性关节炎的病因可概括为湿热瘀滞、血脉瘀阻、脾肾不足,其发病之根为肾阳虚,因肾阳虚而致脾阳不足,五谷精微不得运化,流入四末,瘀而化热,则见红、肿、热、痛。崔教授认本病辨证关键在于分清标本虚实,把握关节肿胀疼痛与脾肾不足,此为"执两",而两者之间的联系即为"中"。崔教授将本病分为:湿热瘀滞证、血脉瘀阻证、脾肾不足证,以"执两用中"思想为指导,自拟祛痹痛风饮治疗痛风性关节炎取得了较好的疗效。

Professor Cui Gong-rang believes that the etiology of gouty arthritis can be summarized as damp-heat stagnation,blood stasis and insufficient spleen and kidney.The root of gouty arthritis is deficiency of kidney-yang.Deficiency of spleen-yang caused by deficiency of kidney-yang leads to poor transportation and transformation of grain essence,flowing into the four ends of limbs and transforming into heat,and showing red,swollen,hot and painful symptoms.The key to the differentiation of symptoms and signs is to distinguish deficiency from excess,and secondary from primary,so it is very important to grasp the swelling and pain of joints and the insufficiency of spleen and kidney,which is called'*considering two",and the relationship between the two is"middle".Professor Cui has divided the disease into damp-heat stagnation syndrome,blood stasis syndrome,spleen and kidney insufficiency syndrome.Guided by the thought of”considering two and using middle",he often uses Self-made Qubi Tongfeng Yin(QBTFY)and has achieved good therapeutic effect on gouty arthritis.