中西医结合、内外兼治痛风性关节炎80例临床观察

The Report of 80 Cases of Gouty Arthritis Treated with Chinese and Western medicine combined with Internal and External Therapies

目的:探讨控制痛风性关节炎的症状,提高疗效的治疗方法。方法:通过对痛风性关节炎的辨证分型,采用以中医为主,中西医结合,内服外敷,同时注重饮食调护的综合防治手段。通过对痛风的病因病机分析,病因上提出了"湿、热、寒、痰、瘀、虚"六端;病机上提出"湿邪郁聚为毒";病证上认为"虚少实多,正虚邪实";治疗上采用内外合治,总以渗、泄、疏、和为要。结果:治疗后有效率达98.75%,中药外敷疼痛的缓解和控制一般在1h左右。结论:认为活血通络之外敷药能有效缓解和控制疼痛;渗利泄浊应贯穿于整个治疗过程。并认为此法为降低血尿酸的有效途径和方法。

Objective：To control the symptoms of gouty arthritis as soon as possible and improve the curative effect. Methods：Based on syndrome classification for gouty arthritis,the treatment of Chinese and western medicine plus internal and external therapy were applied. Meanwhile,a balanced diet was required. Results：The effective rate was 98.75%,and it generally took about one hour for relief and control of pain after external application. Conclusion：There are six etiological factors for gouty arthritis,namely dampness,heat,cold,phlegm,stagnation and weakness. The pathogenesis is focused on accumulated dampness-toxicity,and in syndrome theory,it＇s mostly considered as little deficiency and much sufficiency,and asthenia of healthy qi and sthenia of pathogenic factors. Therefore,the internal and external therapy should be adopted,which centers on eliminating dampness,clearing heat,dispelling wind and harmonizing Shaoyang disorders. The external application of promoting blood circulation to remove meridian obstruction can effectively relieve pain,and the therapy of eliminating dampness through diuresis should cover the whole treatment,which is considered to be effective in lowering uric acid level.