痛风性关节炎的中医治疗进展

Progress of Treating Gouty Arthritis with Chinese Medicine

痛风是嘌呤代谢紊乱造成尿酸盐结晶沉淀在皮下组织、关节周围、骨骼及尿路而引发的病变。发作时以足拇趾及踝关节红、肿、热、痛多见,呈间歇性反复发作。由于社会发展和人们生活方式的改变,痛风性关节炎患病率有明显上升和年轻化趋势,南方和沿海经济发达地区发病率尤高。痛风性关节炎作为一个常见病多发病,严重影响着患病者的生活质量,目前西医对痛风性关节炎的治疗并不能改变其病理性质,且毒副作用较大、效果不持续,临床多以排尿酸药、糖皮质激素及秋水仙碱等一些口服药物为主。近年来随着中医药对该病的研究,中医药治疗痛风性关节炎有了较大的进展,临床上取得令人乐观的成果。本文着重从中药内治及中医外治两个方面,综述了近年来痛风性关节炎中医药治疗的研究进展。

Gout is caused by disorders of purine metabolism which leads to urate Crystal deposition in subcutaneous tissue around the joints, bones and urinary tract. Attack with foot toe and ankle pain, red, swollen, hot, recurrent attacks of intermittent. Due to the social development and changes in lifestyle, gouty arthritis prevalence rate appears a clear trend of rising and young, and particularly high incidence in developed coastal areas in the South. As a common and frequently encountered disease, gout arthritis seriously influences the quality of life for patients. Western medicine for the treatment of gouty arthritis usually with oral medications, including colchicine, uricosuric drugs or appropriate use of glucocorticoids., which has short effect but huge side effects, and cannot reverse and correct pathological processes of gouty arthritis. In recent years, with studying the effect of traditional Chinese medicine against the disease, progress on TCM treatment of gouty ~hritis has been achieved promising clinical results. This paper, from both internal and external treatment of traditional Chinese medicine, provides an overview of recent research progress on TCM treatment of gouty arthritis.