中医内治法治疗痛风规范化若干思考

Considerations about standardization of treating gout with TCM internal treatment

中医药治疗痛风,在疼痛的缓解和降尿酸方面疗效突出,且不良反应相对较小。但是在辨证客观化、证候规范化、临床疗效重复性、药物作用机制等方面与循证医学要求尚有一定差距,在一定程度上限制了中医的发展。笔者以中医药治疗痛风的辨证论治、疗效评估现状和可能存在的问题为基础,对中医内治法治疗痛风规范化做若干展望。

TCM internal treatment used in the treatment of gout has prominent curative effect in relieving pain,decreasing uric acid（UA）,and with fewer side effects.However,there is a certain distance to the requirements of objective syndrome differentiation,symptom standardization,repeatability of clinical efficacy,mechanism of drug action and so on,which limits the development of TCM to some extent.The prospects have been listed in this paper based on the syndrome differentiation and treatment,current situation of therapeutic effect evaluation and possible problems of treating gout with TCM internal treatment.