从“六腑以通为用”探讨痛风的治疗

Discussing the Treatment of Gout Based On “Six Fu-organs Keeping Dredging”

痛风是临床常见病、多发病,病程长,并发症多,易反复,缠绵难愈,严重影响患者的日常工作和生命质量。现代医学针对其病因和发病机制的防治尚不完善。中医学认为人体是一个有机的整体,在临床实践时应遵循其病因病机和病变规律,认清标本缓急,辨证施治。"六腑以通为用"理论意义深远,临床中本着六腑"以通为用"的原则对痛风患者予以通腑攻下之大法,在疾病不同阶段分别采用清下、豁下、缓下之法,又根据不同阶段的证候特点分别予以清热利湿解毒、化痰祛瘀通络、益气升清泄浊之则,合理配伍用药,随症加减,常可取得较好疗效。

Gout disease is a common disease in clinical, characterized by long course, easily repeated, more complications and lingering, seriously affect the patient＇s daily work and quality of life. The treatment of modern medicine for its etiology and pathogenesis is not perfect. Traditional Chinese medicine believes that human body is an organic whole, according to etiology and pathogenesis and pathological changes, distinguishing principal and secondary of disease, syndrome differentiation treatment in clinical practice. ＂＇ Six Fu-organs Keeping Dredging＂ theory has a long history, according to ＂Six Fu-organs Keeping Dredging＂ theory takes strong purgation. In different stages of disease takes Qingxia, Huoxia and Huanxia. Clearing heat-toxin and elimi- nating dampness, dissipating phlegm and removing blood stasis, replenishing Qi and rising of the clear and sinking of turbidity toxin, rational compatibility, with the addition and subtraction of disease, generally achieve satisfactory therapeutic effect.