从中医阴火角度论治高尿酸血症

Treatment of Hyperuricemia from the Angle of Yin Fire in Chinese Medicine

中医学认为高尿酸血症的病因病机为饮食失宜、情志失调等各种因素所导致脾失健运,久之及肾,脾肾俱虚,造成湿、热、痰、瘀、毒邪痹阻而成。高尿酸血症疾病过程中多兼加湿浊和瘀血,湿浊和瘀血既是疾病的病理产物,又是致病因素,二者在疾病过程中相互影响,渐成浊瘀交阻之标象。在治疗高尿酸血症时既要注重治病必求于本,又要标本兼治。笔者认为高尿酸血症的病机关键为脾肾亏虚,阴火内生,浊瘀交阻,以补脾益肾、清阴火、降浊化瘀为治疗大法。脾肾亏虚是高尿酸血症的根本病机。

Chinese medicine believes that the etiology and pathogenesis of hyperuricemia is caused by various factors such as inappropriate diet,emotional disorder and other factors,which is caused by long-time deficiency of spleen and kidney causing damp,heat,phlegm,stasis and toxin. In the process of hyperuricemia,dampness and turbidity,and blood stasis are often combined. They are not only the pathological products of the disease,but also the pathogenic factors. The two of them affect each other during the disease process,gradually become intermingled stagnation. Therefore,the treatment should focus not only the root,but also primary disease and secondary disease together. The author thinks that the key to the pathogenesis of hyperuricemia is deficiency of spleen and kidney,endogenous yin fire,turbidity and blood stasis. The treatment principle is to nourish the spleen and kidney,clear away yin fire,remove turbidity and transform blood stasis. The deficiency of the spleen and kidney is the fundamental pathogenesis of hyperuricemia.