痛风性肾病中医药治疗研究进展

Advances in research in traditional Chinese medicine treatment of gouty nephropathy

痛风性肾病是由血尿酸水平升高引起的肾损害,其发生发展由正气亏虚、外感、饮食居处等多因素导致,病机以正气不足,或脾肾亏虚,或肝脾肾虚损为本,痰湿浊瘀是其主要病理因素,治疗上以扶正祛邪为主要治则具有多样性。本文从痛风性肾病中医病因病机与中医药治疗,包括分型辨证论治、分期辨证论治、经典方剂化裁研究、单味中药及药理研究、针灸治疗、中药灌肠及足浴疗法等方面,系统总结了中医药治疗痛风性肾病的研究进展。

Gouty nephropathy is a kidney damage caused by elevated blood uric acid level. Its occurrence and development are caused by multiple factors such as qi deficiency, exogenous feelings, and eating, etc. the pathogenesis is insufficient healthy qi, or spleen and kidney deficiency, or liver and spleen and kidney deficiency. Based on this, phlegm and dampness are the main pathological factors, and the treatment is based on the principle of strengthening the healthy qi and eliminating evil. This article summarizes the system of the pathogenesis of gouty nephropathy and the treatment of traditional Chinese medicine, including syndrome differentiation and treatment, staging syndrome differentiation, classic prescription research, single Chinese medicine and pharmacological research, acupuncture treatment, Chinese medicine enema and foot bath therapy. Research progress in the treatment of gouty nephropathy by medicine is summarized.