方朝晖治疗痛风湿热蕴结证临床经验

Professor Fang Zhaohui’s Clinical Experience in Treating Gout Damp-heat Accumulation Syndrome

痛风是一种由于嘌呤代谢异常,尿酸产生过多或排泄不良而致血中尿酸升高,尿酸盐结晶沉积在关节滑膜、滑囊、软骨及其他组织中引起的反复发作性炎性疾病。痛风在中医属于“痹症”范畴,病位在四肢关节,与肝、脾、肾密切相关。作者探讨总结了方朝晖教授治疗痛风的临床经验和独特见解,其认为湿、热、痰、浊内生是痛风发病的重要条件,临床上以湿热蕴结证最为常见,方选四妙散,并根据兼证的不同,灵活配伍,标本兼顾,临床治疗常获良效,附典型病案一则以验证。

gout is a kind of recurrent inflammatory disease caused by abnormal purine metabolism,excessive production of uric acid or poor excretion,resulting in elevated uric acid in the blood and deposition of urate crystals in synovium,synovial capsule,cartilage and other tissues.Gout belongs to arthralgia syndrome in Chinese medicine,which is located in extremities and joints and closely related to liver,spleen and kidney.This paper summarizes the professor fang from zhaohui’s clinical experience in the treatment of gout and unique insights,they consider endogenous dampness,heat,phlegm,is one of the important conditions,gout disease clinically to damp and hot accumulate knot is the most common,the selected four wonderful spread,according to the different,and the flexible compatibility,specimens,give attention to two or morethings clinical treatment often obtain good effect,with typical medical record to verify.