从脾阳虚论治痛风性关节炎

Treating Gouty Arthritis from Deficiency of Spleen Yang

目前,痛风多从实证、热证论治,以湿热蕴结、瘀热阻滞、痰浊阻滞等证型研究为主。观察发现,在日常生活中,人们生活习惯发生变化,进食生冷食物较前频繁,可日渐损伤脾阳,不仅可诱发痛风的发作,也可致使痛风迁延不愈,在痛风缓解期出现脾阳虚的表现,影响疾病的预后。了解脾阳虚在痛风中的作用机制对于临床治疗十分必要。

At present,gout is mostly treated based on empirical evidence and heat syndrome,and mainly focuses on the research of syndrome types such as accumulation of damp-heat,stagnation of heat with blood stasis,and phlegm-turbid block.Observation found that in daily life,people’s living habits change,eating raw and cold food more frequently than before,can gradually damage the spleen yang,which not only induces the onset of gout,but also causes the gout to persist,and the spleen-yang deficiency appears during the remission period of gout.The performance of the disease affects the prognosis of the disease.Understanding the mechanism of spleen-yang deficiency in gout is necessary for clinical treatment.