张智龙教授运脾泄浊方治疗高尿酸血症经验探析

Analysis of the experience of Professor ZHANG Zhilong using Yunpi Xiezhuo Recipe in the treatment of hyperuricemia

张智龙教授治疗高尿酸血症审证求因,辨因析位、责之于脾,法不拘常、补泻兼施,认为脾虚浊盛是高尿酸血症的病机基础,湿、瘀、浊、毒是高尿酸血症的病机关键,提出运脾泄浊法是治疗高尿酸血症的基本大法,创立“运脾泄浊方”。全方补泻兼施、润燥同用、升降共调,补中虚、行气滞、畅道路、渗湿邪、泄浊瘀,使中州运而绝湿邪化生之源,下焦畅而通浊毒外泄之路,则浊瘀泄,脾得健运,升高之尿酸得以复常。临床验之疗效满意,为高尿酸血症的治疗提供了新的思路和方法。

Professor ZHANG Zhilong’s syndrome differentiation and treatment of hyperuricemia is based on the analysis of the cause of the syndrome.The diagnosis and treatment of hyperuricemia are blamed on the spleen.The law is unconventional,and both spleen deficiency and turbidity are the core pathogenesis of hyperuricemia,wet,stasis,turbidity,and poison are susceptible factors and the pathological product of hyperuricemia.He proposed that yunpi xiezhuo is the fundamental method for the treatment of hyperuricemia,and raised the Yunpi Xiezhuo Recipe.The prescription contains both supplement and reducing methods,uses both moistening and drying drugs,controls both elevating and descending condition,supplements the middle jiao deficiency,regulates qi stagnation,unblocks the passage,cleans the dampness evil,excretes the turbid stasis,which prevents dampness evil blocking middle zhou transportation and give the turbid poison in upper zhou way out,leading turbid stasis cleaned,the function of spleen recovery,so that the elevated uric acid can be normalized.The clinical effect is satisfactory which provides new ideas and methods for the treatment of hyperuricemia.