基于浊毒理论辨治难治性痛风

Discussion on the Treatment of Refractory Gout Based on the Theory of Turbid Toxin

难治性痛风特点为反复发作、多关节受累、对常规药物不敏感、痛风石形成等,严重影响患者生活质量。西医尚无公认有效的治疗方法,中医则具有一定优势。本文提出“浊毒”是难治性痛风的重要病机,脾虚是酿生浊毒的关键;脾虚失运,血浊内生,酝酿成毒,攻冲关节,导致病程缠绵、反复发作;并立足浊毒理论分期辨治,取得良好疗效。

Refractory gout is characterized by recurrent attacks,multiple joint involvement,insensitivity to conventional drugs and tophi formation,which seriously affects the quality of life of patients.There is no recognized effective treatment in Western medicine,while TCM has certain therapeutic advantages.This article proposed that“turbid toxin”is an important pathogenic factor of refractory gout,and spleen deficiency is the key to the production of turbid toxin,which can destroy the joint structure,cause the lingering course of disease and recurrent gout attacks.The treatment can be staged based on the theory of turbid toxin and has shown satisfactory curative effects.