张艳珍分期论治痛风性关节炎的经验总结

ZHANG Yanzhen′s experience in treating gouty arthritis by stages

痛风性关节炎(GA)是一种常见的风湿免疫类疾病,西医治疗具有一定的局限性,而中医药在改善GA临床症状,延缓病情进展方面有独特优势。北京中医医院顺义医院风湿病科张艳珍副主任医师在学习先贤理论,查阅文献的基础上,结合临床实践及西医痛风分期,将GA的病变过程分为急性期、间歇期及慢性期。急性期以邪实为主,湿热证多见,治疗上以清热利湿为法;间歇期虚实夹杂,需补虚泻实兼顾;慢性期以正虚为主,治以温阳健脾,补益肝肾。张艳珍医师根据各期证型特点,辨证治疗,同时注重抗炎中药及外治法的应用,疗效卓著。

Gouty arthritis(GA)is a common rheumatoid immune disease.Western medicine has its limitations in treating gout.Traditional Chinese medicine has unique advantages in improving the clinical symptoms of GA and delaying the progression of the disease.Based on the study of the theories of ancient scholars and literature review,combining clinical practice and western gout staging,ZHANG Yanzhen,rheumatology department deputy chief physician who works in Shunyi Hospital,Beijing Traditional Chinese Medicine Hospital divides the pathological process of GA into acute stage,intermittent stage and chronic stage.In the acute stage,the syndrome of dampness and heat is more common.The treatment is to clear heat and remove dampness.The intermittent period is mixed with the deficiency and the pathogens,and it is necessary to fill the deficiency and reduce the pathogens.The chronic phase is characterized by the incidence of deficiency.It is treated by warming Yang and strengthening spleen as well as tonifying liver and kidney.ZHANG Yanzhen physician takes different treatments according to the characteristics of each syndrome type as well as attaching importance to the application of anti-inflammatory Chinese medicine and external treatments.The curative effect is remarkable.