从脾治痛风探析

Analysis of Treating Gout fromS Sppleleeenn

痛风是临床常见病与多发病,易反复发作,临床治疗难以达到预期效果。本文提出痛风的发病与脾关系密切,脾胃虚弱是痛风发病的基础,湿浊形成为痛风发作的根本。研究发现,益气健脾类中药可促进尿酸排泄、提高机体免疫、维持肠道菌群稳态,能有效防止痛风发作。故治疗当以治脾为核心,结合病机特点分期论治。急性期以燥湿清热为主,标本兼治;慢性期调畅气机,统筹兼顾;无症状期健脾益气,实脾御邪。

Gout is a common clinical disease and frequently-occurring disease,which is easy to relapse and its treatment is difficult.With the improvement of living standards and the change of dietary structure,the incidence of gout is increasing year by year,and there is a younger trend for occurrence.This paper puts forward that the onset of gout is closely related to the spleen.The weakness of spleen and stomach is the basis of gout,and the formation of damp turbidity is the root of gout attack.Modern medicine believes that the incidence of gout is closely related to elevated uric acid,immunity,and intestinal flora imbalance.The study found that Yiqi Jianpi Chinese medicine could promote uric acid excretion,improve immunity,maintain intestinal flora homeostasis,and effectively prevent gout attacks.Treatment should be based on the spleen as the core,combined with the characteristics of pathogenesis staging treatment.In the acute phase,the main treatment is drying dampness and clearing heat.In the chronic phase,the treatment should be smoothing qi movement with overall consideration.In the asymptomatic phase,the treatment should be invigorating spleen qi and benefiting qi,excessing spleen and eliminating pathogen.