从辨毒探讨痛风发病特点及解毒攻毒治疗

Discussion of the Pathogenic Characteristics of Gout and the Treatment of Detoxification and Attacking Toxins from the Perspective of Differentiating Toxins

在继承传统中医理论的基础上,结合现代医学对痛风病因病机进行思考、分析后发现,毒热痹阻脉络是其病机。痛风在急性期、间歇期、慢性期分别表现为毒盛、毒伏、毒结,分期辨毒治疗痛风有利于痛风的整体、全程管控治疗;急性期清热解毒、攻毒通络,间歇期化湿健脾和毒、去毒生成之源,慢性期温阳、破结开瘀散毒之凝滞所成之结节,痛风急性发作宜解毒攻毒为先,全虫、蜈蚣等攻毒通络的虫类药尤宜在急性期应用。