基于湿瘀理论治疗痛风性关节炎的研究进展

Research Progress in the Treatment of Gouty Arthritis Based on the Theory of Dampness and Blood Stasis

痛风性关节炎以禀赋不足,脏腑失调为发病基础,形成湿、热、痰、瘀等病理产物,外邪侵袭为致病关键因素,湿热之邪既外感侵袭,又可内生而成。治疗上中医内科治疗发作期应以清热利湿,活血化瘀为主,缓解期治以祛湿泄浊,扶正祛邪之法;而中医外治法因其疗效显著、操作简单、经济实惠也被普遍应用于临床,包括针刺疗法、刺络放血、中药外敷等,为临床治疗提供可行的方法和思路。

Gouty arthritis is based on insufficient endowment and imbalance of viscera, forming pathological products such as dampness, heat, phlegm and blood stasis, and the invasion of external pathogen is the key factor. In the treatment of TCM internal medicine, heat and dampness should be cleared in the attack period, promoting blood circulation and removing blood stasis should be given priority to, and in the remission period, the method of removing dampness and turbid, strengthening the up-right and dispelling evil should be used in the remission period, while the external treatment of traditional Chinese medicine is widely used in clinic because of its remarkable curative effect, sim-ple operation and economic benefits including acupuncture therapy, blood-letting puncture, exter-nal application of traditional Chinese medicine, etc., to provide feasible methods and ideas for clini-cal treatment.