从“湿、热、浊、瘀、虚”论治高尿酸血症临证经验

Clinical Experience of Treating Hyperuricemia from “Dampness, Heat, Turbidness, Stasis and Deficiency”

目前中医学术界对高尿酸血症的认识各有不同,国医大师朱良春称其为“浊瘀痹”,仝小林院士将其与糖尿病、血脂异常统称为“膏浊病”,张剑勇教授将其归为“血浊”范畴等。“湿、热、浊、瘀、虚”是高尿酸血症发生发展的关键。在治疗上,应标本兼顾,坚持健脾化浊之法,急则以利湿泄浊,清热解毒为主,缓则以补脾肾为主,同时严格控制饮食,适量锻炼,综合治疗。

At present, the understanding of hyperuricemia in the academic circle of traditional Chinese medicine is different. Zhu Liangchun, a master of traditional Chinese medicine, called it “turbidity-stasis bi”, Academician Tong Xiaolin collectively called it “cream turbidity-disease” with diabetes and dyslipidemia, and Professor Zhang Jianyong classified it as “blood turbidity-disease”. The key to the occurrence and development of hyperuricemia is “dampness, heat, turbidness, stasis and deficiency”. In terms of treatment, the specimen should be taken into account, adhere to the method of strengthening the spleen and dissolving turbidity, and in case of emergency, it should be mainly to promote dampness and turbidity, clear away heat and detoxify, and if it is slow, it should be mainly to tonify the spleen and kidney, and at the same time strictly control the diet, exercise moderately, and comprehensive treatment.