归经当归拈痛汤治疗痛风性关节炎  

Treatment of Gouty Arthritis with Guijing Danggui Niantong Decoction(归经当归拈痛汤)

作　　者：潘静[1] 马威[1] 管竞环[1] 

机构地区：[1]武汉市中西医结合医院风湿免疫科,湖北武汉430022

出　　处：《吉林中医药》2013年第12期1240-1242,共3页Jilin Journal of Chinese Medicine

基　　金：国家"十一五"科技支撑项目(2007BAI10B01-060)

摘　　要：目的观察归经当归拈痛汤治疗痛风性关节炎的临床疗效。方法将78例急性痛风性关节炎患者随机分成对照组38例,治疗组40例。对照组服用当归拈痛汤(当归、党参、苦参、甘草等,1剂/d),治疗组服用归经当归拈痛汤(土茯苓、牛膝、柴胡、黄柏、山慈菇等,1剂/d),疗程共4周。结果治疗后2组总有效率、血尿酸下降程度比较有统计学意义,且治疗组优于对照组(P<0105)。结论在辨证论治基础上,按疾病脏腑归经选药治疗痛风性关节炎,归经当归拈痛汤较原方疗效好。Objective The clinical application of the Guijing Danggui Niantong Decoction on treating gouty arthritis.Methods 78 patients with gouty arthritis were randomly divided into two groups：38 patients in the control group were given Guiring Danggui Niantong Decoction （ angelica, dangshen, kushen, liquorice etc, one dose a day）, 40 patients in the treated group were given Gulling Danggui Niantong Decoction （rhizoma smilacis glabrae, radix achyranthis bidentatae, radix bupleuri, golden cypress, tuber santsigu etc, one dose a day） with total course of treatment for 4 weeks. Results After treatment the total effective rate and blood uric acid level in two groups had significant statistical significance, the treatment group was better than that of control group （ P 〈 0.05）. Conclusion Based on syndrome differentiation and treatment, the medicine （ Gttijing Danggui Niantong Decoction）depend on the channel tropism of zang-fu organs in the treatment of gouty arthritis and its effect was better than that of original one（ Guijing Danggui Niantong Decoction）.

关 键 词：管竞环 归经理论 当归拈痛汤 痛风性关节炎 

分 类 号：R589.7[医药卫生—内分泌]