黄宏兴教授治疗急性痛风性关节炎  

Professor Huang Hongxing sexperience in the treatment of acute gouty arthritis

作　　者：罗明[1] 万雷[2] 赖圆圆 黄宏兴[2] 

机构地区：[1]广州中医药大学,广州510405 [2]广州中医药大学附属骨伤科医院,广州510240

出　　处：《吉林中医药》2014年第1期26-28,共3页Jilin Journal of Chinese Medicine

摘　　要：黄宏兴教授认为,痛风发病的主要原因在于内伤因素,素体脾肾不足,内生湿浊是痛风发病的基础,外感风寒湿邪等因素可以诱导痛风发作。痛风在急性发作期主要的病机为湿浊内蕴、血热血瘀,在治疗上以清热利湿、凉血活血为基本治则。重用土茯苓、薏苡仁清热利湿,配以生地黄、丹参等凉血活血。临证注重辨证论治,针对不同的兼夹证加减用药。同时加强患者的健康教育,调整饮食结构,对痛风的治疗有积极意义。Professor Huang Hongxing thinks that the main cause of gout is the internal injury. Deficiency of spleen and kid- ney and endogenous dampness are the pathogenic bases. Exogenous wind-cold-wetness factors can induce gout. The major pathogenesis of gout in acute exacerbation stage is damp stagnating and heat and stasis of blood. So eliminating dampness by cooling and cooling, promoting blood are the basic therapeutical principles. Large dose of the glabrous greenbrier rhizome, coix seed are used to clear away heat and promote diuresis and retunannia dride rhizome and salvia miltiorrhiza are used to cool and promote blood. Focusing on the symptoms and signs, adjusting dosage for different complication, strengthening the health education for patients and adjusting the diet can get satisfactory therapeutic effect.

关 键 词：关节炎 痛风性 清热利湿 活血化瘀 健康教育 饮食结构 

分 类 号：R884.3[医药卫生—临床医学]