从“五脏元真通畅”论治痛风探析  

Analysis of Treating Gout from “Unlocked Circulation of Five Zang-Organs' Essence”

作　　者：刘念[1] 沈嘉艳 汪学良[1] 彭江云[2] LIU Nian;SHEN Jiayan;WANG Xueliang;PENG Jiangyun(Yunnan University of Traditional Chinese Medicine,Kunming 650500,China;Yunnan Provincial Hospital of Traditional Chinese Medicine,Kunming 650021,China)

机构地区：[1]云南中医学院,云南昆明650500 [2]云南省中医医院,云南昆明650021

出　　处：《山东中医杂志》2018年第12期976-978,共3页Shandong Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金:基于P2X7R信号通路探讨清热通络方防治痛风性关节炎的机制(编号:81760868)

摘　　要：中医认为痛风的发生与痰、湿、瘀、浊等病理产物壅塞脏腑经络密切相关。"五脏元真通畅"出自汉·张仲景《金匮要略·脏腑经络先后病脉证第一》,是中医防治疾病的重要指导原则,其核心在于"通"。以"五脏元真通畅"理论指导痛风辨治,围绕"通"字立法,根据病性之不同分别予清热除湿、散寒化湿、活血祛瘀化痰、健脾渗湿等治法,能取得良好疗效。Traditional Chinese medicine believes that the occurrence of gout is closely related to the obstruction of viscera and meridians by phlegm,dampness,stasis,turbidity and other pathological products. "Unblocked circulation of five Zang-organs’ essence" comes from Synopsis of Golden Chamber:Syndrome of Zang-organs,Fu-organs and Meridians(No.1),written by ZHANG Zhongjing in Han Dynasty. It is an important guiding principle for disease prevention and treatment in traditional Chinese medicine. Its core lies in "unblocked". Guided by the theory of "unblocked circulation of five Zang-organs’ essence",the syndrome differentiation and treatments of gout around "unblocked" can achieve good curative effect. According to different nature of the disease,the treatment methods include clearing heat and dampness,dispersing cold,resolving dampness,promoting blood circulation,removing blood stasis,resolving phlegm,tonifying spleen to dispel dampness,etc..

关 键 词：痛风 五脏元真通畅 辨证施治 

分 类 号：R259[医药卫生—中西医结合]