中医论治痛风的历史沿革  

The Theoretical Evolution of Traditional Chinese Medicine in the Treatment of Gout

作　　者：李华南[1] 彭伟雄[2] 张海明[2] 吴继超[2] 邓运明[1] LI Huanan PENG Weixiong ZHANG Haiming WU Jichao DENG Yunming(Department of Orthopedics and Trauma, the Affiliated Hospitalof Jiangxi University of TCM, Nanchang 330006, China Clinical Medical School, Jiangxi University of TCM, Nanchang 330006, China)

机构地区：[1]江西中医药大学附属医院骨伤三科,南昌330006 [2]江西中医药大学临床医学院,南昌330006

出　　处：《中国中医药现代远程教育》2017年第2期142-143,共2页Chinese Medicine Modern Distance Education of China

基　　金：国家中医药管理局全国名老中医药专家传承工作室项目;江西省科技厅科技支撑项目【No:20142BBG70084】;江西省卫计委中医药科研项目【No:2013B039】

摘　　要：本文综述了自《内经》成书以后,汉、隋唐、元、明清及现代医家对痛风的病因病机、辨证论治及预防调护等方面学术观点的演变,总结出痛风论治的历史脉络。痛风的病因病机从《内经》中"风寒湿邪三气杂至,合而为痹也"逐渐发展成为累及外感六淫、肝脾肾三脏及湿热瘀毒等完善的理论和治疗体系,治疗原则以清热化湿,健脾益胃,补肝益肾,袪瘀排毒等为基本治法。The academic viewpoints such as etiology and pathogenesis, diagnosis, treatment and prevention were reviewed in this arti-cle since the formation of the medical classic of the Neijing to Han, Sui, Tang, Ming, Qing Dynasties and nowadays. Therefore the theoretical evolutions of gout in traditional Chinese medicine were summarized in sequence. In the medical classic of the Neijing, the bi syndrome was caused by the wind, cold and wetness evils commonly, which was the original theory in etiology and pathogenesis of gout. Gradually the perfect theoretical and treatment systems were confirmed in six exogenous, liver-spleen-kidney systems and dampheatness or stasis-toxinelements, and so on. The basic treatment principles include the eliminating damp-heatness, activating spleen and stomach, reinforcing liver and kidney, while expelling toxin and stasis, etc.

关 键 词：痛风 历史沿革 病因病机 治疗原则 源流 痹证 

分 类 号：R259[医药卫生—中西医结合]