仝小林教授辨治痛风经验  

Clinical experience of professor TONG Xiaolin in treatment of gout by differentiation of syndromes

作　　者：王青 张少强[1] 田佳星 

机构地区：[1]中国中医科学院广安门医院,北京100053 [2]北京中医药大学,北京100029

出　　处：《吉林中医药》2017年第11期1095-1098,共4页Jilin Journal of Chinese Medicine

基　　金：国家自然科学基金面上项目(81173259)

摘　　要：仝小林教授运用中医理论辨治痛风,认为其病理机制在胃肠,基本病机为中满内热浊停,临床上注重病位辨证。急性期多祛风除湿、活血止痛,慢性期多虚实夹杂,随证施治。在强调传统中医辨证的同时注重量效相关性,并善于结合疾病的现代研究成果,全面理解和总体把握疾病发生发展的规律。用药上结合中药现代药理学研究,指明药物的作用靶向。急性期常投以当归拈痛汤加减治疗,不仅可以改善患者临床症状,而且可以逆转相关现代医学指标。Professor TONG Xiaolin considers that gastrointestinal is the pathological center,abdominal fullness,internal heat and turbidity retention is the basic pathogenesis of gout when treating it by differentiation of syndromes on the basis of TCM theory.He usually pays attention to the location differentiation in clinical.In the acute phase of gout,he often dispels wind and eliminates dampness,invigorates blood and relieves pain.In the chronic phase,he often adjusts methods when deficient and excessive syndromes appearing together.In addition to emphasizing the traditional differentiation of syndromes,he attaches importance to the dose-related effects at the same time.What＇s more,he is good at combining with the modern research results,fully understanding and overall grasping the rules of the generating and development of the disease.He also masters in giving full play to the modern pharmacology studies,points out the target action of herbs clearly when prescripting.Professor TONG Xiaolin usually uses modified Danggui Niantong decoction to treat gout in the acute phase,which not only can relieve the patients＇ clinical symptoms,but also can reverse the medical indexes.This article will report a case of gout patient which professor TONG treats with modified Danggui Niantong decoction,in order to share with peers through analysing and summarizing it.

关 键 词：仝小林 痛风 高尿酸血症 痹证 当归拈痛汤 活血化瘀 

分 类 号：R255.6[医药卫生—中医内科学]