经方治疗老年急性痛风性关节炎患者临床经验  

Clinical experience in the treatment of elderly patients with acute gouty arthritis by sutra formula

作　　者：胡怡恺 王玲[1] HU Yi-kai;WANG Ling(Liaoning University of Traditional Chinese Medicine,Liaoning Shenyang 110847,China)

机构地区：[1]辽宁中医药大学,沈阳110847

出　　处：《中国处方药》2022年第3期129-131,共3页Journal of China Prescription Drug

基　　金：辽宁省科技厅自然科学基金(201102143)。

摘　　要：痛风属于代谢性疾病,是由于嘌呤代谢紊乱或尿酸排泄障碍所致的一组异质性疾病。随着人们生活水平提高,饮食结构改变,痛风的发病率逐年递增。痛风在老年人群中患病率和发病率不断增加。老年急性痛风性关节炎患者发病多因外感风寒湿邪,外邪流滞肌肉关节,水湿内蕴日久化热所致。结合老年人多为虚性体质,气血亏虚,运化不利,常有血瘀湿盛之象,故临床多呈现本虚标实、寒热错杂之象。予采用桂枝芍药知母汤合用当归芍药散加减来治疗此类患者,疗效颇佳。Gout is a metabolic disease,a heterogeneous group of diseases caused by disorders of purine metabolism or impaired uric acid excretion.As people’s standard of living improves and their diet changes,the incidence of gout is increasing year by year.Prevalence and incidence Gout are increasing in the elderly population.The onset of acute gouty arthritis in the elderly is mostly due to external wind,cold and dampness,which can stagnate in the muscles and joints and turn into heat over time.In combination with the deficient physique of the elderly,deficiency of qi and blood,unfavorable transportation and transformation,often with blood stasis and dampness,so the clinical symptoms of deficiency,cold and heat are often mixed.So adopt Guizhi Shaoyao Zhimu Decoction combined with modrfied Danggui Shaoyao San to treat these patients with good results.

关 键 词：急性痛风性关节炎 桂枝芍药知母汤 当归芍药散 老年患者 寒热错杂 

分 类 号：R259[医药卫生—中西医结合]