匡建军教授从伏邪化火论治痛风性关节炎经验  

Professor Kuang Jianjun's Experience in Treating Gouty Arthritis from Hidden Pathogen to Fire Theory

作　　者：刘科[1] 张乐 张子鸣 华盛 汤祖宇 赵浩茗 熊逸啸 陈柯如 彭娜姿 匡建军[2,3] LIU Ke;ZHANG Le;ZHANG Ziming;HUA Sheng;TANG Zuyu;ZHAO Haoming;XIONG Yixiao;CHEN Keru;PENG Nazi;KUANG Jianjun(Hunan University of Chinese Medicine,Changsha 410208,China;Hunan Academy of Chinese Medicine,Changsha 410006,China;Affiliated Hospital of Hunan Academy of Chinese Medicine,Changsha 410006,China)

机构地区：[1]湖南中医药大学,长沙410208 [2]湖南省中医药研究院 [3]湖南省中医药研究院附属医院

出　　处：《中国中医骨伤科杂志》2024年第8期89-91,96,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：湖南省自然科学基金项目(2022JJ60076,2023JJ60118);贵州省科技厅基础研究项目(黔科合基础-ZK〔2022〕一般479);长沙市科技局重点项目(kh2201063)。

摘　　要：本文从病因病机、分期论治等方面综合总结了匡建军教授从伏邪化火论治痛风性关节炎的临床经验。匡建军教授指出本病与伏邪相似,伏匿期以正虚为本,邪伏为标;发作期时伏邪受外因感召,内外互相作用,转而化火,从而由里出外,出现红肿热痛症状;治疗上伏匿期分邪伏三阴证、寒邪内伏证、痰湿伏脾证、瘀毒痼结证,根据不同证型特点,予以扶正、温寒、健脾、活血等法;伏邪化火期予以急清火毒,同时配合外治疗法,临床疗效甚佳。This article summarizes the clinical experience of Professor Kuang Jianjun in treating gouty arthritis from the aspects of etiology,pathogenesis and staging.Professor Kuang Jianjun pointed out that this disease is similar to hidden pathogen.In the inactive period,the vital Qi is the root cause of disease,and the pathogenic Qi is the manifestation cause of disease.At the onset of the disease,the hidden pathogen is transformed into fire by external influences,resulting in redness,swelling,heat and pain symptoms.Clinically,the inactive phase is divided into syndrome of hidden pathogen in three zang viscera,syndrome of internal cold,syndrome of phlegm-dampness due to spleen deficiency,static blood syndrome,according to the characteristics of different types of evidence,it should be strengthening vital Qi,warming cold,invigorating spleen,promoting blood circulation for removing blood stasis,etc.The hidden pathogen should be clearing heat and removing toxicity during the period of fire transformation,and at the same time,with external treatment,the clinical efficacy is excellent.

关 键 词：痛风性关节炎 痹证 伏邪化火 分期论治 名医经验 

分 类 号：R684.3[医药卫生—骨科学]