王茂泓从上下分部论治痛风性关节炎  

Wang Maohong Treats Gouty Arthritis From Upper and Lower Divisions

作　　者：程豪 王茂泓[2] CHENG Hao;WANG Maohong(Jiangxi University of Chinese Medicine,Nanchang 330004,Jiangxi,China;Affiliated Hospital of Jiangxi University of Chinese Medicine,Nanchang 330006,Jiangxi,China)

机构地区：[1]江西中医药大学,江西南昌330004 [2]江西中医药大学附属医院,江西南昌330006

出　　处：《实用中医内科杂志》2024年第9期28-30,共3页Journal of Practical Traditional Chinese Internal Medicine

基　　金：国家自然科学基金地区基金项目(82160879)。

摘　　要：痛风性关节炎一般会在第一跖骨(大脚趾)、指关节、膝关节及肘关节出现。王茂泓基于对《黄帝内经》中“伤于风者,上先受之;伤于湿者,下先受之”理论的认识及临床体会,擅长从上下分部论治痛风性关节炎。痛风性关节炎多发于第一跖趾关节、踝关节、手指关节,认为发于手指关节、肘关节易受者,病机重点在风邪侵袭;而发于第一跖趾关节、踝关节第一跖骨、膝关节则多受者,病机重点在湿邪影响。在医疗过程中,常采用防己黄芪汤、甘草附子汤、桂枝芍药知母汤等方剂来治疗痛风性关节炎,这为临床治疗提供了一种可行的思路和手段。Gouty arthritis usually occurs in the first metatarsal(big toe),finger joints,knee joints and elbow joints.Based on the knowledge and clinical experience of the theory of Huangdi Neijing(The Yellow Emperor's Classic of Internal Medicine),Wang Maohong is good at treating gouty arthritis from the upper and lower divisions.Gouty arthritis mostly occurs in the first metatarsophalangeal joint,ankle joint,finger joints.He believes that if the gouty arthritis occurs in the finger joints and elbow joints,the disease mechanism focuses on the invasion of wind evil;while if the gouty arthritis occurs in the first metatarsophalangeal joints,the first metatarsophalangeal joint of the ankle joints and the knee joints,the disease mechanism focuses on the influence of dampness evil.In the course of medical treatment,Fangji Huangqi Tang,Licorice and Radix et Rhizoma Glycyrrhizae Tang,Gui Zhi Zhi Paeoniae Zhi Mu Tang and other formulas are often used for the treatment of gouty arthritis,which provides a feasible way of thinking and means for clinical treatment.

关 键 词：痛风性关节炎 伤于风者 上先受之 伤于湿者 下先受之 

分 类 号：R259[医药卫生—中西医结合]