基于“络病理论”从湿热瘀探讨痛风的病机与治疗  

The Pathogenesis and Treatment of Gout Were Discussed from Dampness-Heat Stasis Based on Collateral Disease Theory

作　　者：刘宏志 王玲[2] 莫成荣[2] LIU Hongzhi;WANG Ling;MO Chengrong(Liaoning University of Traditional Chinese Medicine,Shenyang 110087,Liaoning,China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《实用中医内科杂志》2025年第1期106-108,共3页Journal of Practical Traditional Chinese Internal Medicine

基　　金：辽宁省名老中医工作室项目(辽中医药综合字〔2021〕32号)。

摘　　要：痛风是当代青年人最常见的痛症之一,中医治疗痛风的优势显著。文章总结前人研究经验,基于络病理论从湿热瘀探讨痛风的发病机制,认为痛风之病痰湿、瘀血阻滞,日久入络,痰瘀化热是痛风发病的关键,痰瘀阻络是导致痛风并发症的基本病机。在治疗上应以通络为原则配合清热利湿,活血化瘀之法,重视虫类药物的应用,以期能够为患者提供更彻底的治疗。Gout is one of the most common pain in contemporary young people,and Chinese medicine has obvious advantages in the treatment of gout.By studying the literature classics,summarizing the previous research experience and exploring the pathogenesis of gout from the perspective of dampness and heat stasis based on the collaterals theory,it is believed that the key to the pathogenesis of gout is phlegm and dampness,blockage of blood stasis,prolonged entry into collaterals,and heat from phlegm and blood stasis,and the blockage of collaterals by phlegm and blood stasis is the basic pathogenesis of gout complications.In the treatment,the principle of clearing collaterals should be combined with the method of clearing heat and dampness,promoting blood circulation and removing blood stasis,and the application of insect drugs should be emphasized in order to provide more thorough treatment for patients.

关 键 词：络病理论 痛风 病机 湿热瘀 

分 类 号：R25[医药卫生—中医内科学]