杨功旭六经辨证论治急性痛风性关节炎经验  

Experience of Yang Gongxu in Treating Acute Gouty Arthritis with the Syndrome Differentiation of the Six Meridians

作　　者：谢佳佳 杨功旭 赵述艳 李姝颖 钟传棋 XIE Jiajia;YANG Gongxu;ZHAO Shuyan;LI Shuying;ZHONG Chuanqi(Hubei University of Chinese Medicine,Wuhan 430065,China;Hubei Provincial Hospital of Traditional Chinese Medicine(Affiliated Hospital of Hubei University of Chinese Medicine),Wuhan 430074,China)

机构地区：[1]湖北中医药大学,武汉430065 [2]湖北省中医院(湖北中医药大学附属医院)

出　　处：《中国中医骨伤科杂志》2025年第3期90-92,共3页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：总结杨功旭教授六经辨证治疗急性痛风性关节炎经验。杨功旭教授认为湿邪贯穿痛风性关节炎病程始终,急性发作病位在三阳,常夹风、寒、热、燥等邪,或太阳寒湿、或少阳湿热、或阳明燥热。太阴禀赋不足,运化失司,湿浊内蕴,流注肢节是其病机基础,同时强调六淫乘虚而入之外因,内外相感,易郁化热,壅滞气机,痹阻经脉,营卫运行不畅而迫发。治疗予以甘草附子汤加减散寒祛湿以开太阳,防己黄芪汤加减利水清热以和少阳,白虎汤加减清热透邪以泄阳明,重在改善关节局部症状。This study summarizes the experience of Professor Yang Gongxu in treating acute gouty arthritis with the syndrome differentiation of the six meridians.It is believed that dampness pathogen runs through the entire course of gouty arthritis.During the acute period,the location of the disease is in the three yang meridians,often accompanied by pathogens such as wind,cold,heat,and dryness,such as cold-dampness in the Taiyang meridian,damp-heat in the Shaoyang meridian,or dry-heat in the Yangming meridian.Insufficiency of endowment in the Taiyin meridian,disorder of transportation and transformation,internal accumulation of damp-turbidity,and its flowing into the joints are the basic pathogenesis.At the same time,it emphasizes the external factor of the six exogenous pathogenic factors invading the body when it is weak.The internal and external factors interact,and it is easy to turn into heat due to stagnation,block the Qi movement,obstruct the meridians,and cause the disorder of the circulation of nutrient qi and defensive qi,thus triggering the disease.For the treatment,modified Glycyrrhiza and Aconite Decoction(Gancao Fuzi Tang)is used to dispel cold and dampness to activate the Taiyang meridian.Modified Stephania and Astragalus Decoction(Fangji Huangqi Tang)is used to promote diuresis and clear heat to harmonize the Shaoyang meridian.Modified White Tiger Decoction(Baihu Tang)is used to clear heat and expel pathogens to purge the Yangming meridian,with the emphasis on improving the local symptoms of the joints.

关 键 词：急性痛风性关节炎 六经辨证 伤寒论 

分 类 号：R684.3[医药卫生—骨科学]