基于脾虚湿阻分期论治痛风的理论探讨*

痛风是一种易复发、难治愈的代谢性风湿病。中医认为痛风的发生与先天禀赋不足和后天饮食环境因素有关，病机核心总不离脾虚湿阻、湿热蕴结。脾虚为发病之本，湿热为发病之标，脾虚湿阻贯穿始终。治疗当分期辨治，急性期治以清热祛湿、通络止痛，间歇期和慢性期当健脾渗湿。本文旨在通过文献回顾探讨脾虚湿阻分期论治的合理性，为从脾虚湿阻分期论治痛风提供理论支持。

Theoretical Discussion on the Treatment of Gout by Stages Based on Dampness Resistance of Spleen Deficiency

Gout is a kind of metabolic rheumatism which is easy to recur and difficult to cure. According to theories of traditional Chinese medicine, gout occurs due to the deficiency of innate endowment and the influence of the acquired dietary environment, and the core pathogenesis never deviates from spleen deficiency and dampness obstruction, and dampness-heat accumulation. It is believed that spleen deficiency is the origin of the disease, dampness-heat serves as the triggering factor, and spleen deficiency with dampness obstruction runs through the whole process, and spleen deficiency with dampness obstruction run through the whole process. Treatment methods are conducted on the basis of stage differentiation. In the acute stage, dampness and heat need to be removed so that collaterals can be dredged and pain can be relieved. Intermittent period and chronic period should be invigorated spleen infiltration wet. Through literature review, this paper discusses the rationality of treatment by stages of spleen deficiency and dampness obstruction, in order to provide theoretical basis for clinical treatment.