从“脾虚湿盛”论治痛风全程体会

痛风和高尿酸血症已经成为严重威胁人类健康的多发病、常见病。西药治疗虽然对病情控制效果显著,但容易反复,并且长期用药对肝肾功能影响较大,常伴有胃肠道不良反应、皮炎等不良反应。笔者根据中医对痛风病因病机相关理论的整理认识,结合临床实践认为,“脾虚湿浊内阻”是痛风发作的病机关键,治疗重视究其本,将健脾燥湿法应用于疾病分期的全过程,取得满意疗效。

Clinical experience in treating gout from the perspective of spleen deficiency and dampness hyperactivity

Gout and hyperuricemia have become frequent and common diseases that seriously threaten human health.Although Western medicines on the disease show significant effects,the disease is easy to repeat,and long-term medication greatly impacts the liver and kidney function,often accompanied by gastrointestinal adverse reactions,dermatitis and other adverse reactions.According to the theory of etiology and pathogenesis of gout in TCM,combined with clinical practices,the author believes that spleen deficiency,internal dampness is the key pathogenesis of gout attack.Therefore,the treatment should pay attention to the root cause,and the spleen strengthening and dryness dampness method should be applied to the whole process of disease staging to obtain satisfactory curative effects.