[1]谢佳佳*,杨功旭*,赵述艳△,等.杨功旭六经辨证论治急性痛风性关节炎经验[J].中国中医骨伤科杂志,2025,33(03):90-92.[doi:1005-0205(2025)03-0090-03]
　XIE Jiajia*,YANG Gongxu*,ZHAO Shuyan,et al.Experience of Yang Gongxu in Treating Acute Gouty Arthritis with the Syndrome Differentiation of the Six Meridians[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(03):90-92.[doi:1005-0205(2025)03-0090-03]
点击复制

杨功旭六经辨证论治急性痛风性关节炎经验()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年03期
页码:
90-92
栏目:
经验交流
出版日期:
2025-03-15

文章信息/Info

Title:
Experience of Yang Gongxu in Treating Acute Gouty Arthritis with the Syndrome Differentiation of the Six Meridians
文章编号:
10.20085/j.cnki.issn1005-0205.250317
作者:
谢佳佳1*;  杨功旭2*;  赵述艳2△;  李姝颖1;  钟传棋2
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)
△通信作者 E-mail:814270350@qq.com
Author(s):
XIE Jiajia1*;  YANG Gongxu2*;  ZHAO Shuyan2△;  LI Shuying1;  ZHONG Chuanqi2
1Hubei University of Chinese Medicine,Wuhan 430065,China; 2Hubei Provincial Hospital of Traditional Chinese Medicine(Affiliated Hospital of Hubei University of Chinese Medicine),Wuhan 430074,China.
关键词:
急性痛风性关节炎;  六经辨证;  伤寒论
Keywords:
acute gouty arthritis;  the syndrome differentiation of the six meridians;  treatise on febrile diseases
分类号:
R684.3
DOI:
1005-0205(2025)03-0090-03
文献标志码:
A
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。
Abstract:
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.

参考文献/References:

[1] 中华医学会风湿病学分会.痛风诊疗规范[J].中华内科杂志,2023,62(9):1068-1076.
[2] 陈琳,周静,马武开,等.中医治疗痛风性关节炎的研究进展[J].风湿病与关节炎,2020,9(5):73-76.
[3] 伍沪生.痛风与晶体性关节病[M].北京:人民卫生出版社,2014.
[4] 中华医学会风湿病学分会.2016中国痛风诊疗指南[J].浙江医学,2017,39(21):1823-1832.
[5] 谢珏,杨功旭,徐嘉祺,等.杨功旭六经辨证治疗膝骨关节炎的经验[J].中国中医骨伤科杂志,2021,29(12):79-81.
[6] 邓鑫,黄泰维,朱明双.“太阳-阳明-少阴”传变分期下痛风性关节炎的病理机要探析[J].云南中医中药杂志,2022,43(1):16-18.
[7](日)内藤习哲.《医经解惑论》注评[M].北京:中国中医药出版社,2020.
[8] 吕永赟,隋华章.浅议张仲景对痹证的贡献[J].江西中医学院学报,2004,16(4):14-16.
[9] 中国中西医结合学会风湿类疾病专业委员会.痛风及高尿酸血症中西医结合诊疗指南[J].中医杂志,2023,64(1):98-106.
[10] 冯世纶.胡希恕讲伤寒杂病论(精要版)[M].北京:中国中医药出版社,2018.

备注/Memo

备注/Memo:
*谢佳佳和杨功旭为共同第一作者
更新日期/Last Update: 2025-03-10