[1]王红斌 陈培 杨雷 舒杨 涂志鹏 周彪 熊辉 陆小龙.熊辉教授从“中虚痿痹”论治痛风性关节炎的经验[J].中国中医骨伤科杂志,2026,34(05):91-95.[doi:10.20085/j.cnki.issn1005-0205.260513]
　WANG Hongbin,CHEN Pei,YANG Lei,et al.Clinical Experience of Professor Xiong Hui in Treating Gouty Arthritis Based on the “Middle Deficiency-Induced Flaccid Bi Syndrome” Theory[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2026,34(05):91-95.[doi:10.20085/j.cnki.issn1005-0205.260513]
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熊辉教授从“中虚痿痹”论治痛风性关节炎的经验()

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

卷:
第34卷
期数:
2026年05期
页码:
91-95
栏目:
经验交流
出版日期:
2026-05-10

文章信息/Info

Title:
Clinical Experience of Professor Xiong Hui in Treating Gouty Arthritis Based on the “Middle Deficiency-Induced Flaccid Bi Syndrome” Theory
文章编号:
1005-0205(2026)05-0091-05
作者:
王红斌 陈培 杨雷 舒杨 涂志鹏 周彪 熊辉 陆小龙
1湖南中医药大学第一中医临床学院(长沙,410208)
2湖南中医药大学第一附属医院
Author(s):
WANG Hongbin1; CHEN Pei2; YANG Lei2; SHU Yang2; TU Zhipeng2; ZHOU Biao2; XIONG Hui2; LU Xiaolong2△
1The First Clinical College of Traditional Chinese Medicine,Hunan University of Chinese Medicine,Changsha 410208,China; 2The First Hospital of Hunan University of Chinese Medicine,Changsha 410007,China.
关键词:
痛风性关节炎;  中虚痿痹;  中焦脾胃;  健脾泄浊;  临床经验
Keywords:
gouty arthritis;  middle deficiency-induced flaccid Bi syndrome;  Middle Jiao(spleen and stomach);  strengthening spleen and eliminating turbidity;  clinical experience
分类号:
R684.3
DOI:
10.20085/j.cnki.issn1005-0205.260513
文献标志码:
A
摘要:
总结熊辉教授治疗痛风性关节炎的临床经验,熊辉教授认为痛风性关节炎病机为“中虚浊阻”,中虚则脾失健运,水湿不化,聚湿成浊,郁遏化热,浊毒流注关节经络,发为红肿热痛; 久病耗气伤血,损及肝肾,浊瘀互结,沉积筋骨,致关节畸形、功能障碍,发为痿痹。治疗上重视调理中焦脾胃,健脾胃则运化复常,湿浊无以聚,浊毒无以生,气畅瘀消,痿痹得除。临证以健脾泄浊为总则,分型论治,以参苓白术散灵活化裁内服为主,重用土茯苓、萆薢等泄浊解毒“靶药”,辅以导引练功和饮食调摄,注重“宏观调态与微观打靶”相结合,治法独具特色,疗效显著,可为中医药治疗痛风性关节炎提供系统思路和临床借鉴。
Abstract:
Summarize Professor Xiong Hui 's clinical experience in the treatment of gouty arthritis.Professor Xiong Hui believes that the pathogenesis of gouty arthritis is “middle deficiency and turbidity obstruction”.Middle deficiency leads to dysfunction of the spleen,water and dampness,accumulation of dampness and turbidity,depression and heat,turbidity and toxin flowing into the joints and meridians,causing redness,swelling and heat pain; long-term illness consumes Qi and blood,damages liver and kidney,turbidity and blood stasis,deposits tendons and bones,causes joint deformity,dysfunction,and flaccid paralysis.In the treatment,attention should be paid to regulating the spleen and stomach(the organs of the Middle Jiao).The spleen and stomach are transported and transformed,and the dampness is not gathered,the turbidity is not generated,the Qi is smooth and the stasis is eliminated,and the flaccidity is removed.In clinical practice,the general principle is to strengthen the spleen and remove turbidity,with treatment guided by syndrome differentiation.Shenling Baizhu powder is mainly used for oral administration,and the “target drugs” for turbidity and detoxification such as Tufuling and Bixie are reused,supplemented by guidance exercises and diet adjustment,focusing on the combination of “macro-adjustment and micro-targeting”.The treatment method is unique,and the curative effect is remarkable,providing a systematic idea and clinical reference for the treatment of gouty arthritis using traditional Chinese medicine.

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(收稿日期:2025-10-19)

备注/Memo

备注/Memo:
基金项目:国家自然科学基金面上项目(81574005,8157151378)
湖南省自然科学基金项目(2024JJ9419,2024JJ5390)
湖南省卫健委科研项目(20257493,20257770,20256944)
湖南省教育厅重点课题(23A0311)
湖南中医药大学第一附属医院“揭榜挂帅”项目(JBGS-A1-04,JBGS-B1-1)
长沙市自然科学基金项目(kq2502122)
2025年湖南中医药大学研究生科研创新项目(2025CX147
更新日期/Last Update: 2026-05-15