[1]王红斌,陈培,周彪,等.陆小龙教授从“病浊毒者,当以清药利之”论治痛风性关节炎的经验[J].中国中医骨伤科杂志,2026,34(07):100-105.[doi:10.20085/j.cnki.issn1005-0205.260713]
　WANG Hongbin,CHEN Pei,ZHOU Biao,et al.Clinical Experience of Professor Lu Xiaolong in Treating Gouty Arthritis Based on the Theory of “Clearing Turbid Toxin with Clearing Herbs and Dredging Methods”[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2026,34(07):100-105.[doi:10.20085/j.cnki.issn1005-0205.260713]
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陆小龙教授从“病浊毒者,当以清药利之”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07期
页码:
100-105
栏目:
经验交流
出版日期:
2026-07-15

文章信息/Info

Title:
Clinical Experience of Professor Lu Xiaolong in Treating Gouty Arthritis Based on the Theory of “Clearing Turbid Toxin with Clearing Herbs and Dredging Methods”
文章编号:
1005-0205(2026)07-0100-06
作者:
王红斌1; 陈培2; 周彪2; 卢靖2; 涂志鹏2; 叶贵生2; 刘士儒1; 李思龙1; 陆小龙2△
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; ZHOU Biao2; LU Jing2; TU Zhipeng2; YE Guisheng2; LIU Shiru1; LI Silong1; 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;  浊毒致痹;  清药利之;  中医病机;  治疗方法;  系统治理
Keywords:
gouty arthritis;  turbid toxin causing arthralgia;  clearing herbs and dredging methods;  Chinese medicine pathogenesis;  treatment methods;  system governance
分类号:
R684.3
DOI:
10.20085/j.cnki.issn1005-0205.260713
文献标志码:
B
摘要:
总结陆小龙教授治疗痛风性关节炎的临床经验,陆小龙教授认为痛风性关节炎的核心病机为“浊毒痹阻”,因湿热内蕴、脾胃失调,湿浊郁而化热,浊毒流注关节经络,发为红肿热痛; 久则痰瘀互结,沉积筋骨,致关节畸形、功能障碍。治疗上以“病浊毒者,当以清药利之”为总则,强调清热利湿、解毒泄浊,通过“清药”与“利法”协同作用,直折热毒,疏导湿浊。临证分型论治,急性期以湿热浊毒证为主,治以清热解毒、利湿通络,选用四妙丸、宣痹汤等方加减,重用土茯苓、萆薢等清利之品; 慢性期常见寒湿郁热证、痰瘀互结证,注重调和营卫、脏腑同调,辅以形神共治。其治法核心为“清中寓利、利中求清”,结合现代医学机制形成系统化辨治体系,疗效显著,为痛风性关节炎的中医药治疗提供了理论依据和临床实践路径。
Abstract:
This study systematically summarizes Professor Lu Xiaolong's clinical experience in treating gouty arthritis(GA).Professor Lu Xiaolong proposes that the core pathogenesis of GA is “turbid toxin obstruction”.Specifically,internal accumulation of damp-heat and dysfunction of the spleen and stomach lead to stagnation of damp-turbidity,which further transforms into heat; the resultant turbid toxin then flows into joints and meridians,manifesting as redness,swelling,heat and pain.In the long term,phlegm and blood stasis coagulate and accumulate in muscles and bones,eventually inducing joint deformity and dysfunction.The general therapeutic principle is formulated as “treating turbid toxin with clearing herbs and dredging methods”,emphasizing clearing heat and dampness,detoxifying and discharging turbidity.Through the synergistic effect of “clearing herbs” and “dredging methods”,heat toxin is directly suppressed and damp-turbidity is effectively dredged.In clinical practice,syndrome differentiation and treatment are strictly implemented:the acute stage of GA is predominantly characterized by damp-heat and turbid toxin syndrome,which is managed by clearing heat and detoxifying,removing dampness and unblocking the collaterals; modified Simiao pills and Xuanbi decoction are commonly adopted,with Smilacis Glabrae Rhizoma and Dioscoreae Colletii Rhizoma reused as the key clearing and draining herbs.The chronic stage often presents with cold-dampness stagnating heat syndrome and phlegm-blood stasis binding syndrome,focusing on regulating nutrient and defense Qi,harmonizing Zang-Fu organs,and supplemented by the combined intervention of body and spirit.The core of his therapeutic strategy lies in “containing dredging in clearing and seeking clearing in dredging”.By integrating modern medical mechanisms,a systematic syndrome differentiation and treatment system has been established,which exhibits remarkable curative effects and provides a solid theoretical basis and practical approach for the treatment of GA using traditional Chinese medicine.

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(收稿日期:2025-11-19)

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(2024JJ9419,2024JJ5390,2025JJ90071)
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
更新日期/Last Update: 2026-07-15