陈海云分期论治痛风性关节炎经验总结
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R249;R259

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Summary of CHEN Haiyun's Experience in Staged Treatment for Gouty Arthritis
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    摘要:

    陈海云主任认为痛风性关节炎属本虚标实之证,主要病机是湿热、痰浊、瘀毒三种病理之邪流注 于关节,痹阻经脉,发为本病。陈海云主任认为痛风性关节炎可按急性发作期、慢性缓解期分期论治,急性发 作期多见浊瘀化热证,以化浊祛瘀、清利湿热为主要治则,其常使用土牛膝、土茯苓、薏苡仁、山慈菇、苍 术、黄柏、土鳖虫、地龙等药物组方治疗;慢性缓解期多见脾虚湿盛、脾肾阳虚证,其多采用参苓白术散加减 治疗。

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    Abstract: Director CHEN Haiyun believes that gouty arthritis is characterized by the deficiency at the root and excess at the branch. The primary pathogenesis involves the pathological factors of damp-heat,phlegm-turbidity,and blood stasis-toxins infiltrating the joints, obstructing the meridian and vessels, and causing the disease. Director CHEN Haiyun proposes a staged treatment approach for gouty arthritis, dividing it into acute and chronic remission phases. During the acute phase, the condition is often marked by turbid-stasis transforming into heat; the main treatment principles are to dissolve turbidity,remove stasis,and clear damp-heat. Commonly used herbs in this phase include Achyranthis Bidentatae Radix,Smilacis Glabrae Rhizoma,Coicis Semen,Cremastrae Pseudobulbus Pleiones Pseudobulbus,Atractylodis Rhizoma,Phellodendri Chinensis Cortex,Eupolyphaga Steleophaga,and Pheretima. In the chronic remission phase, the condition is often characterized by syndrome of spleen deficiency with excessive dampness and spleen-kidney yang deficiency. The treatment typically involves the modified Shenling Baizhu Powder.

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林梓涵,陈海云.陈海云分期论治痛风性关节炎经验总结[J].新中医,2025,57(12):226-229

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  • 在线发布日期: 2025-06-26
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