Exploration of ZHU Zhang-Zhi's Thoughts for the Treatment of Hyperuricemia Based on Six-Meridian Syndrome Differentiation
Hyperuricemia is a chronic metabolic disease caused by purine metabolic disorder.Asymptomatic hyperuricemia can be attributed to the category of turbid blood in the field of traditional Chinese medicine(TCM).When hyperuricemia appears arthritis,gout and hypertension,it can be attributed to the category of bi-syndrome in TCM.Modern TCM practitioners usually treat hyperuricemia from the perspective of phlegm-dampness and damp-heat.ZHU Zhang-Zhi believes that for the treatment of the hyperuricemia,the identification of the pathogenesis being yin or yang should be made firstly,and yang deficiency is the fundamental pathogenesis of hyperuricemia.Secondly,six-meridian syndrome differentiation can be carried out,and the three yin-syndromes are the key types to be stressed,that is,more attention should be paid to the ascending and descending qi movement of spleen and stomach in taiyin middle energizer,the pathogenic invasion of the exterior of taiyin lung,and the deficiency of shaoyin kidney yang.The treatment of hyperuricemia should be based on supporting yang qi of the human body,and the protection of spleen and stomach should be stressed besides the elimination of pathogenic factors and the simultaneous regulation of cold and heat.Therapy of warming and assisting the spleen yang of taiyin is helpful for restoring the ascending and descending qi movement of the spleen and stomach,and dispersing the exterior of taiyin lung is beneficial to eliminate pathogenic factors.In the middle and late stages of hyperuricemia,therapy of warming the kidney yang to remove dampness is recommended,and the prescription is characterized by the simultaneous regulation of cold and heat.Professor ZHU Zhang-Zhi's thoughts for treating hyperuricemia based on syndrome differentiation of six meridians and by using classical formulas stressed on supporting yang can provide reference for clinical TCM practitioners in treating hyperuricemia.
hyperuricemiasix-meridian syndrome differentiationidentification of yin and yangyang deficiencysupporting yangsimultaneous regulation of cold and heatZHU Zhang-Zhi