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匡建军教授从伏邪化火论治痛风性关节炎经验

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本文从病因病机、分期论治等方面综合总结了匡建军教授从伏邪化火论治痛风性关节炎的临床经验。匡建军教授指出本病与伏邪相似,伏匿期以正虚为本,邪伏为标;发作期时伏邪受外因感召,内外互相作用,转而化火,从而由里出外,出现红肿热痛症状;治疗上伏匿期分邪伏三阴证、寒邪内伏证、痰湿伏脾证、瘀毒痼结证,根据不同证型特点,予以扶正、温寒、健脾、活血等法;伏邪化火期予以急清火毒,同时配合外治疗法,临床疗效甚佳。
Professor Kuang Jianjun's Experience in Treating Gouty Arthritis from Hidden Pathogen to Fire Theory
This article summarizes the clinical experience of Professor Kuang Jianjun in treating gouty arthritis from the aspects of etiology,pathogenesis and staging.Professor Kuang Jianjun pointed out that this disease is similar to hidden pathogen.In the inactive period,the vital Qi is the root cause of disease,and the pathogenic Qi is the manifestation cause of disease.At the onset of the disease,the hidden pathogen is transformed into fire by external influences,resulting in red-ness,swelling,heat and pain symptoms..Clinically,the inactive phase is divided into syndrome of hidden pathogen in three zang viscera,syndrome of internal cold,syndrome of phlegm-dampness due to spleen deficiency,static blood syndrome,ac-cording to the characteristics of different types of evidence,it should be strengthening vital Qi,warming cold,invigorating spleen,promoting blood circulation for removing blood stasis,etc.The hidden pathogen should be clearing heat and remo-ving toxicity during the period of fire transformation,and at the same time,with external treatment,the clinical efficacy is excellent.

gouty arthritisBi-diseasehidden pathogen transforming into firestaged treatmentfamous doctor's experience

刘科、张乐、张子鸣、华盛、汤祖宇、赵浩茗、熊逸啸、陈柯如、彭娜姿、匡建军

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湖南中医药大学(长沙,410208)

湖南省中医药研究院

湖南省中医药研究院附属医院

痛风性关节炎 痹证 伏邪化火 分期论治 名医经验

湖南省自然科学基金项目湖南省自然科学基金项目贵州省科技厅基础研究项目长沙市科技局重点项目

2022JJ600762023JJ60118黔科合基础-ZK[2022]一般479kh2201063

2024

中国中医骨伤科杂志
中华中医药学会,湖北省中医药研究院

中国中医骨伤科杂志

CSTPCD
影响因子:0.732
ISSN:1005-0205
年,卷(期):2024.32(8)