Exploration on treating hyperuricemia from the spleen and stomach based on the theory of ascending and lowering turbidity
Hyperuricemia is a metabolic disease characterized by elevated blood uric acid,clinically most patients are in asymptomatic sub-healthy state,a few people can be caused by urate deposition in the joints or kidneys causing gout.According to TCM,hyperuricemia can be attributed to the category of Xuezhuo(血浊),which is evidence of deficiency and solidity,and the core pathology is the malfunction of the spleen and stomach in elevating and lowering the turbidity,and the blockage of veins by phlegm,dampness,stasis and turbidity,and the accumulation of turbidity and toxins within the body.Clinical treatment is based on the basic idea of solidifying the root of the disease,eliminating evils and restoring normal lifting and lowering,and the basic rule of ascending clearness and lowering turbidity and facilitating the flow of Qi(气)is to solidify and protect the spleen and stomach,and to restore the function of ascending clearness and lowering turbidity,which will be carried out throughout the treatment.At the same time,the treatment is staged at different stages of the onset of hyperuricemia,with flexible addition and subtraction of drugs.In the asymptomatic stage,it is used to transport the spleen and eliminate dampness,focusing on Qi.In the acute stage,it is used to clear away heat and relieve dampness,remove blood stasis and drain turbidity.In the chronic stage,it is used to strengthen the spleen and tonify the kidneys,and eliminate blood stasis and clear the channels.In clinical diagnosis and treatment,sweet,bitter and pungent flavors of medicines are used,and the attributing meridian is based on the spleen and stomach,so as to elevate clearness and lower turbidity,and to regulate Qi and blood,with special emphasis on restoring the body's Qi to be smooth,eliminating blood stasis and seeping away dampness and directing the drainage of turbid evils,strengthening the spleen and tonifying the kidneys,and regulating the five viscera.The combination of disease identification and evidence identification,tonifying the spleen and stomach,and restoring its elevation are the main focuses of the prescription and medication,especially in strengthening the spleen and stomach,restoring the spleen and stomach pivotal function,ascending the clear Yang(阳)and descending the turbid Yin(阴),and making use of Tufuling(Rhizoma Smilacis Glabrae)-Bixie(Rhizoma Dioscoreae Hypoglaucae),Yiyiren(Semen Coicis)-Cangzhu(Rhizoma Atractylodis),Heye(Folium Nelumbinis)-Shanzha(Fructus Crataegi),Cheqiancao(Herba Plantaginis)-Yumixu(Stigma Maydis),Chuanxiong(Rhizoma Chuanxiong)-Danshen(Radix et Rhizoma Salviae Miltiorrhizae)pairs of drugs,which embodies the characteristics of solidifying the root of the body to eliminate the evils,elevating and descending the same cause,and taking into consideration the characteristics of the medicines of Qi and blood,so as to enable the Qi and energy to flow smoothly,and to raise the turbidity and lower the turbidity and blood to restore its state of purity and purity is restored.The author found in the clinic that it showed good efficacy in reducing patients'blood uric acid and improving symptoms.
HyperuricemiaSpleen and stomachAscending and lowering turbidityTCM treatment
万方数据
维普
