| 引用本文: |
吴金鸿,张李博,王瑶,刘光珍.孙郁芝教授运用祛浊活血法治疗痛风性肾病经验[J].湖南中医药大学学报,2022,42(2):302-305[点击复制] |
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| 孙郁芝教授运用祛浊活血法治疗痛风性肾病经验 |
| 吴金鸿,张李博,王瑶,刘光珍 |
| (山西省中医药研究院, 山西 太原 030012;山西中医药大学, 山西 太原 030024) |
| 摘要: |
| 孙郁芝教授认为浊瘀痹阻肾络是痛风性肾病的主要病机，贯穿疾病始终。强调痛风性肾病发作期为痰浊痹阻、化火化毒，治以祛浊解毒、缓急止痛为主；缓解期因肾络血瘀、肾微癥瘕，治以活血消癥、化瘀通络为主；疾病后期因浊瘀痹阻同时兼见脾肾亏虚证，可兼补肾健脾。根据本病病机发展过程，确立祛浊活血的特色治疗法，并创立特色验方“痛风方”，临证时辅以经验对药灵活加减，配合患者积极改变饮食及生活习惯，临床疗效满意。 |
| 关键词: 痛风性肾病 浊瘀痹阻 祛浊活血法 孙郁芝 |
| DOI：10.3969/j.issn.1674-070X.2022.02.022 |
| 投稿时间：2021-09-04 |
| 基金项目:国家中医药管理局2017年全国名中医孙郁芝传承工作室项目（国中医药办人教函[2018]119号）；山西省重点研发计划（指南）项目（201703D421024）。 |
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| Professor Sun Yuzhi's experience in treating gout nephropathy by removing turbidity and promoting blood circulation |
| WU Jinhong,ZHANG Libo,WANG Yao,LIU Guangzhen |
| (Shanxi Academy of Traditional Chinese Medicine, Taiyuan, Shanxi 030012, China;Shanxi University of Chinese Medicine, Taiyuan, Shanxi 030024) |
| Abstract: |
| Professor Sun Yuzhi believes that turbidity and stasis obstructing kidney collaterals is the main pathogenesis of gout nephropathy, which runs through the whole disease. It is emphasized that the onset stage of gout nephropathy is phlegm and turbid obstruction, which turns into fire and poison. The treatment is mainly to dispel turbidity, detoxify and relieve pain. In remission stage, renal collaterals with blood stasis, forming renal microsyndrome. The treatment is mainly to promote blood circulation and eliminate syndrome, remove blood stasis and dredge collaterals. In later stage, due to turbidity and stasis obstruction, spleen and kidney deficiency syndrome can be seen at the same time. According to the pathogenesis development of the disease, the characteristic treatment method of removing turbidity and promoting blood circulation was established, and the characteristic test prescription "Tongfeng Prescription" was established. The flexible addition and reduction of drugs were supplemented by experience at the time of clinical diagnosis, so as to cooperate with the patients to actively change their diet and living habits, so as to obtain satisfactory clinical curative effect. |
| Key words: gout nephropathy turbidity and stasis obstruction removing turbidity and promoting blood circulation Sun Yuzhi |
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