| 引用本文: |
赵行, 宋宗健, 苏梦焱, 刘康楠, 周子朋.基于“精气味”理论运用“五脏苦欲补泻”治疗痛风的临证治要[J].湖南中医药大学学报,2025,45(1):110-114[点击复制] |
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| 基于“精气味”理论运用“五脏苦欲补泻”治疗痛风的临证治要 |
| 赵行,宋宗健,苏梦焱,刘康楠,周子朋 |
| (河南中医药大学, 河南 郑州 450000;河南省中医院, 河南 郑州 450003) |
| 摘要: |
| 痛风是临床常见的风湿免疫性疾病，属于中医学“痛风”“历节风”“痹病”等范畴。随着现代生活方式的改变，该病多反复发作、缠绵难愈，可引起关节、肾脏等多器官功能损害及代谢异常。从“精气味”理论探讨痛风病机，认为本病以先后天之精不足为本，以五味偏嗜、损伤形气脏腑为发病关键，湿热浊毒瘀滞关节脏腑，出现一系列外在表现。在此基础上阐述以“五脏苦欲补泻”为核心的治疗理念，认为五味阴阳偏嗜引起病理损伤，必从药物阴阳为治，故从痛风相关脏腑及药物性味出发，提出治肝用辛补之、治脾以燥湿辛化、治肾以辛润苦坚的用药理念，以期为痛风的中医诊疗提供新思路。 |
| 关键词: 痛风 精化为气 气伤于味 五脏苦欲补泻 五味 病机 论治 |
| DOI：10.3969/j.issn.1674-070X.2025.01.016 |
| 投稿时间：2024-08-14 |
| 基金项目:国家自然科学基金面上项目(81874456);国家中医临床研究基地专项课题(2021JDZX2123);河南省中医药科学研究专项课题(2023ZXZX1171);河南省中医药科学研究专项课题(2024ZY1011)。 |
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| Clinical essentials of applying "tonifying or purging according to conditions of the five zang organs" in gout treatment based on the theory of "essence, qi, and flavor" |
| ZHAO Xing, SONG Zongjian, SU Mengyan, LIU Kangnan, ZHOU Zipeng |
| (Henan University of Chinese Medicine, Zhengzhou, Henan 450000, China;Henan Province Hospital of TCM, Zhengzhou, Henan 450003, China) |
| Abstract: |
| Gout, a common rheumatic and immunological disease in clinical practice, belongs to the categories of "gout", "joint wind", and "arthralgia" in Chinese medicine. With changes in modern lifestyles, this disease often recurs and is difficult to cure, potentially causing functional and metabolic abnormalities in joints, kidneys, and other organs. Based on the theory of "essence, qi, and flavor", it is believed that the pathogenesis of gout is attributed to the deficiency of both innate and acquired essence, with flavor predilections and the damage to qi and zang-fu organs as the key pathogenic factors. The accumulation of damp heat, turbidity, toxins, and blood stasis in the joints and zang-fu organs leads to a series of external manifestations. Based on this, the therapeutic concept centered on "tonifying or purging according to conditions of the five zang organs" is elaborated,demonstrating that pathological damage caused by the predilections of yin and yang and flavor must be treated with medicines according to their yin and yang properties. Therefore, based on the zang-fu organs related to gout and the properties and flavors of medicines, this paper proposes treating the liver with pungent medicines to restore smoothness, the spleen with bitter medicines to dry dampness, and the kidney with pungent medicines to moisten and with bitter medicines to strengthen, aiming to provide new ideas for the diagnosis and treatment of gout with Chinese medicine. |
| Key words: gout essence transforming into qi qi being impaired by excessive intake of five flavors tonifying or purging according to conditions of the five zang organs five flavors pathogenesis diagnosis and treatment |
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