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基于“毒邪学说”探讨高尿酸血症的临床诊治
Approach to clinical diagnosis and treatment of hyperuricemia based on the theory of toxic pathogen
【摘要】 基于中医“毒邪学说”,认为高尿酸血症的核心病机为脾肾虚损为本,浊毒内蕴为标;外因源于饮食不节,损伤脾胃;内因责之脾肾亏虚,水湿不化,致湿浊、痰瘀互结化毒,痹阻经络、关节,发为痛风。治疗以健脾益肾、解毒泄浊为法,并依三焦传变规律分消,辅以活血通络。
【Abstract】 Based on "the theory of toxic pathogen" in traditional Chinese medicine,it is believed that the core pathogenesis of hyperuricemia is characterized by deficiency of the spleen and kidney in the origin and internal accumulation of turbid toxin in the manifestation.The exogenous cause of the disease stems from improper diet,which induces the impairments of the spleen and stomach;while its endogenous cause is attributed to deficiency of the spleen and kidney and retention of water-dampness,which leads to turbid damp and phlegm intermingled with blood stasis transforming into toxin,so that meridians,collaterals and joints are obstructed,which results in gout eventually.The treatment should be based on the principal method for strengthening spleen and tonifying kidney,removing toxin and eliminating turbidity;in addtion,promoting diaphoresis and diuresis according to the law of pathological transmission and change among the Sanjiao,and supplemented by promoting blood circulation and dredging collaterals.
【Key words】 hyperuricemia; turbid toxin; strengthening spleen and tonifying kidney; removing toxin and eliminating turbidity;
- 【文献出处】 山西中医 ,Shanxi Journal of Traditional Chinese Medicine , 编辑部邮箱 ,2025年12期
- 【分类号】R259
- 【下载频次】146