| 陈理才,孔勇杰,涂平生.涂平生从瘀论治慢性痛风性关节炎经验[J].浙江中医药大学学报,2019,43(12):1365-1367. |
| 涂平生从瘀论治慢性痛风性关节炎经验 |
| TU Pingsheng’s Experience in the Treatment of Chronic Gouty Arthritis from the Aspect of Blood Stasis |
| DOI：10.16466/j.issn1005-5509.2019.12.014 |
| 中文关键词: 慢性痛风性关节炎 血瘀 化瘀通痹汤 涂平生 医案 经验传承 |
| 英文关键词: chronic gouty arthritis blood stasis Huayu Tongbi Decoction TU Pingsheng medical cases experience inheritance |
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| 中文摘要: |
| [目的]探讨涂平生教授从瘀论治慢性痛风性关节炎的辨证思维和拟方用药经验。[方法]通过跟随涂教授门诊，记录相关医案，分析涂教授对慢性痛风性关节炎病因病机的认识，从气血辨证和经络学说等方面探析其在临床实践中的治疗经验，并举验案以佐证。[结果]涂平生教授认为，慢性痛风性关节炎的基本病因是血瘀，而慢性痛风性关节炎的最终病理趋势仍是血瘀，关键病机是脾肾亏虚，临床治疗应以活血化瘀通痹为本，辨证论治，方随证变。所举验案辨证为痰瘀互结、肝经湿热、经络不通者，治以活血化瘀、泻肝清热、通络止痛；辨证为痰湿阻络、血瘀化热者，治以清热祛湿、化瘀通络为主，均获得良好疗效。[结论]涂教授从瘀论治慢性痛风性关节炎，能够显著减轻患者症状，提高患者生活质量，其辨证思维及用药经验值得深入研究。 |
| 英文摘要: |
| [Objective] To explore Professor TU Pingsheng's thinking of syndrome differentiation and medication experience in the treatment of chronic gouty arthritis. [Methods] By following the outpatient of Professor TU Pingsheng, recording the relevant medical records, analyzing the understanding of the pathogenesis, Professor TU’s experience and thoughts in the treatment of chronic gouty arthritis from the aspects of Qi and blood syndrome differentiation and meridian theory were summarized. Typical cases were presented as evidence.[Results] Professor TU Pingsheng believes that the basic cause of chronic gouty arthritis is blood stasis, and the final pathological trend of chronic gouty arthritis is still blood stasis. The key pathogenesis is spleen and kidney deficiency, and the clinical treatment should be activating blood circulation to dissipate blood stasis and remove obstruction of collaterals. Based on the principle of syndrome differentiation and treatment, prescription should follow syndrome. The case with phlegm and blood stasis, dampness-heat of the liver and obstruction of collaterals was treated with activating blood circulation to dissipate blood stasis, purging liver heat, dredging collaterals and relieving pain. The case differentiated with phlegm dampness blocking collaterals and heat due to blood stasis was treated with clearing heat, expelling damp, disperse blood stasis and dredging collateral. Both achieved good results. [Conclusion] Professor TU treats chronic gouty arthritis from the aspects of blood stasis which can significantly alleviate the symptoms of patients, and improve the quality of life, his thinking of syndrome differentiation and medication experience in the treatment of chronic gouty arthritis is worthy of further study. |
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