|
|
Discussion on Professor Jiang Quan’s experience in treating refractory gout from the theory of “yang transforming qi, while yin shaping up body” |
XU Run1 JIANG Quan2 HAN Man2 PENG Qiuwei2 FU Jingsi2 YUE Ming1#br# |
1.School of Clinical Medicine, Beijing University of Chinese Medicine, Beijing 100029, China;
2.Department of Rheumatism, Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China |
|
|
Abstract This paper discusses Professor Jiang Quan’s experience in treating refractory gout based on the theory of “yang transforming qi, while yin shaping up body”. Professor Jiang Quan believes that the root of the pathogenesis of refractory gout is “the deficiency of yang transforming qi” in disorder of spleen and kidney gasification, and the “excessive yin shaping up body” in condensation of wet phlegm and stasis evil as the main pathological pathogenic factor. The treatment focuses on regulating the spleen and kidney, invigorating the spleen and invigorating qi, reducing the fire and vitality methods to help the gasification, and paying attention to life adjustment in order to protect the spleen and kidney. In addition, according to the course of the disease, clinical manifestations and it focuses on different methods of removing evil, based on syndrome differentiation to seek the cause, examining the cause to treat the cause. High uric acid focuses on promoting dampness and turbidity, while the acute attack focuses on clearing heat and promoting diuresis, removing edema and relieving pain, seeing gout stone increases the function of dissipating phlegm and resolving masses, and long-term arthralgia and blood stasis focuses on promoting blood circulation for removing blood stasis.
|
|
|
|
|
[1] 曾小峰,陈耀龙.2016中国痛风诊疗指南[J].中华内科杂志.2016,55(11):892-899.
[2] Bardin T,Richette P. Impact of comorbidities on gout and hyperuricaemia:an update on prevalence and treatment options [J]. BMC Med,2017,15(1):123.
[3] Lee SJ,Hirsch JD,Robert T,et al. Perceptions of disease and health-related quality of life among patients with gout [J]. Rheumatology,2009,48(5):582-586.
[4] Mikuls TR,Saag KG. New insights into gout epidemiology [J]. Curr Opin Rheumatol,2006,18(2):199-203.
[5] Liu R,Han C,Wu D,et al. Prevalence of Hyperuricemia and Gout in Mainland China from 2000 to 2014:A Systematic Review and Meta-Analysis [J]. Biomed Res Int,2015,2015:762820.
[6] Kuo CF,Grainge MJ,Zhang W,et al. Global epidemiology of gout: prevalence,incidence and risk factors [J]. Nat Rev Rheumatol,2015,11(11):649-662.
[7] Uaratanawong S,Suraamornkul S,Angkeaw S,et al. Prevalence of hyperuricemia in Bangkok population [J]. Clin Rheumatol,2011,30(7):887-893.
[8] 杨雪芳,朱昕,王苗慧,等.基于CiteSpace对高尿酸血症与痛风发病机制研究的可视化分析[J].中国医药科学,2022,12(2):46-49.
[9] 路杰,崔凌凌,李长贵.原发性痛风流行病学研究进展[J].中华内科杂志,2015,54(3):244-247.
[10] 中华医学会内分泌学分会.中国高尿酸血症与痛风诊疗指南(2019)[J].中华内分泌代谢杂志,2020,36(1):1-13.
[11] 秦涛,孟庆良.痛风中医病名考辨[J].中医研究,2021,34(6):49-53.
[12] 颜家兴,王茜,朱英,等.中药治疗痛风的作用机制研究进展[J].中国实验方剂学杂志,2021,27(12):226-236.
[13] 张学娅,饶宇东,郭春霞,等.《内经》“阳化气,阴成形”含义探讨[J].辽宁中医杂志,2020,47(4):80-82.
[14] 宋清江,白晓莉,刘红燕.“阳化气,阴成形”与现代医学的代谢观[J].中国中医基础医学杂志,2007(8):572-607.
[15] 裴丽敏,杜武勋,李晓凤.中医气化理论探讨[J].陕西中医,2021,42(11):1586-1590.
[16] 刁崚峰,赵有为,邹前,等.痛风中尿酸异常发生机制的研究进展[J].吉林医药学院学报,2021,42(1):56-58.
[17] 仝小林,刘文科.论膏浊病[J].中医杂志,2011,52(10):816-818.
[18] 卞华,吕芹,韩立,等.论升清降浊理论在痛风中的应用[J].国医论坛,2020,35(6):11-13.
[19] 姜泉.路志正调理脾胃治疗风湿病学术思想传承及临床应用研究[D].北京:中国中医科学院,2012:37.
[20] 张华东,王梓淞,王振兴,等.析“高梁之变”,足生痛风[J].中国中医基础医学杂志,2012,18(10):1075-1076.
[21] 宋菲,吴晶.尿酸代谢过程中相关酶及转运体的研究进展[J].甘肃医药,2018,37(6):484-487.
[22] 杨俊萍.对痛风患者进行科学管理的必要性[J].中国药物与临床,2016,16(1):58-59.
[23] 朱坤智,卢涛,罗张风,等.四肢痛风石外科治疗时机和适应证[J].中国组织工程研究,2021,25(30):4883-4890.
[24] 马利丹,李鑫德,辛颖,等.痛风石形成相关危险因素研究进展[J].中华全科医师杂志,2020,19(6):554-557.
[25] 姜泉.痹病必挟瘀[J].北京中医,1994(5):12-13. |
|
|
|