分期論治痛風(fēng)性關(guān)節(jié)炎經(jīng)驗(yàn)總結(jié)

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[中圖分類號(hào)]R249；R259 [文獻(xiàn)標(biāo)志碼］A [文章編號(hào)]0256-7415（2025）12-0226-04

DOl：10.13457/j.cnki.jncm.2025.12.042

Summary of CHEN Haiyun's Experience in Staged Treatment for Gouty Arthritis

LINZihan1，CHEN Haiyun2

1.GuangzhouUniversityofChineseMedicine，GuangzhouGuangdong510oo6，China；2.GuangdongProvincialHospitalofChinese Medicine，Guangzhou Guangdong 510120，China

Abstract：DirectorCHEN Haiyun believes that goutyarthritisis characterized bythedeficiencyattherootand excessat the branch.Theprimary pathogenesis involves the pathological factors of damp-heat，phlegm-turbidity，and blood stasis-toxins infiltrating the joints，obstructingthe meridianandvesels，and causing thedisease.Director CHEN Haiyun proposes a staged treatment approach for goutyarthritis，dividing it into acute and chronic remission phases.During the acutephase，thecondition is often marked by turbid-stasis transforming into heat；the main treatment principles are to dissolve turbidity，remove stasis，andclear damp-heat.Commonlyused herbs inthis phase include Achyranthis Bidentatae Radix，Smilacis Glabrae Rhizoma，Coicis Semen，Cremastrae Pseudobulbus Pleiones Pseudobulbus，Atractylodis Rhizoma，Phellodendri Chinensis Cortex，Eupolyphaga Steleophaga，and Pheretima.In thechronicremisionphase，thecondition isoften characterized bysyndromeof spleen deficiencywith excessive dampnessand spleen-kidney yang deficiency.The treatment typicall involves the modified Shenling Baizhu Powder.

Keywords：Gouty arthritis；Staged treatment；Shenling Baizhu Powder；CHEN Haiyun

痛風(fēng)性關(guān)節(jié)炎是單鈉尿酸鹽沉積所致的關(guān)節(jié)病，與嘌呤代謝紊亂和尿酸排泄減少所致的高尿酸血癥直接相關(guān)，嚴(yán)重者可出現(xiàn)關(guān)節(jié)殘疾和腎功能不全。（剩余6014字）