[1]邓志军,杨文龙,李典,等.杨凤云教授治疗旴江流域痛风性关节炎的经验[J].中医正骨,2023,35(05):64-67.
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杨凤云教授治疗旴江流域痛风性关节炎的经验()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期数:
2023年05期
页码:
64-67
栏目:
名老中医经验菁华
出版日期:
2023-05-20

文章信息/Info

作者:
邓志军1杨文龙2李典1赵斌1胡学文1
(1.江西中医药大学研究生院,江西 南昌 330004; 2.江西中医药大学附属医院,江西 南昌 330006)
关键词:
关节炎痛风性 湿热 旴江流域 鸡蛇汤 痛风清消饮 名医经验
摘要:
旴江流域高温潮湿、高压闷热,当地居民喜食肥甘厚腻。对于旴江流域痛风性关节炎(gouty arthritis,GA),杨凤云教授提出,“湿、热、毒、瘀”在该病的发生及演变过程中起着重要作用; 其病机主要为湿热外侵内蕴,气血痹阻化生浊毒,由实转虚至虚实夹杂; 证型多见“湿热蕴结”“瘀热互结”等热证。在临床上治疗GA时,杨凤云教授遵循“急则治其标,缓则治其本”的原则,重视对“湿、热、毒、瘀”的干预,强调病证结合; 对急性期GA采用清热祛湿、化瘀通络之法治疗,而对缓解期GA则采用益气活血、固中健脾之法治疗。本文对杨凤云教授治疗旴江流域GA的经验进行了总结。

参考文献/References:

[1] LUO Z,YANG F,HONG S,et al.Role of microRNA alternation in the pathogenesis of gouty arthritis[J].Front in Endocrinol,2022,13:967769.
[2] TAO H,MO Y,LIU W,et al.A review on gout:looking back and looking ahead[J].Int Immunopharmacol,2023,117:109977.
[3] 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):4883-4889.
[4] 陈兆军,梁欢,马玉峰,等.痛点超声电导透射清热利湿方药治疗急性痛风性关节炎湿热瘀结证[J].中医正骨,2021,33(12):48-50.
[5] CAO J F,YANG X Y,XIONG L,et al.Exploring the mechanism of action of dapansutrile in the treatment of gouty arthritis based on molecular docking and molecular dynamics[J].Front Physiol,2022,13:1828.
[6] YANAI H,ADACHI H, HAKOSHIMA M,et al.Molecular biological and clinical understanding of the pathophysiology and treatments of hyperuricemia and its association with metabolic syndrome,cardiovascular diseases and chronic kidney disease[J].Int J Mol Sci,2021,22(17):9221.
[7] 中国中西医结合学会风湿类疾病专业委员会.痛风及高尿酸血症中西医结合诊疗指南[J].中医杂志,2023,64(1):98-106.
[8] 贾萍,陈刚,杨娟,等.四妙丸对大鼠痛风性关节炎发展的影响及调控巨噬细胞极化研究[J].中华中医药杂志,2022,37(6):3498-3502.
[9] DONG L,ZHANG S,CHEN L,et al.In vivo anti-hyperuricemia and anti-gouty arthritis effects of the ethanol extract from[J].Biomed Pharmacother,2023,161:114532.
[10] 谢强,周思平,黄冰林.旴江流域及旴江医学地域分布今考[J].江西中医学院学报,2012,24(6):11-14.
[11] 周步高,何晓晖,潘源乐,等.试论旴江医学对中医学发展的贡献和价值[J].中华中医药杂志,2022,37(3):1254-1257.
[12] 谢强,章德林,黄冰林.旴江医派志略(续三)[J].江西中医药,2019,50(11):3-7.
[13] 李钦才,章德林.江医学《寿世保元》治疗痛风经验探析[J].江西中医药,2021,52(6):5-7.
[14] 丁兆辉,万丽玲.以三因制宜观浅探江西地区湿热咳嗽易感性[J].江西中医药,2014,45(3):10-11.
[15] 朱震亨.格致余论[M].北京:人民卫生出版社,2005:15.
[16] 张亚楠,谢晨,李建民.李建民教授治疗慢性肾脏病合并高尿酸血症的临证经验[J].中国中西医结合肾病杂志,2020,21(8):666-669.
[17] 李君霞,王茂杰,黄闰月,等.痛风中医证型的研究进展[J].中华中医药学刊,2018,36(12):2956-2958.
[18] 章晓云,曾浩,李华南,等.痛风性关节炎的发病机制及中医药治疗研究进展[J].中国实验方剂学杂志,2022,28(11):256-267.
[19] 张涵雨,李艳.国医大师李济仁治疗痹病用药规律分析[J].中医学报,2020,35(1):99-104.
[20] 王丽华,曾文泓,梅鸥,等.杨凤云教授辨治急性痛风性关节炎经验[J].医学信息,2020,33(22):161-162.
[21] 李华南,贾蒙,彭伟雄,等.邓运明教授固中清消法治疗痛风学术思想研究[J].时珍国医国药,2019,30(6):1493-1495.
[22] 李华南.邓运明教授学术思想传承研究及其治疗痛风性关节炎经验总结[D].南京:南京中医药大学,2015.

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备注/Memo

备注/Memo:
基金项目:全国名老中医药专家传承工作室建设项目(国中医药人教函〔2022〕75号); 江西省科技计划项目(20212BCG74004); 江西省中医药管理局重点研究室、临床研究基地建设项目(2020ZGJ01) 通讯作者:杨文龙 E-mail:y378759501@163.com
更新日期/Last Update: 1900-01-01