苟磊 叶钊 黄廷荣

    【摘 要】 文章总结了黄廷荣教授基于“脾胃理论”，结合病因病机辨治痛风的经验。其认为痛风发作，脾胃虚弱为本，湿热痰浊为标，治疗当重在“健脾泄浊，清利湿热”。

    【关键词】 痛风； 脾胃虚弱； 辨证论治

    【中图分类号】R249.2；R255.9 【文献标志码】 A【文章编号】1007-8517(2024)04-0071-03

    DOI：10.3969/j.issn.1007-8517.2024.04.zgmzmjyyzz202404014

    The Experience of Treating Gout from Spleen and Stomach

    GOU Lei1 YE Zhao2 HUANG Tingrong2*

    Abstract：Based on the theory of spleen and stomach， this paper summarized Professor Huang Tingrongs experience in treating gout from the perspective of etiology， pathogenesis and syndrome differentiation. Professor Huang emphasized gout attack in clinical diagnosis， weakness of the spleen and stomach as the basis， damp heat phlegm as the standard. The treatment should focus on “strengthening spleen and expelling turbidity， clearing moist heat”.

    Key words：Gout；Weakness of the Spleen and Stomach；Differentiation and Treatment

    痛风是单钠尿酸盐沉积于人体骨关节、肾脏和皮下组织等部位，引起的急、慢性炎症和组织损伤[1]。其病名首次出现在《名医别录·上品》“独活……百节痛风无久新者”[2]中。中医将本病归为“痹症、历节、痛风”等范畴。我院肾病科在黄廷荣教授带领下，经过多年临床，总结出“脾胃虚弱为本，湿热痰浊为标”是痛风发病关键。现从病因病机及施治经验将其论述如下。

    1 病因病机

    从古今医籍论著着眼，《诸病源候论》指出：“历节风之状……亦由血气虚 ......