基于“络病-扶阳\"理论探讨桂枝附子汤对寒湿痹阻型痛风性关节炎的治疗
本文引用:.基于“络病-扶阳\"理论探讨桂枝附子汤对寒湿痹阻型痛风性关节炎的治疗[]湖南中医药大学学报,2025,45(5):945-949.[关键词]痛风性关节炎;痹证;寒湿;桂枝附子汤;扶阳;络病 [中图分类号]R274.9 [文献标志码]A [文章编号]doi:10.3969/j.issn.1674-070X.2025.05.024
[Abstract]Goutyarthritis (GA)falls under the categoryofimpediment patern in Chinese medicine.Withthe deepening explorationofcolateraldiseasetheoryinChinesemedicine,theoccurrenceandprogressionofGAarecloselyrelatedto pathologicalchangesinthecollterals.Byanalyzingthepathogeesisofcold-dampnessimpedimenttypegoutyarthritis (CD-GA)at diferentstagesanditscharacteristicsicollteraldisease,tispaperdiscusesthediseasemechanismsintermsofthehidden pathogenicfactos,collteralobstruction,andcollteraldamage,highlightingatcollteralpathologyservesasthepatological basisofCD-GA,withcoldacompaniedbydampness-turbidityinvasionbeingthekeytrigerBasedonthetheoryof\"collateral disease-fortifyingyang\",thisstudyelucidatesthetherapeuticefectsofGuizhiFuziDecoctionasacoreformulaforfortifyingyang andunblockingcollateralsintreatingCD-GA.Thefollowingmechanismsandtreatmentsareproposedasfollows.Asymptomatic hyperuricemiastage:Pathogenesisinvolvesdampnesslurkinginthecollteralstreatmentfocusesonforifingyangdispeling dampnessandunblockingolaterals;Acutegoutattacksage:Pathogensisinvolespathogenbructingeollteralsreatt prioritizes fortifying yang ......
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