中国中医骨伤科杂志2026，Vol.34Issue(1)：61-66,6.DOI:10.20085/j.cnki.issn1005-0205.260109
基于"湿盛阳微"理论的痛风性关节炎病机演变与分期论治
Pathogenesis Evolution and Staging Treatment of Gouty Arthritis Based on the Theory of"When Damp Prevails,Yang Declines"
摘要
Abstract
Gouty arthritis is a metabolic inflammatory disease caused by urate deposition.It is clinically characterized by severe joint pain,swelling,and fever.This paper thoroughly discusses the theory of"When damp prevails,Yang declines",and systematically analyzes the etiology,pathogenesis and staged treatment of gouty arthritis based on this theory.The ar-ticle holds that the dysfunction of transportation and transformation in the middle Jiao and the endogenous dampness are the basis of the disease,the failure of Yang Qi and the resulting turbid retention are the central pathogenic links,and pro-longed disease leading to collateral involvement,as well as the congealing of phlegm and blood stasis,represents the final outcome.Based on this,the treatment principles of regulating middle Jiao,clearing dampness-heat,and unblocking meridi-ans and collaterals are proposed.The purpose of this paper is to systematically explain the pathogenesis and evolution of gouty arthritis based on the theory of"When damp prevails,Yang declines",in order to provide new theoretical support and clinical strategies for TCM syndrome differentiation and individualized treatment of gouty arthritis.关键词
湿胜/阳微/痛风性关节炎/病机/中医治疗/分期论治Key words
dampness overabundance/Yang weakness/gouty arthritis/pathogenesis/traditional Chinese medicine treatment/staged treatment分类
医药卫生引用本文复制引用
马玮玮,李华南,况君,黄鑫,胡烈奎,孙伟康,邵子晨..基于"湿盛阳微"理论的痛风性关节炎病机演变与分期论治[J].中国中医骨伤科杂志,2026,34(1):61-66,6.基金项目
国家自然科学基金项目(82060871,82560945)江西省自然科学基金重点项目(20232ACB206051)赣鄱俊才支持计划-主要学科学术和技术带头人培养项目-领军人才(学术类)(20243BCE51009)国家中医优势专科(骨伤科)建设项目(赣财社指[2024]39号)中医优势专病专科项目-痛风(赣中医药综合字[2024]4号)痹症重点研究室项目(赣中医药科教字[2022]8号) （82060871,82560945）
