北京中医药2026，Vol.45Issue(2)：222-226,5.DOI:10.16025/j.1674-1307.2026.02.013
胡荫奇从"湿浊""热毒""痰瘀"分期论治痛风经验
HU Yinqi's experience of treating gout by stages from"dampness turbidity""heat toxin"and"phlegm stasis"
摘要
Abstract
Professor HU Yinqi considers"damp turbidity","heat toxin",and"phlegm stasis"to be the key pathological factors in the development of gout.According to disease progression,gout is divided into four stages:the acute attack stage,the intermittent stage,chronic gouty arthritis,and gouty nephropathy.Professor HU proposes the academic principle of"integrating disease and syndrome,taking the disease as the primary framework,and implementing stage-based treatment".In clinical practice,during the acute attack stage,treatment should focus on clearing heat and promoting diuresis,removing toxin,and activating blood circulation,using a modified Qingli Huoxue Jiedu Decoction.During the intermittent stage,therapy should aim to dry dampness and strengthen the spleen,resolve phlegm,and eliminate turbidity,using a modified Gout Formula No.2.In the stage of chronic gouty arthritis,treatment should focus on eliminating dampness and draining turbidity,resolving phlegm,and dispersing blood stasis,using a modified combination of Simiao Powder and Taohong Siwu Decoction.In the stage of gouty nephropathy,treatment should aim to strengthen the spleen and tonify the kidney,resolve dampness,and dredge the collaterals,using a modified combination of Shenqi Dihuang Decoction and Simiao Powder.Professor HU also emphasizes the use of empirical herb pairs,such as Fraxini Cortex-Smilacis Glabrae Rhizoma,Cremastrae Pseudobulbus Pleiones Pseudobulbus-Cynanchi Paniculati Radix et Rhizoma,and Dioscoreae Rhizoma-Corni Fructus,which act synergistically to enhance therapeutic efficacy.关键词
痛风/分期论治/胡荫奇/名医经验Key words
gout/treatment by stages/HU Yinqi/experience of famous doctor引用本文复制引用
王天鸽,聂静,刘燊仡..胡荫奇从"湿浊""热毒""痰瘀"分期论治痛风经验[J].北京中医药,2026,45(2):222-226,5.基金项目
北京中医药薪火传承"新3+3"胡荫奇"三名"传承工作室 （）
中国中医科学院科技创新工程(CI2021A01504) （CI2021A01504）
