长春中医药大学学报2026，Vol.42Issue(8)：883-886,4.DOI:10.13463/j.cnki.cczyy.2026.08.001
仝小林"独藏"辨识治疗痛风性关节炎
Treatment of gouty arthritis through identification of the only core symptom hidden in many symptoms by Tong Xiaolin
摘要
Abstract
The clinical manifestations of gouty arthritis are complex.If treatment is based only on joint redness,swelling,heat,and pain,it may be limited to the damp-heat signs of the attack stage.In this case,the patient has recurrent gouty arthritis with aversion to cold,dysuria,and sublingual collateral stasis,while multiple tophi are especially prominent.Tophi are tangible signs of long-standing latent cold-dampness and congealed turbidity-stasis,and their frequent occurrence indicates deeper retention of cold-dampness pathogens and more extensive conglutination.Therefore,"multiple tophi"are identified as the Du Cang symptom.By recognizing dampness through the stones and seeking yang through dampness,the core pathogenesis is clarified as long-standing cold-dampness and impaired yang qi transformation as the root,with constrained heat,toxin accumulation,and turbidity-stasis congealing into stones as the branch.The treatment focuses on eliminating dampness and dissolving stones,warming yang to dispel cold,and activating blood circulation to unblock collaterals.The prescription uses modified Sanjin Huashi Decoction combined with herbs that warm yang,resolve dampness,activate blood,and dissipate masses.This therapy shows significant efficacy.关键词
痛风性关节炎/三金化石汤/独藏/仝小林Key words
gouty arthritis/Sanjin Huashi Decoction/Du Cang/Tong Xiaolin分类
医药卫生引用本文复制引用
常永龙,刘源鸿,林源,许圣贤,王涵..仝小林"独藏"辨识治疗痛风性关节炎[J].长春中医药大学学报,2026,42(8):883-886,4.基金项目
中国科协青年人才托举工程项目(CACM-2024-[2024-QNRC1-01]) （CACM-2024-[2024-QNRC1-01]）
国家自然科学基金项目(82305192) （82305192）
北京中医药大学壶天客座教授科研启动经费资助(2023-XJ-KYQD-006) （2023-XJ-KYQD-006）
长春中医药大学附属医院医学中心建设基金项目(DXZX-02-01) （DXZX-02-01）
