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古恩鹏从"中虚不运"论治痛风性关节炎经验OA

GU Enpeng's Experience in Treating Gouty Arthritis from Theory of"Spleen-stomach Qi Deficiency with Impaired Transformation and Transportation"

中文摘要英文摘要

古恩鹏教授认为痛风性关节炎根于中虚,成痰湿瘀,阻塞经络气血运行,郁而化火,又常因酒毒、鱼蟹毒引发,发作时红肿热痛并见.治疗不外从中焦脾胃入手,中焦运则痰湿瘀除,兼以清热、化瘀;脾气健则后天充,兼以补养肝肾;脾气充则津液输布得道,兼以补气养血,则正气复、邪实除,疾病向愈.以针灸调节经络,促中焦脾胃运化、化痰湿瘀,以外敷清热消肿止痛,以饮食调节机体失衡状态预防复发,理法充备,疗效甚佳.附验案1则.

Professor GU Enpeng believes that gouty arthritis is rooted in the deficiency of the spleen and stomach,resulting in phlegm,dampness and blood stasis,which blocks the circulation of qi and blood in the meridians,leading to stagnation and internal heat.It is often triggered by alcohol toxicity,fish and crab toxicity.During an attack,redness,swelling,heat and pain are present simultaneously.The treatment should start from the spleen and stomach in the middle Jiao.When the middle Jiao is active,phlegm,dampness and blood stasis will be eliminated,and it is also necessary to clear heat and remove blood stasis.When the spleen is healthy,the acquired qi will be sufficient.It is also necessary to nourish the liver and kidneys.When the spleen qi is abundant,the distribution of body fluids is in a proper way.Coupled with the tonification of qi and nourishment of blood,the body's healthy qi is restored,pathogenic factors are eliminated,and diseases tend to heal.Acupuncture is used to regulate meridians,promote the transfor-mation and transportation of the spleen and stomach in the middle Jiao,and resolve phlegm,dampness and blood stasis.External application is used to clear heat,reduce swelling and relieve pain.Diet is used to regulate the imbalance of the body and prevent recurrence.With sufficient principles and methods,the therapeutic effect is excellent.One test case is selected for analysis.

刘旺鑫;潘志铖;张起;段立强;古恩鹏

天津中医药大学第二附属医院,天津 300150天津市滨海新区中医医院/天津中医药大学第四附属医院,天津 300450天津市滨海新区中医医院/天津中医药大学第四附属医院,天津 300450天津市滨海新区中医医院/天津中医药大学第四附属医院,天津 300450

医药卫生

痛风性关节炎病因病机中虚不运中焦脾胃治疗名医经验

gouty arthritisetiology and pathogenesisspleen-stomach qi deficiency with impaired transformation and transportationthe spleen and stomach in the middle Jiaotreatmentfamous doctors' experience

《山东中医杂志》 2026 (1)

78-82,5

古恩鹏天津市名中医传承工作室建设项目天津市教委科研计划项目(编号:2023KJ172)天津市卫生健康委员会科研课题(编号:2023198)天津市卫生健康科技项目(编号:TJWJ2022QN107)天津市卫生健康科技项目(编号:2016BWKL001)

10.16295/j.cnki.0257-358x.2026.01.015

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