胡荫奇从"湿浊""热毒""痰瘀"分期论治痛风经验OA

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.