| 焦东方1，刘爱华2*.基于下法探讨痛风的治疗[J].南京中医药大学学报(社会科学版),2017,33(3):226-227. |
| 基于下法探讨痛风的治疗 |
| Discussion on Treatment of Gout Based on Purgation Method |
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| DOI： |
| 中文关键词: 痛风 下法 分期辨治 |
| 英文关键词: gout purgation method treatment differentiation based on stages |
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| 中文摘要: |
| 基于下法探讨痛风的病机及辨治思路，认为该病病理演变过程可概括为湿、热、痰、瘀、虚五个方面，而痰、瘀是决定病情轻重、预后好坏的关键，是痛风病理演变的必然。急性发作期予以清下之法以清热利湿解毒；反复发作期法宜辛开苦泄，豁痰祛瘀通络；缓解期治宜补其虚而通其滞，以通为补，升清降浊。 |
| 英文摘要: |
| To study the pathogenesis， syndrome differentiation and treatment thoughts of gout based on the purgation method. It is believed that the pathologic evolution of gout can be summarized as five aspects including dampness， heat， phlegm， stasis and deficiency. And phlegm and stasis are the key aspects that determine the severity and prognosis of the disease， which are the unavoidable outcomes of the pathological changes of gout. Clearing and purging method is used in the acute stage to clear heat， dispel the heat and dampness and detoxicate the toxin. Acrid opening and bitter downbearing method is applicable to the recurrent stage， to remove phlegm and blood stasis as well as to dredge meridians and collaterals. Tonifying the deficiency and dredging the stagnation are suitable to the remission stage to ascend lucidity and descend turbidity， for the dredging method can be known as tonification. |
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