分期论治痛风性关节炎经验总结

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[中图分类号]R249；R259 [文献标志码］A [文章编号]0256-7415（2025）12-0226-04

DOl：10.13457/j.cnki.jncm.2025.12.042

Summary of CHEN Haiyun's Experience in Staged Treatment for Gouty Arthritis

LINZihan1，CHEN Haiyun²

1.GuangzhouUniversityofChineseMedicine，GuangzhouGuangdong510oo6，China；2.GuangdongProvincialHospitalofChinese Medicine，Guangzhou Guangdong 510120，China

Abstract：DirectorCHEN Haiyun believes that goutyarthritisis characterized bythedeficiencyattherootand excessat the branch.Theprimary pathogenesis involves the pathological factors of damp-heat，phlegm-turbidity，and blood stasis-toxins infiltrating the joints，obstructingthe meridianandvesels，and causing thedisease.Director CHEN Haiyun proposes a staged treatment approach for goutyarthritis，dividing it into acute and chronic remission phases.During the acutephase，thecondition is often marked by turbid-stasis transforming into heat；the main treatment principles are to dissolve turbidity，remove stasis，andclear damp-heat.Commonlyused herbs inthis phase include Achyranthis Bidentatae Radix，Smilacis Glabrae Rhizoma，Coicis Semen，Cremastrae Pseudobulbus Pleiones Pseudobulbus，Atractylodis Rhizoma，Phellodendri Chinensis Cortex，Eupolyphaga Steleophaga，and Pheretima.In thechronicremisionphase，thecondition isoften characterized bysyndromeof spleen deficiencywith excessive dampnessand spleen-kidney yang deficiency.The treatment typicall involves the modified Shenling Baizhu Powder.

Keywords：Gouty arthritis；Staged treatment；Shenling Baizhu Powder；CHEN Haiyun

痛风性关节炎是单钠尿酸盐沉积所致的关节病，与嘌呤代谢紊乱和尿酸排泄减少所致的高尿酸血症直接相关，严重者可出现关节残疾和肾功能不全。（剩余6014字）