基于清浊相干理论探析针刺治疗痛风性肾病临证思路

[中图分类号］R249 [文献标志码］A [文章编号]0256-7415（2026）07-0083-06

DOI：10.13457/j.cnki.jncm.2026.07.014

Analysis of Clinical Strategies for Acupuncture Treatment of Gouty Nephropathy Based on the Clear-Turbid Interference Theory

ZHANG Longlin1，²，TAN Fengzhi1，²，YU Min 2 ， LUO Ao²

1.GraduateSchol，GuangzhouUniverstyofChineseMedicine，GuangzhouGuangdong510o6，China；2.DepartmentofRheuatology， Chongqing Hospital，TheFirstAffliated HospitalofGuangzhou UniversityofChineseMedicine，Chongqing 407oo，China

Abstract：The concept of "clear-turbid interference"is an ancient Chinese medical summary of pathological changes in which the metabolism of clearand turbid substances becomes disordered，leading to dysfunction in the qi movement.From the perspective of "clear-turbid interference，"the treatment of gouty nephropathy is considered to stemfrom thebasic pathogenesis of impaired spleen and kidney function，resulting in disordered metabolismof clear and turbid substances.The pathological products include dampness，turbidity，phlegm，and stasis，which are categorizedas turbid pathogenic factors.Basedon the holisticviewandsyndrome diferentiation principlesof traditional Chinese medicine，the treatmentemphasizes thetherapeutic principles of lifting the clear and lowering the turbid and regulating theqi movement.Acupuncture focuses on key points：Zhongwan（CV12） point，Tianshu （ST25） point， Guanyuan（CV4）point，and Zhongji （CV3）point to tonify the spleen and kidneyand lift the clear；Dadu（SP2） point，Taibai （SP3）point，Rangu（KI2）point，and Taixi （KI3）point to clear damp-heat and lower the turbid；and Xuehai（SP1O）point，Geshu（BL17）point，and Ashi points to assist in the ascending and descending functions.This comprehensive approach addresses both the root cause and the symptoms，combining tonificationand elimination methods，thereby promoting the ascentofclear yang，descent of turbid yin，and overallregulationof qi movement.

Keywords：Gouty nephropathy；Clear-turbid interference；Lifting the clear and lowering the turbid; Acupuncture treatment

痛风性肾病（GN）又称高尿酸血症肾病、慢性尿酸性肾病，是指血尿酸产生过多，和（或）排泄减少，导致尿酸晶体沉积于远端小管及肾间质激活氧化应激反应、炎症、纤维化等途径，导致肾功能损害。（剩余9436字）