中医治疗痛风性关节炎研究进展
Research Progress in TCM Treatment of Gouty Arthritis

痛风性关节炎(GA)主因血尿酸水平过高导致单钠尿酸结晶沉积在关节内、肾小管管腔或间质中而引发相关部位急性、疼痛性炎症；病因病机主要以湿热内蕴、痰瘀阻络、肝肾亏虚为主；病变部位主要累及筋骨、经脉、小关节、大关节；主要表现为受累关节在急性发作期的红肿热痛，屈伸困难，活动程度受限，且容易反复发作，继而影响患者日常生活；治疗方案主以口服药物控制尿酸波动水平。在GA的治疗过程中其预防重于治疗，中医治疗措施可以在GA发病的整个过程中进行干预治疗。中医治疗手段较多，且安全性高，操作过程简便、创伤低、治疗费用低且少有因内服药物后导致的胃肠道不良反应。现就中医疗法在临床中的应用进行综述。
Gouty arthritis (GA) is mainly due to the high blood uric acid level, leading to the deposition of monosodium uric acid crystals in the joint, renal tubular lumen or interstitium, and causes acute and painful inflammation in related parts; the pathogenesis mainly contains dampness and heat, phlegm and blood stasis, liver and kidney deficiency; the pathological site mainly involves muscles, meridians, small joints, large joints. The main manifestations are the redness, swelling, heat and pain of the affected joints in the acute attack period, flexion and extension difficulties, limited de-gree of activity, and easy to repeated attacks, and then affect the daily life of patients. The main treatment regimen is oral medication to control uric acid fluctuation levels. In the whole process of GA treatment, its prevention is more important than treatment, and TCM treatment measures can be intervened in the whole process of GA onset. TCM has many treatment methods, high safety, sim-ple operation process, low trauma, low treatment cost, and few gastrointestinal adverse reactions caused by internal administration of drugs. The application of traditional Chinese medicine therapy in clinical practice is summarized now.