痛風的中醫治療與保健

出處: 北台灣中醫醫學雜誌 ； 5卷2期 (2013 / 12 / 01)  pp.13 - 24

中文摘要

痛風是血中尿酸濃度過高，引起尿酸鈉鹽結晶沉積於關節、軟骨、滑液囊、肌腱或軟組織中的一種發炎性疾病。痛風患者的自然病程及臨床表現大致可以分為下列四個階段：無症狀高尿酸血症、急性痛風性關節炎、慢性痛風石關節炎、痛風性腎病變。不同的階段，中醫皆有其不同之治療方式，如急性期的濕熱痹證，慢性痛風石的化痰散瘀、軟堅散結，痛風性腎病變則以補腎活血佐以清利濕熱之法。高尿酸血症雖然是導致痛風的最重要因素，但是大約有90%高尿酸血症的人終生不發病，只有約10%的人會成為痛風患者，根據此點，我們可以推論出日常生活保健對於預防痛風發作是非常重要的，若能按照本篇所載注意事項確實執行，絕大多數痛風患者都可以得到良好的控制，對於痛風的防治有著重大的價值。

英文摘要

Gout is a inflammatory disease caused by deposition of monosodium urate crystals within joints, cartilage, bursa, tendon and soft tissue after hyperuricaemia. The natural history of patients with gout and clinical manifestations can be divided into the following four stages: Asymptomatic Hyperuricemia, Acute Gouty Arthritis, Chronic Tophaceous Gout, Gouty nephropathy. Chinese medicine have different treatments according to different stage. For example, acute gouty arthritis is treated as damp-heat pattern. Chronic tophi is treated as transforming phlegm and stasis, softening hardness and dispersing accumulations. Gouty nephropathy is treated as supplementing kidney and transforming stasis, clear heat and dispelling dampness. Although hyperuricemia is the most important factor causes gout, but about 90 percent of people hyperuricemia life without the disease, only about 10% of people will become gout. On the basis of this, we can infer that daily health care for the prevention of gout is very important. If we can indeed perform according to items contained in this article. The vast majority of patients with gout can be well controlled. For the prevention and treatment of gout has great value.