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张喜奎教授辨治痛风经验浅析
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中医药学报 | 临证体会 2026,54(1): 58-61
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中医药学报 |临证体会 2026 , 54 (1) : 58 -61
张喜奎教授辨治痛风经验浅析
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付国群1,2, 张喜奎1,2, 范秋梦1,2
作者信息
    1 福建中医药大学附属第二人民医院,福建 福州 350003;
    2 福建中医药大学,福建 福州 350122
通讯作者:
* 张喜奎(1963-),男,博士,主任医师,博士生导师,研究方向:肾脏病中医防治规律研究。
作者简介:
付国群(1997-),女,硕士研究生,研究方向:肾脏病中医防治规律研究。
Analysis of Professor Zhang Xikui's Experience in Distinguishing and Treating Gout
  • FU Guoqun1,2, ZHANG Xikui1,2, FAN Qiumeng1,2
  • Affiliations
      1 The Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou 350003, China;
      2 Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China
    doi: 10.19664/j.cnki.1002-2392.260011
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    本文旨在介绍张喜奎教授辨治痛风经验,其在痛风发作期,投以白虎加桂枝汤,佐入清热利湿、凉血解毒、通利关节之品;在痛风缓解期,投以补气通络方,佐入化痰行瘀、通阳凉营、散结开络、健脾益肾之品。另外,依痛势及病程,灵活合用芍药甘草汤;根据热、湿、痰、瘀、虚之轻重,调整治法及用药;并强调药当守恒,重视生活调摄。
    痛风  /  辨证论治  /  化裁诸法
    This article is intended to introduce Professor Zhang Xikui's experience in diagnosing and treating gout. In the acute stage of gout, Baihu and Guizhi decoction is prescribed, supplemented with herbs that clear heat and eliminate dampness, cool blood and detoxify, and promote joint circulation. In the remission stage of gout, the formula for tonifying qi and unblocking collaterals is prescribed, supplemented with herbs that reduce phlegm and remove blood stasis, promote yang and cool the blood, resolve nodules and open collaterals, and invigorate the spleen and kidneys. According to the severity of pain and the course of the disease, the Shaoyao Gancao decoction is flexibly combined. Based on the severity of heat, dampness, phlegm, blood stasis, and deficiency, the treatment methods and medications are adjusted. It is also emphasized that the medication should be consistent and attention should be paid to lifestyle regulation.
    Gout  /  Syndrome differentiation and treatment  /  Methods of formula modification
    付国群, 张喜奎, 范秋梦. 张喜奎教授辨治痛风经验浅析. 中医药学报, 2026 , 54 (1) : 58 -61 . DOI: 10.19664/j.cnki.1002-2392.260011
    FU Guoqun, ZHANG Xikui, FAN Qiumeng. Analysis of Professor Zhang Xikui's Experience in Distinguishing and Treating Gout[J]. Acta Chinese Medicine and Pharmacology, 2026 , 54 (1) : 58 -61 . DOI: 10.19664/j.cnki.1002-2392.260011

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    doi: 10.19664/j.cnki.1002-2392.260011
    • 接收时间:2024-10-09
    • 首发时间:2026-09-09
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    2种不同金属材料的力学参数

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    Number of
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    种数
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    species (%)
    鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
    小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
    多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
    红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
    小菇属 Mycena 11 5.26
    光柄菇属 Pluteus 5 2.39
    红菇属 Russula 17 8.13
    栓菌属 Trametes 5 2.39
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