摘要
总结顾宁教授从水道理论辨治高尿酸血症(HUA)的学术思想和临证经验,认为水道是由三焦所疏通、多脏器协同参与调控、主管津液代谢的通路,人体内津液代谢后产生的浊水通过水道排出体外。基于水道理论,顾宁教授认为HUA的病因病机为外感六淫、内伤七情导致脏腑失调,水道不利,以湿浊为患、变生诸证为病机关键。并据此提出化湿降浊法治疗HUA的临证思路,将经典名方四妙散与五苓散进行合方化裁,创制化湿降浊方,为HUA治疗提供新的诊疗思路和理论依据。
This paper summarizes the academic thought and clinical experience of Professor Gu Ning in diagnosing and treating hyperuricemia(HUA)based on the Waterway Theory.He proposes that the waterway is a pathway regulated by the Sanjiao and multiple organs,responsible for body fluid metabolism,and that turbid fluids produced after metabolism must be excreted through this pathway.Based on the Water Theory,Professor Gu Ning proposes that the pathogenesis of HUA involves dysfunction of the organs and impaired waterway due to external exposure to the six exogenous pathogens or internal injuries from the seven emotions.The key pathological mechanism lies in the accumulation of dampness-turbidity,which subsequently gives rise to various syndrome patterns.Professor Gu Ning developed a therapeutic strategy of eliminating dampness and reducing turbidity for HUA based on the Waterway Theory.By combining and modifying two classical prescriptions,Simiao San and Wuling San,he formulated the Huashi Jiangzhuo Formula,offering a novel diagnostic and therapeutic approach as well as a theoretical foundation for the treatment of HUA.
作者
赵晨旭
柴江丽
顾宁
陈志亮
ZHAO Chenxu;CHAI Jiangli;GU Ning;CHEN Zhiliang(Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Nanjing 210022,China)
出处
《南京中医药大学学报》
北大核心
2025年第9期1232-1239,共8页
Journal of Nanjing University of Traditional Chinese Medicine
基金
第四批江苏省名老中医药专家传承工作室建设项目(苏中医科教〔2021〕7号)
南京中医药青年人才项目(ZYQ20027)
第六批南京市老中医药专家学术经验继承项目(宁卫中医〔2024〕6号)
南京市医疗机构中药传统制剂研究项目(NJCC-ZJ-202315)。
关键词
高尿酸血症
水道
化湿降浊方
湿浊
名医经验
hyperuricemia
waterway
Huashi Jiangzhuo Formula
dampness-turbidity
famous doctor’s experience
