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中西整合醫學雜誌

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篇名 丹溪論痛風證之治病思想
卷期 5:1
並列篇名 Thought of Dan-Xi Ju on Treating Tong-Feng Zheng
作者 楊文沛陳榮洲
頁次 53-61
關鍵字 朱丹溪痛風痺證二妙散上中下通用痛風丸Dan-XisTong-FengBi-zhengEr-Miao-SanShang-Jung-Shia-Tong-Feng-Wan
出刊日期 200312

中文摘要

痛風之名,始於金元時代醫家李東垣,詳論於朱丹溪,當時丹溪封於痛風的定羲是四肢百節走痛,是廣羲的關節疾病,古多以痺證、白虎、歷節風名之,而現代醫學之痛風,則系專指嘌吟代謝紊亂,高尿酸血症所引發的“痛風性關節炎”,所以病名雖同,定羲則異。丹溪論痛風,提出了痰、風熱、風灦、血虛等病因,並認爲血虛火盛,血熱瘀凝爲痛風證病的主要病機,故治療上主辛熱之劑流散寒濕以治其標,以養血清熱以治其本,並創製二妙散,上中下通用痛風丸等著名方劑。

英文摘要

The name of disease pattern "Tong-feng" was mentioned firstly by Li-Dong-Yuan, who was a physician at Jin-Yuan Dynasty in China. The treatment of Tong-feng zheng was detail discussion by Dan-Xi Ju. The definition of Tong-Feng zheng by Dan-Xi’s concept was arthralgia in extremities. It is a broad meaning of joint disease. In ancient age, Tong-Feng zheng had an another names of Bi-Zheng or white tiger or joint-running wind. The modern medicine, the name of "gout" is purine metabolism disturbance which induced gouty arthritis resulted from hyperuricaemia. The Chinese word of Tong-feng zheng is the same as gout, but both the definition is different. Ju's thinking process that the etiology of Tong feng zheng resulted from phlegm, wind-heat, wind-dampness and blood vacuity. He though that blood vacuity and fire preponderance as well as blood heat with stasis were main mechanism of Tong-feng zheng attack. He used the acrid hot herbs to expelling cold-damp and used the way of nourishing the blood and clearing heat to treat the main cause. On the other hand, he created some famous formulas of Er-Miao San and Shang-JungShia Tong Feng Wan etc.

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