中医辨证方剂治疗高尿酸血症的研究进展*
作者：柏胜男1，汪孟曦2，甘 莹1，姚 宏1，胡 晓1，柏超男1，党艳欣3
单位：1.黑龙江中医药大学附属第三医院，黑龙江 哈尔滨 150036； 2.黑龙江省海员总医院，黑龙江 哈尔滨 150000； 3.黑龙江中医药大学附属第四医院，黑龙江 哈尔滨 150070
引用：引用：柏胜男，汪孟曦，甘莹，姚宏，胡晓，柏超男，党艳欣.中医辨证方剂治疗高尿酸血症的研究进展[J].中医药导报,2025,31(7):121-124,129.
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摘要：针对高尿酸血症的中医病因病机及中医辨证方剂（单药、复方）治疗进行综述。高尿酸血症病因包括禀赋不足、饮食不节、劳倦过度、外邪侵袭等，主要病机在于脾肾等脏腑亏虚，代谢紊乱，形成痰湿并使血脉瘀阻，日久则酿生痰浊而发病，属本虚标实之证，其中本虚包括脾肾亏虚、肝肾阴虚，标实为湿痰、痰瘀。治疗时要依据患者体质、症状表现、病因病机或经络等方面进行中医辨证才能取得理想疗效。
关键词：高尿酸血症；中医辨证；方剂；综述
Abstract：
This study
provides a review of the etiology and pathogenesis of hyperuricemia in
traditional Chinese medicine, as well as the treatment of TCM syndrome
differentiation formulas (single drug, compound), in order to provide reference
for clinical application. The causes of hyperuricemia include insufficient
endowment, irregular diet, excessive fatigue, and invasion of external
pathogens. The main pathogenesis lies in the deficiency of organs such as
spleen and kidney, metabolic disorders, the formation of phlegm-dampness, and
blood stasis. Over time, phlegm turbidity is produced and the disease occurs,
which belongs to the syndrome of deficiency in essence and deficiency in
excess. Among them, deficiency in essence includes deficiency in spleen and
kidney, deficiency in liver and kidney yin, and deficiency in excess of
dampness-phlegm and phlegm-stasis. TCM syndrome differentiation and treatment
based on the patient's constitution, symptom manifestations, etiology and pathogenesis,
or meridians can achieve ideal therapeutic effects.
Key words：hyperuricemia; TCM syndrome differentiation; formula; review
发布时间：2026-01-06
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