Abstract:

Gouty arthritis (GA), as a common and complex type of arthritis, has a high incidence rate and an increasing prevalence trend worldwide. It is a public health issue that seriously affects human health and quality of life. Traditional Chinese medicine, as a precious treasure of our traditional medicine, classifies GA under categories such as "arthritis", "gout", and "joint deformity". Its occurrence is closely related to external pathogenic factors such as wind, cold, dampness, and heat, as well as internal factors such as improper diet, fatigue, and emotional disturbances. The pathogenesis mainly involves the accumulation of dampness and heat, the intermingling of phlegm and blood stasis, and the deficiency of the spleen and kidney. Treatment emphasizes syndrome differentiation and treatment based on individual conditions, and places great emphasis on the holistic concept and individualized therapy. Dr. Li Ruichun, a practicing traditional Chinese medicine physician for over three decades, has accumulated rich and unique clinical experience in GA treatment. He adheres to traditional Chinese medical theories and combines modern medical research results to develop a systematic and effective GA diagnosis and treatment plan. This article reviews the clinical experience of Dr. Li Ruichun, a traditional Chinese medicine specialist, in treating GA. It covers the understanding of the causes and pathogenesis of GA, as well as the staged treatment in the acute and remission phases. The aim is to provide reference for traditional Chinese medicine practitioners and promote the application of traditional Chinese medicine in the prevention and treatment of GA.

Key words:

Gouty arthritis, Li Ruichun, Experience of famous doctor

摘要：

痛风性关节炎（GA）作为一种常见且复杂的关节炎类型，在全球范围内呈现高发病率和日益增长的流行趋势，是严重影响人类健康和生活质量的公共卫生问题。中医药作为我国传统医学的瑰宝，将GA归为“痹证”“痛风”“历节”等范畴，其发病与外感风、寒、湿、热之邪，内伤饮食、劳倦、情志等因素密切相关，病机主要为湿热内蕴、痰瘀互结、脾肾亏虚等，治疗强调辨证论治，注重整体观念和个体化治疗。李瑞春主任中医师从事中医临床工作数十年，在GA治疗方面积累了丰富而独特的临床经验，其秉承中医传统理论，结合现代医学研究成果，形成了一套系统、有效的GA诊疗方案。本文综述李瑞春主任中医师治疗GA的临床经验，包括对GA病因病机的认识、急性期和缓解期的分期论治等，以期为中医临床工作者提供参考，促进中医药在GA防治领域的应用。

关键词:

痛风性关节炎, 李瑞春, 名医经验