针药结合治疗痛风的研究进展

Research Progress on Acupuncture Combined with Chinese Herbal Medicine in the Treatment of Gout

摘要: 针药结合治疗痛风具有确切的临床疗效与整体调控优势，有研究显示，针药结合治疗痛风在缓解关节肿痛、降低血尿酸水平、减少复发率及减轻药物不良反应方面均优于单一疗法，体现了“内外合治，标本兼顾”的治疗理念。本文通过文献研究阐述痛风发病原因及现代治疗方案的不足，从中医传统理论以及现代研究机制阐述中药及针灸治疗痛风的疗效及实践经验。进一步完善针药结合治疗痛风的理论验证，证据支持，为临床治疗提供更加高效，个体化的治疗方案。

Abstract: Acupuncture combined with Chinese herbal medicine demonstrates definitive clinical efficacy and integrated regulatory advantages in gout management. Accumulating evidence indicates that this combined therapy outperforms monotherapy in alleviating joint swelling and pain, reducing serum uric acid levels, decreasing recurrence rates, and mitigating adverse drug reactions, consistent with the traditional Chinese medicine principle of “combining internal and external treatments while addressing both symptoms and root causes”. Through a systematic literature review, this article delineates the pathogenesis of gout and the limitations of current therapeutic strategies. It further elucidates the mechanisms and clinical practice of acupuncture and herbal medicine in gout treatment based on both classical TCM theory and modern mechanistic research. This paper aims to refine the theoretical validation and evidence base for acupuncture-herbal combination therapy, ultimately providing a more efficacious and individualized treatment paradigm for clinical practice.