中藏医治疗直合乃(痛风性关节炎)的研究进展

Recent Development of Chinese and Tibetan Medicine in the Treatment of Zhihenai (Gouty Arthritis)

摘要: 痛风性关节炎，中医又称为“痛风”“历节”等，藏医称之为“智合乃”“直合乃”等。中医认为痛风发生的主要原因在于先天禀赋不足，后天失养，脾肾功能失调，还与外感六淫、内伤、环境等因素息息相关，中药主要治疗以“泄化浊瘀”“调理脾肾”为主，同时以拔罐、针刺、中药封包等理疗辅佐加强疗效。藏医认为痛风是因为隆和血功能紊乱所造成的一种疾病，藏医中痛风的许多治法较为独特，如五味宽筋藤汤、用西藏猫乳煎汁将二十五味驴血散送服，药浴疗法、火针、针刺(藏名：特尔玛)等。痛风性关节炎是风湿疾病中的常见病种，中藏医在这方面治疗经验丰富，现对痛风的中藏医研究进行归纳总结。

Abstract: Gouty arthritis, Chinese medicine is also called “gout”, “Li-jie disease”, etc. Tibetan medicine called “Zhihe Nai” and “straight Hei nai”. Traditional Chinese medicine believes that the main causes of gout are congenital deficiency, acquired dysplasia, spleen and kidney dysfunction, and are closely related to external symptoms, internal injury, environment and other factors. Traditional Chinese medicine is mainly used to “relieve turbidity-stasis” and “regulate spleen and kidney”, and at the same time, cupping, acupuncture, traditional Chinese medicine encapsulation and other physiotherapy to strengthen the effect. Tibetan medicine believes that gout is a disease caused by the disorder of blood and lung function. Many treatments for gout in Tibetan medicine are unique, such as five flavors of rattan decoction, 25 flavors of donkey blood powder taken with Tibetan cat milk decoction, medicinal bath therapy, fire needle, acupuncture (Tibetan name: Telma), etc. Gout inflammation is a common disease in rheumatic diseases. The Chinese and Tibetan doctors have rich experience in the treatment of gout. This article summarizes the research on gout in Chinese and Tibetan medicine.