浅谈蒙西医治疗痛风性关节炎的现状

Brief Discussion on the Current Situation of Mongolian and Western Medicine in the Treatment of Gouty Arthritis

摘要: 痛风性关节炎是单钠尿酸盐沉积所致的晶体相关性关节病，与嘌呤代谢紊乱和(或)尿酸排泄障碍导致的血尿酸升高直接相关。西医治疗痛风性关节炎以抗炎止痛和降血尿酸为主。抗炎止痛方面使用非甾体抗炎药、秋水仙碱、糖皮质激素等；降尿酸方面使用抑制尿酸生成药物和(或)促尿酸排泄药物。西药治疗痛风性关节炎虽有疗效但这些西药的药物毒副作用和禁忌症颇多。蒙医上认为痛风性关节炎是各种病因引起三根七素失调，黄水增盛，并于血交搏，流注关节，导致局部气血运行受阻所致。治疗时侧重于整体调理和自然疗法，使用蒙药和物理疗法纠正三根七素失调，燥黄水，舒筋为主。其有标本兼治、毒副作用少、疗效佳、药物利用价值高等优势。

Abstract: Gouty arthritis is a crystal-related joint disease caused by monosodium urate deposition, which is directly related to purine metabolism disorders and (or) elevation of blood uric acid caused by uric acid excretion disorders. Western medicine mainly treats gouty arthritis by anti-inflammatory, analgesic and blood uric acid. In anti-inflammatory and analgesic, non-steroidal anti-inflammatory drugs, colchicine, glucocorticoids, etc. are used; in terms of uric acid reduction, drugs that inhibit uric acid production and (or) uric acid excretion drugs are used. Although Western medicine is effective in treating gouty arthritis, these Western medicines have many toxic side effects and contraindications. Mongolian doctors believe that gouty arthritis is caused by various causes caused by the disorder of three roots and seven elements, the increase of yellow water, and the blood exchange and flow into the joints, resulting in the obstruction of local qi and blood operation. The treatment focuses on overall conditioning and natural therapy, and the use of Mengyao and physical therapy to correct the three roots and seven elements disorders, dry yellow water, and relax the tendons. It has the advantages of treating both the specimen and the root cause, few toxic side effects, good therapeutic effect, and high drug utilization value.