Connotation and Application of the Theory of "Gout is Not Bi （痹） Syndrome"
10.13288/j.11-2166/r.2025.10.002
- VernacularTitle:痛风非痹论的内涵与应用
- Author:
Huifang GUAN
1
;
Linhua ZHAO
2
;
Jiaxing TIAN
2
Author Information
1. Changchun University of Chinese Medicine，Changchun，130117
2. Institute of Metabolic Diseases，Guang'anmen Hospital， China Academy of Chinese Medical Sciences
- Publication Type:Journal Article
- Keywords:
gout;
Bi （痹） syndrome;
dampness-heat;
deficiency-cold;
state-targeted differentiation and treatment
- From:
Journal of Traditional Chinese Medicine
2025;66(10):987-991
- CountryChina
- Language:Chinese
-
Abstract:
Gout in modern medicine is often attributed to "Li Jie Disease （历节病）"， "Bai Hu Wind" （白虎风）， and "Bi （痹） Syndrome" categories in traditional Chinese medicine， mainly because its joint pain often presents as wandering attacks， and the clinical symptoms are similar to those caused by wind. However， the essence of gout is actually dietary disorders caused by internal injuries， so it should not be classified as Bi （痹） syndrome due to wind， cold， dampness. Focusing on the theory of "gout is not Bi syndrome" proposed by TONG Xiaolin， combining ancient and modern medical literature and modern clinical research， this article analyzes the underlying etiology of gout， which originates from dietary irregularities and accumulation of turbid toxins， as well as the disease mechanism of "toxicity hurts joints and accumulation of toxins impairs the kidneys"， in order to clarify the essential difference between gout and impediment syndrome. Using the theory of "state-targeted diagnosis and treatment"， gout is classified into two categories： dampness-heat and deficiency-cold， and the treatment strategy of lowering the turbid toxin， facilitating the joints， and preserving the kidneys was proposed in order to guide the clinical practice.
