Lin Chuangjian's Experience in Treating Gouty Arthritis with Phlegm-Turbidity and Blood Stasis Obstruction Syndrome Using Bushen Juanbi Yipi Decoction
10.13359/j.cnki.gzxbtcm.2025.09.033
- VernacularTitle:林创坚运用补肾蠲痹益脾汤治疗痰浊瘀阻型痛风性关节炎的经验
- Author:
Guizhong HUANG
1
;
Xiangming LI
;
Chuangjian LIN
Author Information
1. 汕头市中医医院,广东汕头 515000
- Keywords:
gouty arthritis;
phlegm-turbidity and blood stasis obstruction;
fortifying the spleen and tonifying the kidneys;
removing phlegm and resolving turbidity;
activating blood circulation to resolve stasis;
Bushen Juanbi Yipi Decoction;
Lin Chuangjian
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2025;42(9):2327-2331
- CountryChina
- Language:Chinese
-
Abstract:
Professor Lin Chuangjian noticed that middle-aged and elderly individuals,as well as patients with weakened spleen and kidney function,are prone to developing gouty arthritis of phlegm-turbidity and blood stasis obstruction type.The clinical manifestations of gouty arthritis of phlegm-turbidity and blood stasis obstruction type were characterized by recurrent and prolonged episodes,marked joint pain(worse at night),joint deformities,numbness and stiffness of the skin,difficulty in walking,spasm of muscles,and limited joint movement,and were probably accompanied by facial and pedal edema,chest and epigastric fullness,dizziness and tinnitus,flushed cheeks and dry mouth,and soreness and weakness of the lower back and knees.Gouty arthritis of phlegm-turbidity and blood stasis obstruction type is a fundamentally-deficiency and incidentally-excess syndrome,characterized by phlegm-turbidity-stasis as the symptomatic features,and spleen-kidney deficiency as the root cause.During syndrome differentiation,Professor Lin emphasizes the relationship between phlegm-turbidity-stasis and the zang-orga nis of spleen and kidneys,and considers that the dysfunction of spleen and kidneys is the root cause of phlegm-turbidity-stasis formation.During treatment,therapeutic principle of simultaneously treating the symptom and root cause was followed,primary methods of fortifying the spleen and tonifying the kidneys,removing phlegm and resolving turbidity,and activating blood circulation to resolve stasis were adopted,and Bushen Juanbi Yipi Decoction was used as the foundational prescription.Bushen Juanbi Yipi Decoction consists of the herbs of Notopterygii Rhizoma et Radix,Angelicae Pubescentis Radix,Cinnamomi Cortex,Gentianae Macrophyllae Radix,Angelicae Sinensis Radix,Chuanxiong Rhizoma,Glycyrrhizae Radix et Rhizoma Praeparata cum Melle,Piperis Kadsurae Caulis,Mori Ramulus,Olibanum,Aucklandiae Radix,salt-processed Morindae Officinalis Radix,Taxilli Herb,Saposhnikoviae Radix,Smilacis Glabrae Rhizoma,Microctis Folium,Atractylodis Macrocephalae Rhizoma,Pinelliae Rhizoma Praeparatum,Clematidis Radix et Rhizoma,and Eupatorii Herba.In clinical practice,adjunct herbs for fortifying spleen,ventilating lung,soothing liver,or tranquilizing heart may be added based on accompanying symptoms.Professor Lin's diagnostic and therapeutic approach will provide valuable insights for the traditional Chinese medicine management of gouty arthritis.
