Differentiation and treatment of acute gouty arthritis from the perspective of six climatic exopathogens
10.3969/j.issn.1006-2157.2025.08.013
- VernacularTitle:从六淫辨治急性痛风性关节炎
- Author:
Yuanyuan NIU
1
;
Mingrui DU
Author Information
1. 河南中医药大学第一附属医院风湿病科 郑州 450000;河南中医药大学第一临床医学院
- Publication Type:Journal Article
- Keywords:
six climatic exopathogens;
acute gouty arthritis;
fire;
clearing heat-fire
- From:
Journal of Beijing University of Traditional Chinese Medicine
2025;48(8):1140-1146
- CountryChina
- Language:Chinese
-
Abstract:
Acute gouty arthritis is an inflammatory disease characterized by redness,swelling,heat,and pain in the joints.It mostly occurs at the distal ends of the limbs,especially in the toe joints.The six climatic exopathogens,which include wind,cold,summer-heat,dampness,dryness,and fire(heat),are the general term for exogenous pathogenic factors.This article explores the pathogenesis and treatment approaches of acute gouty arthritis from the perspective of the six climatic exopathogens.All the six climatic exopathogens can lead to the occurrence of acute gouty arthritis,among which"fire"is the most closely associated with this disease.Wind-pathogenic factor accumulates without dissipation and transforms into fire internally;cold-pathogenic factor congeals without warmth and transforms into fire after long-term stagnation;when wind and dampness interact and cannot circulate,they stagnate and transform into fire;dry-pathogenic factor accumulates internally without release,transforms into fire,and consumes yin;fire stagnates and intensifies when it cannot be discharged.It can be seen that the six climatic exopathogens are the inducing factors for acute gouty arthritis,and"fire"is the key factor and the general summary of the disease occurrence.Therefore,it is proposed that the core therapeutic principle is clearing heat-fire.Simultaneously,combined with clinical practice,methods are supplemented,such as expelling wind,dredging collaterals and relieving pain;warming yang,dispelling cold and eliminating arthralgia;drying dampness,strengthening the spleen and facilitating joint function;and moistening dryness,nourishing yin and dredging collaterals.Acute gouty arthritis is not simply treating based on the theory of fire.By tracing back to the root cause,treating both the symptoms and the root cause,it is hoped that this can provide a theoretical basis for the clinical treatment of acute gouty arthritis from the perspective of the six climatic exopathogens and broaden the therapeutic ideas.
