[1]朱云,徐浩东,聂炜珏,等.名中医汪悦“六郁”辨治痛风性关节炎经验[J].陕西中医,2026,(8):1099-1103.[doi:DOI:10.3969/j.issn.1000-7369.2026.08.016]
　ZHU Yun,XU Haodong,Nie Weijue,et al.Experience of famous traditional Chinese medicine physician WANG Yue in treating gouty arthritis with six dampness theory[J].,2026,(8):1099-1103.[doi:DOI:10.3969/j.issn.1000-7369.2026.08.016]
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名中医汪悦“六郁”辨治痛风性关节炎经验

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2026年8期
页码:
1099-1103
栏目:
名中医经验
出版日期:
2026-08-05

文章信息/Info

Title:
Experience of famous traditional Chinese medicine physician WANG Yue in treating gouty arthritis with six dampness theory
作者:
朱云1; 徐浩东1; 聂炜珏1; 李晶晶1; 汪悦2; 朱晓苗3; 郝冬林1
（1.南京中医药大学附属苏州市中医医院，江苏 苏州 215009；2.江苏省中医院，江苏 南京 210029；3.新加坡仁德中医诊所有限公司，新加坡 后港 079102）
Author(s):
ZHU Yun1; XU Haodong1; Nie Weijue1; LI Jingjing1; WANG Yue2; ZHU Xiaomiao3; HAO Donglin1
(1.Suzhou Traditional Chinese Medicine Hospital Affiliated to Nanjing University of Tradition Chinese Medicine，Suzhou 215009，China；2.Jiangsu Provincial Hospital of Traditional Chinese Medicine，Nanjing 210029，China；3.Singapore Ren De Traditional Chinese Medicine Clinic Limited，Hougang 079102，Singapore)
关键词:
六郁; 痛风性关节炎; 浊瘀痹; 中医病机; 辨证施治; 汪悦
Keywords:
Six Depressions; Gouty arthritis;  Turbid stasis impediment; Traditional Chinese medicine pathogenesis; Syndrome differentiation and treatment; WANG Yue
分类号:
R 684.3
DOI:
DOI:10.3969/j.issn.1000-7369.2026.08.016
文献标志码:
A
摘要:
金元四大家朱丹溪首创“六郁”理论，提出治郁重视行气开郁，再根据热郁、湿郁、痰郁、血郁、食郁分别清之、利之、化之、活之、消之，诸郁得散则郁病可愈。痛风性关节炎是常见代谢性疾病，以高尿酸血症及尿酸盐结晶沉积为特征，临床表现为关节红、肿、热、痛反复发作，久之可致关节畸形及功能障碍。汪悦教授是兴化汪氏中医第八代传人，致力于中西医风湿临床诊疗，通过病机溯源，提出基于“六郁”理论，将痛风性关节炎病机按特点分期。无症状高尿酸血症期，食滞伤气，土壅木郁；急性痛风性关节炎期，气滞湿停，积而酿热；慢性痛风石及缓解期，痰瘀胶结，深伏筋骨；痛风性肾病及终末期，六郁相因，累及肾络。针对上述病机灵活用药，以消食理气，斡旋中焦；利湿泻火，分消走泄；化痰逐瘀，搜剔通络；补肾充络，攻补兼施之法分消诸郁，固本培元，终使气血调达周流，则痹痛自消。汪悦教授从“六郁”理论辨治痛风性关节炎，理论依据充实，临证具有较好的临床疗效，为丰富“六郁”内涵与痛风性关节炎诊治提供理论依据和临床借鉴。
Abstract:
ZHU Danxi,one of Four Great Masters of Jin Yuan,first proposed Six Stagnations theory,emphasizing importance of promoting Qi flow and resolving stagnation in treating depression.He further advocated clearing heat for heat stagnation,promoting diuresis for damp stagnation,transforming phlegm for phlegm stagnation,activating blood for blood stagnation,and eliminating food accumulation for dietary stagnation.Once all forms of stagnation were dispersed,depressive disorders could be cured.Gouty arthritis was a common metabolic disease characterized by hyperuricemia and deposition of urate crystals,clinically presenting as recurrent episodes of redness,swelling,heat,and pain in joints,which over time may lead to joint deformity and functional impairment.Professor WANG Yue,an eighth-generation inheritor of WANG Xinghua family’s traditional Chinese medicine lineage,had dedicated himself to integrative clinical diagnosis and treatment of rheumatic diseases.By tracing the pathogenesis,he applied Six Stagnations theory to classify gouty arthritis into distinct stages based on its characteristics.In asymptomatic hyperuricemia,dietary retention injures Qi,leading to earth excess obstructing wood.During acute gouty arthritis,Qi stagnation and damp retention accumulate and generate heat.In chronic tophaceous gout and remission phases,phlegm and blood stasis become deeply embedded in tendons and bones.In gout-related kidney disease or end-stage conditions,six stagnations interrelate and affect the kidney collaterals.Based on these pathological mechanisms,flexible prescriptions were used，such as eliminating food stagnation and regulating Qi to harmonize middle Jiao,promoting diuresis and purging fire to disperse and eliminate damp-heat,resolving phlegm and removing blood stasis to unblock collaterals,and tonifying the kidneys and replenishing collaterals with combined therapeutic approaches to resolve various stagnations,strengthen the root,and nourish the body.Ultimately,this restores smooth circulation of Qi and blood,thereby alleviating arthralgia naturally.Professor WANG Yue’s application of Six Stagnations theory in diagnosing and treating gouty arthritis was well grounded in theory and demonstrates excellent clinical efficacy,providing both theoretical foundation and practical reference for enriching the understanding of Six Stagnations and improving the diagnosis and treatment of gouty arthritis.

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备注/Memo

备注/Memo:
国家自然科学基金资助项目(82274454)；江苏省自然科学基金资助项目（SBK20250400951）；姑苏卫生人才计划项目（GSWS2023030）；南京中医药大学自然科学基金资助项目（XZR2024270）
更新日期/Last Update: 2026-08-13