尿酸性腎病的中醫治療探討

Study on the Treatment of Uric Acid Nephropathy by Chinese Medicine

柳義明(Yie-Ming Liou)

《傳統醫學雜誌》 17卷2期 (2006/10) Pp. 222-233

https://doi.org/10.30038/JTM.200610.0010

摘要

尿酸性腎病（uric acid nephropathy, UAN）是由於血中尿酸鹽過度飽和而沉積於腎臟產生的病變，尿酸是人類嘌呤類化合物分解代謝的最終產物，如合成過多或排泄減少均可產生高尿酸血症，日久可嚴重損害腎功能而導致尿毒症，或突發急性腎衰竭而死亡。現代人隨著經濟繁榮，生活習慣及飲食結構急劇改變，勞動力與運動量明顯不足，造成營養過剩而尿酸生成過多，因此痛風發病率逐年增加，發作年齡也趨向年輕化。如未能有效控制或積極治療，初則關節腫痛，日久則形成腎臟病變而痛苦不堪，追悔莫及。故應積極治療，以免帶來沉重負擔。

關鍵字

尿酸性腎病 ； 嘌呤 ； 高尿酸血症 ； 尿毒症 ； 急性腎衰竭

並列摘要

The uric acid nephropathy (VAN) is the pathological change of depositing and emerging of uric acid salt in the kidney because of excessive saturation of it in the blood. The uric acid is a final product for the catabolism of the human purine chemical compound. It will produce high urine acidemia because of too much uric acid. It can serious injure kidney function to cause uremia, or acute kidney failure and death. The modem people, with the economic prosperity, habits and customs and diet structure change sharply, the workforce and amount of exercise are obviously insufficient. It will cause nutrition surplus but uric acid turn into too much, so gout incidence of disease increases year by year. The outbreak tends to be younger at age. If it can not be controlled or treated actively and effectively, it will cause joint swell and ache, and form the pathological change of kidney. It will bring severe pain with the passing of time. So, it should be treated actively, so as not to bring and bear loading heavily.

並列關鍵字

Uric acid nephropathy ； purine ； high urine academia ； uremia ； acute kidney failure