多年来,我选取李东垣的当归拈痛汤与吴鞠通的宣痹汤二方之意,结合自己的临证经验,治疗热痹患者甚多,疗效满意,现介绍如下。辨证分型及病案举例热痹多见于痹证的初期,也可见于痹证复发阶段。因所受外邪与患者体质的不同,在临床中,本病又可分为以下四型。一、热痹热胜型多见于痹证初期,发病较急,病程较短。患病关节红肿疼痛,灼热感明显,皮肤可见环形红斑。伴发热,恶寒,口干喜饮, Over the years, I have chosen Li Dongxuan’s Angelica Tongtong Decoction and Wu Yitong’s Xuanyuan Decoction’s two meanings. Combined with their own clinical experience, we have treated many patients with enthusiasm and achieved satisfactory results. Cases of syndrome differentiation and medical records are more common in the early stages of phlegm syndrome and also in the relapse stage of phlegm syndrome. Due to the difference between the exogenous pathogens and the patient’s constitution, in the clinic, the disease can be divided into the following four types. First, enthusiasm and heat-type wins more often seen in the early days of phlegm syndrome, the incidence of acute, short course of disease. The affected joints are swollen and painful, with a burning sensation, and erythema rings are visible on the skin. With fever, chills, and dry mouth like drinking,