Objective It is to compare the distribution characteristics of syndrome types of patients with hyperuricemia between Uygur and Han nationality in Xinjiang, to provide evidence for the prevention and treatment of hyperuricemia with traditional Chinese medicine (TCM). Methods A total of 303 Uygur and 300 Han patients were selected from the patients with hyperuricemia treated in the Affiliated Hospital of Traditional Chinese Medicine of Xinjiang Medical University and the First People's Hospital of Kashgar, and were investigated to get their TCM syndrome differentiation and TCM symptom information, and the differences in TCM syndrome types and syndrome characteristics of patients with hyperuricemia in Uygur and Han nationality were compared. Results The top three syndromes in Uygur group were phlegm retention type, Kidney deficiency type, and spleen deficiency type, while the top three syndromes in Han group were phlegm retention type, Kidney deficiency type, and blood stasis type. The constituent ratio of phlegm retention type and blood stasis type of Uygur nationality were significantly lower than that of Han nationality (P ＜ 0. 05), while the constituent ratio of spleen deficiency type, dampness heat syndrome and Kidney deficiency type in Uygur nationality were significantly higher than that of Han nationality (P ＜ 0. 05). The symptoms appeared more in the form of obesity, fatigue, backache in Uygur patients, while fatigue, insomnia, dizziness and so on appeared more in Han patients. Conclusion In Xinjiang area, the main syndrome types of Uygur patients with hyperuricemia were phlegm retention type, Kidney deficiency type, spleen deficiency type, we can start from phlegm and spleen and use the treatment strategy for invigorating spleen and kidney, resolving phlegm and turbidity in the treatment of this disease; The main syndromes type of Han patients with hyperuricemia were phlegm retention type, Kidney deficiency type, blood stasis type, we can focus on kidney and use the treatment strategy for tonifying kidney, eliminating phlegm and removing blood stasis in the treatment of this disease.%目的 比较新疆地区维吾尔族与汉族高尿酸血症患者中医证候类型分布特点,为高尿酸血症患者的中医药防治提供依据.方法 从新疆医科大学附属中医医院、喀什地区第一人民医院诊治的高尿酸血症患者中筛选出当地维吾尔族患者303例和汉族患者300例,对所有患者进行中医辨证及中医症状信息调查,比较维汉两族高尿酸血症患者中医证型分布规律及证候特点差异.结果 维吾尔组高尿酸血症患者排名前3位证型依次为痰浊阻滞证、肾虚证、脾虚证,汉族高尿酸血症患者排名前3位证型依次为痰浊阻滞证、肾虚证、血瘀证.维吾尔族痰浊阻滞证、血瘀证构成比均明显低于汉族(P均＜0.05),脾虚证、肾虚证、湿热证构成比均明显高于汉族(P均＜0.05).维吾尔族患者症状出现较多的依次为形体肥胖、神疲乏力、腰酸等,汉族患者症状出现较多的依次为神疲乏力、失眠、眩晕等.结论 新疆地区维吾尔族高尿酸血症患者中医证型主要为痰浊阻滞证、肾虚证、脾虚证,中医治疗可从脾肾入手,以健脾补肾、化痰泄浊为治则;汉族高尿酸血症患者中医证型主要为痰浊阻滞证、肾虚证、血瘀证,中医治疗可着重从肾入手,以补益肾气、化痰逐瘀为法.
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