Gout is a metabolic disease, which is an acute or chronic gouty arthritis with recurrent episodes due to excessive uric acid production or decreased excretion caused by abnormal purine metabolism. It belongs to the category of arthralgia syndrome in traditional Chinese medicine, and gout is also divided into five common syndromes.
Clinical manifestations: acute onset, local joint swelling and heat pain, which may involve one or more joints. Patients are often accompanied by fever, aversion to wind, thirst, irritability or headache, excessive sweating, short and yellow urine, yellow or greasy tongue coating, and slippery pulse.
Treatment: clearing heat and promoting diuresis.
Recommended prescription: Simiao Powder. Parched Rhizoma Atractylodis, Cortex Phellodendri, Radix Cyathulae, Coicis Semen, Herba Artemisiae Scopariae, Rhizoma Polygoni Cuspidati, Rhizoma Smilacis Glabrae, Rhizoma Dioscoreae Septemlobae, Cortex Fraxini, Herba Lysimachiae, and Herba Plantaginis. Please take the prescription involved in this article under the guidance of a doctor. )
Clinical manifestations: asymptomatic or only mild joint symptoms, or hyperuricemia, weakness, dizziness, waist and knee pain, loss of appetite, abdominal distension, pale and fat tongue or red tip of the tongue, white or yellow thick and greasy fur, thin and slippery pulse, etc.
Treatment: invigorating spleen and promoting diuresis, benefiting qi and dredging collaterals.
Recommended prescription: Sijunzi Decoction. Radix Codonopsis, Rhizoma Atractylodis, Poria, Fructus Amomi, Rhizoma Pinelliae, Pericarpium Citri Tangerinae, Coicis Semen, Rhizoma Smilacis Glabrae, Rhizoma Dioscoreae Septemlobae, Herba Plantaginis, Herba Lysimachiae, and Glycyrrhrizae Radix.
Clinical manifestations: joint pain, swelling but not serious, limited pain, or numbness of the skin, thin white or greasy tongue coating, slow pulse.
Treatment: dispel wind and cold, remove dampness and dredge collaterals.
Recommended prescription: Guizhi Fuzi Decoction. Ramulus Cinnamomi, Radix Paeoniae Alba, Rhizoma Zingiberis Recens, Radix Astragali, Radix Aconiti Preparata, Herba Ephedrae, Radix Stephaniae Tetrandrae, Radix Angelicae Sinensis, Rhizoma Chuanxiong, Notopterygii Rhizoma, Rhizoma Atractylodis, Radix Saposhnikoviae, etc.
Clinical manifestations: Recurrent joint pain, sometimes mild and sometimes heavy, or tingling, immobility, joint swelling, even ankylosing deformity, unfavorable flexion and extension, subcutaneous nodules, or dark purple skin, pulse string or dull.
Treatment: promoting blood circulation and removing blood stasis, resolving phlegm and resolving hard mass.
Recommended prescription: Erchen decoction combined with Guizhi Fuling pill. Pericarpium Citri Tangerinae, Rhizoma Pinelliae Preparata, Poria, Glycyrrhrizae Radix, Ramulus Cinnamomi, Cortex Moutan, Semen Persicae, parched Semen Sinapis Albae, Rhizoma Smilacis Glabrae, Rhizoma Dioscoreae Septemlobae, Herba Plantaginis, and Herba Lysimachiae.
Clinical manifestations: recurrent and persistent joint pain, local joint deformation, light day and heavy night, numbness of skin, difficulty in walking, dizziness and tinnitus, red cheekbones, dry mouth, red tongue with little fur, and thin or thin pulse.
Treatment: tonify liver and kidney, relax channels and dredge collaterals.
Recommended prescription: Baizhi Dihuang Pill. Rhizoma Anemarrhenae, Cortex Phellodendri, Radix Rehmanniae Preparata, Corni Fructus, Rhizoma Dioscoreae, Poria, Alismatis Rhizoma, Cortex Moutan, Fructus Psoraleae, Rhizoma Drynariae, Rhizoma Dioscoreae Nipponicae, Rhizoma Smilacis Glabrae, Rhizoma Dioscoreae Septemlobae and Radix Paeoniae Alba.
What should gout patients pay attention to in their daily life?
1. Avoid getting cold and damp, always keep joints and adjacent muscles and ligaments warm, and massage joints of thighs, knees, ankles and big toes by yourself after getting up in the morning and before going to bed at night. You can soak your feet at night. The water temperature of soaking feet is slightly hot, and the water depth is above the ankle joint. Time 15 minutes or so can promote blood flow of lower limbs.
2. Proper joint movement must be carried out persistently and step by step. Generally speaking, it is not recommended to take part in intensive physical exercise such as running or long-distance hiking. Some indoor stretching exercises, such as Tai Chi and aerobics, are good choices. Wear shoes comfortably to prevent joint injury.
3. Eat more food with "less legs" in the diet. Four-legged pork, beef, mutton and rabbit meat will increase creatinine, affect the function of kidney and lead to the increase of uric acid; Two-legged, such as chicken, duck and goose; One leg is like a fish, a mushroom, etc. Then vegetables, fruits and grains all belong to legless.