First, the dietary precautions of gout patients eat more low-purine foods, eat less medium-purine foods, do not eat high-purine foods, and be careful not to drink alcohol. Low purine foods: whole grains, eggs, milk, fruits and vegetables; Purine foods: meat, beans, seafood; High purine food: bean sprouts, soybean sprouts, asparagus, mushrooms, laver, animal viscera, fish. Gout is often complicated with obesity, diabetes, hypertension and hyperlipidemia. Patients should follow the following dietary principles: 1. Maintain your ideal weight, and lose weight if you are overweight or obese. But lose weight step by step, otherwise it will easily lead to acute ketosis or gout. 2. Carbohydrates can promote uric acid excretion, and patients can eat rice, steamed bread and pasta rich in carbohydrates. 3. protein can be taken in proportion to the body weight. 1kg, the intake of protein should be 0.8g ~ 1g, mainly milk and eggs. If it is lean meat, chicken and duck meat, etc. , should be boiled, soup to eat, avoid stew or braised pork. 4. Eat less fat because fat can reduce uric acid excretion. In patients with gout complicated with hyperlipidemia, the fat intake should be controlled within 20% ~ 25% of the total calories. 5. Drink plenty of water, 2000ml to 3000ml a day to promote uric acid elimination. 6. Eat less salt and limit it to 2 grams to 5 grams a day. 7. No alcohol! Alcohol can easily accumulate lactic acid in the body, inhibit uric acid excretion and easily induce gout. 8. Use less irritating condiments or spices. 9. Limit purine intake. Purine is a component in the nucleus. As long as there are cells in food, there are purines, and there are more purines in animal food. The patient fasted viscera, bone marrow, seafood, fermented food, beans and so on. 10. Drugs that inhibit uric acid excretion should not be used. High purine diet can increase uric acid synthesis and increase blood uric acid concentration, while low purine diet can reduce blood uric acid concentration. After diet control, the serum uric acid of normal people can be reduced by about 35.7 η mol/L (0.6 mg/dl), and that of gout patients can also be reduced by about 59.5 μm ol/L( 1.0mg/dl). At present, there are some reasonable explanations for how dietary factors affect blood uric acid levels, including: 1. Excessive drinking can cause gout, especially beer. The possible mechanisms of ethanol affecting serum uric acid level are as follows: (1) Drinking alcohol is often accompanied by food rich in purine; (2) Alcohol metabolism can increase the concentration of blood lactic acid, and lactic acid can inhibit the excretion of uric acid by kidney; (3) Excessive drinking causes ketosis and inhibits the excretion of uric acid by the kidneys; (4) Ethanol can promote adenine nucleotide transformation and increase uric acid; (5) Some people think that drinking lead-containing wine like whisky will increase the risk of gout by three times. 2. Reducing food intake is also related to gout attack, because the levels of plasma acetoacetic acid and β -hydroxybutyric acid increase when hungry, which affects the excretion of uric acid by the kidney. 3. There are some misunderstandings about the relationship between bean products and gout. According to the detection of Chinese and Japanese scholars, the purine content of most beans is not too high, so it can be concluded that the purine content of bean products is less, which can overturn the misinformation of gout and fasting bean products in folk or Chinese medicine. Another indirect evidence is that monks who often eat soy products rarely get gout. Therefore, soy products can be eaten in small quantities. Second, prevent gout diet 1, avoid eating foods with high purine content: animal viscera (liver, intestine, kidney and brain), seafood (abalone, crab, lobster, salmon, sardines, tuna, carp, perch, trout and cod), shellfish, meat (cattle, sheep, ducks and cod) 2. Avoid eating foods with high cholesterol: animal viscera (liver, intestine, kidney and brain), fat meat, squid, fish and cuttlefish. 3. Abstinence: Do not drink alcohol, especially beer and Shaoxing wine. Once the alcohol concentration in blood is as high as 200mg/dl, lactic acid in blood will increase with the oxidation process of alcohol, which will hinder the excretion of uric acid in kidney and increase uric acid in blood as a result. 4. Avoid eating acidic foods, such as coffee, fried foods and high-fat foods. Acid-base imbalance will affect the body function and increase the burden of liver and kidney. Third, appropriate food 1, eat more high-potassium foods, such as bananas, broccoli, celery, etc. Potassium can reduce uric acid precipitation and help excrete uric acid. Eat more alkaline foods, such as kelp, Chinese cabbage, celery, cucumber, apple, tomato and so on. 2. Eat more foods that tonify the kidney. Traditional Chinese medicine believes that kidney-tonifying food is helpful for uric acid excretion, and it can be decocted in water according to the formula of "Liuwei Dihuang" (Radix Rehmanniae Preparata, Cornus officinalis, Rhizoma Dioscoreae, Alismatis Rhizoma, Cortex Moutan and Poria) on weekdays to achieve the effect of nourishing yin and tonifying kidney. 3, it is also suitable for eating more foods that promote qi and blood circulation and relax muscles and tendons. For example, you can use mistletoe (five yuan per person) to boil sugar water, but instead of eggs, you can add lotus seeds. 4. Apple vinegar and honey. This is a traditional western medicine treatment method, which has been proved effective by many clinical trials. Apple vinegar contains pectin, vitamins, minerals (phosphorus and potassium) and enzymes. The acidic components of apple vinegar have bactericidal effect, which helps to eliminate toxins in joints, blood vessels and organs. Regular drinking can regulate blood pressure, dredge blood vessels, lower cholesterol and help treat arthritis and gout. After dinner, add a teaspoon of apple vinegar and a teaspoon of honey to half a cup of warm water, and mix well before drinking. 5. Treatment prescription for gout patients: Take appropriate amount of Coix seed and white rice, and the ratio of the two is about three to one. Soak Coix seed in water for four or five hours and white rice for 30 minutes, then mix them and add water together to cook porridge. Winter melon soup: take 300 grams of winter melon (peeled), five or six red dates, and a little ginger. Stir-fry shredded ginger in oil until fragrant, then put it in a pot with sliced wax gourd and red dates, and add water and appropriate seasoning to make soup. 6, drink plenty of water every day, go to the toilet more, and never endure urine. Fourth, do proper aerobic exercise. The classic of traditional Chinese medicine says: "Qi gives birth to blood, and blood gives birth to itself." . Therefore, the treatment of gout should be based on invigorating qi, promoting blood circulation and tonifying kidney. If qi and blood are smooth, uric acid will not accumulate. Such as swimming and Tai Chi. 5. 1, total calorie control: In order to maintain or reach the ideal weight, gout patients should make their own weight lower than 10% ~ 15% of the ideal weight. To achieve the latter, the key point is to control the total calorie intake every day. The total diet should be about 65,438+00% lower than the normal diet. Don't eat too many snacks, don't eat too much, and be full at every meal. 2. Low-protein diet: gout patients should be given 0.4 ~ 0.5g protein/male body weight, and the total daily protein should be controlled at about 40g, and the intake of fish and beans should be appropriately restricted. Every day 1 cup of milk plus 2 eggs or 2 lean pigs can meet the body's demand for protein, but not too much. 3. Limit fat intake: The daily total fat intake of gout patients should be about 50 grams. Pay attention to vegetable oil and eat less animal fat. 4. Foods with high carbohydrate content are the main ingredients: rice, flour and cereals are carbohydrates, so gout patients should mainly eat these foods on weekdays to ensure heat supply. 5, ban alcohol, drink less coffee, tea, cocoa: alcohol can induce gout attacks, aggravate the condition, gout patients should absolutely ban alcohol; People with gout should not drink too much coffee, tea or cocoa. 6. Maintain adequate vitamin B and C: Fruits and vegetables are rich in vitamin B and C.. Eating oranges and apples after meals every day and eating more green leafy vegetables in the diet can make your body have enough vitamins B and C. Fasting foods with high purine content: foods with high purine content include animal viscera, fish and shrimp, clams, beef and mutton, peas, etc. Gout patients should try to eat less or not. Gout patients should eat more foods with less purine content, such as milk, eggs, bread, cucumbers and tomatoes. In order to reduce exogenous purine into the body and reduce the level of blood uric acid. Here we also introduce the gout treatment prescription: (1) cogongrass rhizome drink: fresh bamboo leaves and cogongrass rhizome each 10g. After cleaning fresh bamboo leaves and cogongrass rhizome, put them in a thermos cup and brew them in boiling water for 30 minutes, so as to replace tea, induce diuresis and prevent gout and kidney calculi. (2) Corn silk beverage: fresh corn silk 100g. Fresh corn must be boiled with appropriate amount of water 1 hour to filter out the medicinal juice, and then concentrated to 100 ml with low fire. Stop cooling, add white sugar, stir until the medicinal juice is completely absorbed, cool, dry in the sun, press into powder, and bottle. Three times a day, daily 10g, with boiled water. Prevent kidney calculi, and has diuretic effect. (3) Radix Angelicae Pubescentis wine: Radix Angelicae Pubescentis 60g, soybean 500g, Angelica sinensis 10g, liquor 1000ml. After removing the reed head of Radix Angelicae Pubescentis, mash it with Radix Angelicae Sinensis, put it in a cleaner, soak it in white wine overnight, fry the soybeans until they smoke blue, put them in wine, seal them, let them cool, and take out the residue for later use. Drink 10 ml warm water three times a day. (4) Radix Angelicae Pubescentis wine: Radix Angelicae Pubescentis 45g, Cortex Dictamni Radicis 15g, Notopterygii Rhizoma 30g, Ginseng Radix 20g, and proper amount of wine. Remove the reed heads of Radix Angelicae Pubescentis and Notopterygii Rhizoma respectively, put in four kinds of medicines, and mash them into coarse powder for later use. Take powder 10g each time, 7 points with water and 3 points with wine, decoct until 7 points, remove the residue and take it warm. You are always welcome. (5) Dripping wine for Bombyx Batryticatus: 250g of black beans, 250g of Bombyx Batryticatus and 0/000 ml of white wine. Stir-fry black beans, pour them thoroughly with wine, wring out the residue, store them in a cleaner, put silkworm chrysalis in the cleaner and soak them in wine. After 5 days, remove the slag for later use. Take 1 cup at any time. 4. What is the best interval for the second test? Do another test in two weeks.