Five syndrome types of "gout" in traditional Chinese medicine, a complete list of treatment prescriptions and daily care
Patients with gout will feel abnormal pain when the attack occurs. Some patients describe that the pain of gout sometimes feels like a knife, accompanied by redness and swelling; sometimes it feels as uncomfortable as burning, often at night. Will wake up from pain.
Gout is a metabolic disease. It is a recurring acute or chronic gouty arthritis caused by abnormal purine metabolism leading to excessive production or reduced excretion of uric acid. It belongs to the "Bi syndrome" category of traditional Chinese medicine and will also be Gout is divided into 5 common syndrome types.
Clinical manifestations: Acute onset, local joint redness, swelling, heat and pain, which may involve one or more joints. Patients are often accompanied by fever, aversion to wind, thirst, restlessness or headache and sweating, short yellow urine, red tongue with yellow or greasy coating, and stringy and slippery pulse.
Treatment: Clear away heat and promote dampness.
Recommended prescription: Simiao Powder. Stir-fried Atractylodes, Sichuan Phellodendron, Sichuan Achyranthes, Coix Seed, Yincheng, Polygonum Cuspidatum, Smilax Poria, Achyranthes, Qinpi, Money Grass, Plantain. (The prescriptions and medicines mentioned in this article should be taken under the guidance of a doctor)
Clinical manifestations: Asymptomatic or only mild joint symptoms, or hyperuricemia, fatigue, dizziness, and low back pain Sore knees, decreased appetite, epigastric distension and tightness, pale and fat tongue or red tip, white or yellow thick and greasy coating, thin or slippery pulse, etc.
Treatment method: Strengthen the spleen and remove dampness, replenish qi and unblock collaterals.
Recommended prescription: Sijunzi Decoction. Codonopsis, Atractylodes, Poria, Amomum villosum, Pinellia pinellia, tangerine peel, Coix seed, Smilax, Poria, plantain, Desmodium, licorice.
Clinical manifestations: joint pain, swelling but not serious, localized pain, or skin numbness, thin white or greasy tongue coating, stringy or slow pulse.
Treatment method: dispel wind and cold, remove dampness and unblock meridians.
Recommended prescription: Guizhi Aconitum Decoction with or without modification. Cinnamomum twig, white peony root, ginger, astragalus, Sichuan Wu, ephedra, fangji, angelica, Chuanxiong, Qianghuo, Atractylodes, Fangfeng, etc.
Clinical manifestations: Recurrent joint pain, sometimes mild and sometimes severe, or tingling and immovable, joint swelling, even ankylosing deformity, difficulty in flexion and extension, subcutaneous nodules, or dark purple skin. Stringy or heavy pulse.
Treatment: Promote blood circulation and remove blood stasis, resolve phlegm and dissipate stagnation.
Recommended prescriptions: Erchen Decoction combined with Guizhi Fuling Pills. Tangerine peel, Pinellia ternata, Poria cocos, licorice, cinnamon twig, peony bark, peach kernel, fried white mustard seeds, Smilax poria, spinach, plantain, money grass.
Clinical manifestations: Recurrent joint pain that does not heal over time, local joint deformation, lighter days and heavier nights, numb skin, difficulty walking, dizziness and tinnitus, red cheeks and dry mouth, red tongue with less coating , the pulse is stringy or thin.
Treatment: Tonify the liver and kidneys, relax the meridians and unblock collaterals.
Recommended prescriptions: Zhibai Dihuang Pills. Anemarrhena, Phellodendron, Rehmannia glutinosa, Cornus officinalis, Chinese yam, Poria, Alisma, Moutan bark, Psoralen, Drynaria, Pangolin, Smilax, Poria, and white peony root.
What should gout patients pay attention to in their daily lives?
1. Avoid catching cold and damp, and always pay attention to keeping the joints and adjacent muscles and ligaments warm. You can massage your legs, knees, ankles, and big toe joints 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 the foot bath should be slightly hot to your taste, and the water depth should be enough to soak above the ankle joint. The time should be about a quarter of an hour, which can promote blood flow in the lower limbs.
2. Proper joint movement must be carried out consistently and step by step. It is generally not recommended to participate in high-intensity physical exercises such as running or go on long-distance walking tours. Some indoor stretching exercises, such as Tai Chi, aerobics and similar exercises are good choices. Wear comfortable shoes to prevent joint damage.
3. Eat more foods with "short legs" in your diet. Foods with four legs, such as pork, beef, mutton, and rabbit, will increase creatinine and affect kidney function, leading to an increase in uric acid; meats with two legs, such as chicken, duck, and goose; and meats with one leg, such as fish and mushrooms etc.; then vegetables, fruits, and cereals all have no legs.