What are the appropriate TCM treatment principles for chronic gout?
(1) The treatment principle for promoting paralysis is to dispel wind and dredge collaterals. The representative prescription is Juanbi Decoction, which contains Qianghuo, Duhuo, Cinnamomum twig, Radix Gentiana, Sea Breeze Vine, Mulberry Branch, etc. to dispel wind and dispel cold and overcome dampness; Angelica sinensis and Chuanxiong nourish blood, activate blood circulation, unblock meridians and relieve pain; , frankincense is used to promote qi and relieve pain.
(2) Tongbi is treated with pungent warmth and dispersing cold. The representative prescription is Aconitum Decoction. The prescription contains Aconitum, which is pungent and causes heat. It is combined with Ephedra to dispel cold and relieve pain. Honey can detoxify Aconitum. Astragalus and white peony are used to replenish qi and nourish blood. For those who are weak due to long-term illness, Especially suitable.
(3) The treatment principle for arthralgia is to strengthen the spleen and remove dampness. The representative prescription is Coix Seed Decoction, in which Coix Seed and Atractylodes invigorate the spleen and remove dampness, which means "a strong spleen can overcome dampness"; Chuanwu, Qianghuo, Duhuo, Fangfeng, dispel wind, dispel cold and relieve pain; Angelica Sinensis and Chuanxiong nourish Promotes blood circulation, unblocks collaterals and relieves pain.
(4) Pay attention to the treatment principles of promoting blood circulation and removing blood stasis. The treatment of wind diseases should be based on treating blood. When the blood stasis is eliminated and the blood flow is unobstructed, the wind diseases can be cured. Most gout patients have increased blood viscosity and are often complicated by hypertension, hyperlipidemia, atherosclerosis, and diabetes. When drugs that improve blood viscosity are added, the efficacy can be significantly improved.
However, the relevant drugs in Western medicine are either too powerful and have major adverse reactions (such as heparin, warfarin, etc.), or they are expensive and difficult to use (such as streptokinase, urokinase, etc.) ), the only options are aspirin, dipyridamole, etc. Traditional Chinese medicine can be said to be "full of talents" in this regard. Salvia miltiorrhiza injection has almost become a routine drug for treatment; Chinese patent medicines such as Huoxue Tongmai Capsules, Xinxuekang, Salvia miltiorrhiza tablets, and Salvia miltiorrhiza dropping pills have certain curative effects; more ideally, Of course, it is medicine based on syndrome differentiation and treatment. The medicines that are good at activating blood circulation and removing blood stasis include Chuanxiong, Angelicae Sinensis, Salvia Miltiorrhiza, Peach Kernel, Safflower, Leech, Rhubarb, Red Paeony, Trigonellae, Curcuma, etc.