Text/Yangcheng Evening News all-media reporter Chen Huitu/Visual China
Gout is younger, but I didn't expect to be adolescent, or even childlike. Professor Liu Youzhang, Department of Internal Medicine, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, once received a 10-year-old boy who was replaced by gout because he drank old fire soup + drink every day.
Boys have ankle pain, and uric acid is as high as 600umol/L
10-year-old Ziming (pseudonym) is lively and active, for nearly a year always said ankle pain, parents think he sprained during exercise, rest for a few days to get better, and did not pay too much attention. Unexpectedly, Ziming's pain continued to be relieved, and he went to the hospital to take X-rays and did not find an abnormality. Knowing that Liu Youzhang has a hand in treating difficult and complicated diseases, the parents took Ziming to find Professor Liu Youzhang.
Liu Youzhang carefully inquired about Ziming's daily life and diet, found that he likes sports very much, parents are worried about his physical exertion, insufficient nutrition, so they give him old fire soup to drink every day, Ziming sweats more when exercising, and will buy drinks every time. Looking at Ziming's ankle joint, there was a slight redness and swelling, and it was hot and hot to the touch, so Liu Youzhang deduced that Ziming may have suffered from gout.
How can such a young child get gout?! Ziming's family had a hard time accepting it, but the test results made them dumbfounded. Ziming's uric acid has reached 600umol/L (the normal range is: male 143-381umol/L; female: 95-309umol/L before menopause). In fact, small patients with gout like this have become more and more common in the clinic.
"Culprit": Every day old fire soup + drink drinking as water
Why does Ziming get gout? Liu Youzhang analyzed that the first is because he drinks old fire soup every day. The ingredients of the old fire soup are mainly pork, pork bones, chicken, fish, animal offal, the above ingredients are heated for a long time, and the purine substances contained in it will be dissolved in the soup, and the longer the time, the more it will dissolve. Excessive intake of purines by the human body can easily lead to uric acid exceeding the standard.
In order to ensure the nutrition of children, Liu Youzhang suggested that Ziming can eat three eggs + three boxes of pure milk every day, as well as an appropriate amount of beef, chicken, duck and fish meat. Try not to drink the old fire stew. Milk, eggs and meat are high in high-quality protein but low in purines. In fact, adults can also eat this way if their uric acid exceeds the standard.
The second is to drink the drink as water, which is easily ignored by many parents. Fructose is generally added to the drink, and the fructose taste is better in addition to increasing the sweetness. After a small amount of fructose enters the human body, it can be quickly converted into heat and consumed and utilized by the human body. However, if the amount of fructose ingested is large, more than the body needs, it may be converted into fat. Fructose, in the process of conversion to fat, produces uric acid. In addition, fructose itself will also affect the excretion of uric acid by the kidneys. Under this dual effect, it will lead to hyperuricemia in the human body.
Liu Youzhang suggested that if the child often exercises and sweats a lot, he can prepare some light salt water, which can not only replenish water, but also supplement electrolytes.
Third, gout is hereditary, if one parent has gout, under the same diet and lifestyle, children will be more likely to get gout than others.
Treatment: Western medicine indicators, Traditional Chinese medicine
During the acute onset of gout, Liu Youzhang suggested that anti-inflammatory analgesics can be used, and if the symptoms are severe, hormones can be used for a short time to quickly control the symptoms. The earlier the intervention with anti-inflammatory analgesia, the smaller the chance of urate crystallization and the lower the chance of future recurrence.
In addition, you can also use fresh cactus and fresh plantain 100 grams each to mash and add 15 grams of salt to the affected area, which has the effect of clearing heat and dampness, cooling blood and relieving pain. The table salt we usually eat is also a medicine in the eyes of Chinese medicine, which has the effect of reducing fire, anti-inflammatory, and pain relief.
In the acute onset period of gout patients, the physique identification of Traditional Chinese medicine mostly belongs to the spleen and kidney dampness, and the treatment is mainly based on healthy spleen and dampness, heat and turbidity, and can be used "Liu's Five Miaosan" (the main ingredients are yellow cedar, Cangshu, ox knee, coix seed, powder amaranth), or "Deng Lao Yufeng cream" (the main ingredients are white grass root, corn whiskers, poria and so on). The physical identification of patients with gout in the remission period is mostly spleen and kidney deficiency, and the treatment is mainly based on healthy spleen and kidney supplementation, which can improve the gasification function of the kidneys.
What should be reminded here is that these Chinese herbal medicine pot excess slag should not be thrown away, and each dose of medicine residue should be added to 2 or 2 coarse salts (salt has the effect of clearing heat, removing fire, scattering and relieving pain), stir well and wrap well with a cloth, and apply to the affected area for 30 minutes. If you are in the onset of gout, apply cold compresses to the affected area; if you are in remission, apply warm compresses to the affected area.
Liu Youzhang especially reminded that patients should combine traditional Chinese medicine and Western medicine when treating, Western medicine indicators, traditional Chinese medicine treatment, and traditional Chinese medicine treatment can fundamentally change the physique of gout patients. Some patients say, "I'm already very taboo, why do I still have gout attacks", because 20% of gout attacks are exogenous causes (purines from food), 80% are endogenous causes (physical causes lead to increased nucleic acid metabolism, too much purine products, too much uric acid production, insufficient uric acid excretion, etc.).
How do gout patients exercise and how do they diet?
Can people with gout exercise? This is also one of the most common questions patients ask in the clinic.
Many gout patients hope to use exercise to lower uric acid, and as a result, gout is not only not alleviated but also aggravated. Liu Youzhang reminded that there is no problem with exercise during remission, but try to avoid strenuous exercise during the attack period. Because excessive exercise will cause lactic acid to accumulate, aggravating the disease. Unnecessary movement should be minimized, even brakes should be applied, and the affected limb should be raised. In addition, when the joints are red, swollen, hot and painful, try not to apply hot compresses and massage with medicinal oil excessively, which will cause the swelling and pain to increase.
Cantonese people like to use old fire soup to regulate the body, but gout patients can not drink old fire soup, so how to diet conditioning? This is a very distressing problem for almost every gout patient.
Liu Youzhang answered that gout patients can not drink old fire soup, you can use tea drinks (soil poria, plantain, mulberry parasitic tea drink, or with white grass root, corn whiskers, poria pot tea drink), raw soup (tomato egg soup) or dishes (scrambled eggs with onions) to regulate the body.
Many people with gout usually drink hot and damp tea (or soup). Liu Youzhang reminded that gout patients should not use red adzuki beans and mung beans to clear heat and remove dampness, which belong to beans and are easy to induce gout attacks. In addition, other soy products, including tofu, mushrooms, and alcohol (including beer, Hakka liquor, etc.) are not applicable. (For more news, please pay attention to Yangcheng Pie pai.ycwb.com)
Source | Yangcheng Evening News Yangcheng Pie
Caption figure | Visual China
Editor-in-charge | Wang Min