Text/Yangcheng Evening News all-media reporter Chen Hui Correspondent Wang Jian Ye Meiqi
Photo/Visual China
April 20 every year is "World Gout Day" and the "National Concern Day" in China. Clinically, gout is more common in 40-55 years old, more men than women, but in recent years, there are more and more young gout patients under 20 or 30 years old. Recently, Liang Zujian, director of the Department of Osteoporosis (Rheumatism and Bone Disease) of the Third Affiliated Hospital of Guangzhou University of Chinese Medicine, received a 16-year-old gout patient.
A 16-year-old gout teenager with a blood uric acid value of up to 900
Xiao Li, a 16-year-old boy in junior high school, had redness, swelling and heat pain in his right foot the day before, and after Director Liang's review, he considered the acute attack of gout; the test results were staggering, Xiao Li's blood uric acid value was as high as 900 μmol/L, more than double the upper limit of normal values, and the number of white blood cells in the blood routine was also significantly increased.
Xiao Li test report sheet Photo/Hospital provided
Clinically, gout is more common in 40-55 years old, more men than women, like this teenager who suffered from gout at only 16 years old, and the blood uric acid value is so high, it is rare. After asking about the medical history, I learned that the teenager was stationed in the Internet café for more than a month in one breath due to the breakdown of the relationship with his parents, ate instant noodles and takeaways when he was hungry, drank milk tea drinks when he was thirsty, reversed day and night, and did not eat moderately, so there was this result.
Eating uncontrolledly brews bitter fruit
Clinical observation of young gout patients, their bodies are more fat, plain vegetarian good meat, good drinks. For elderly gout patients, their bodies are weak, fat or thin, vegetarian and good at eating seafood, animal offal, etc., good at drinking.
How do people with gout choose food?
As we all know, the dietary intake of hyperpurine is an important cause of elevated uric acid in gout patients, in addition to the active use of drug therapy in patients with gout, but also through the adjustment of dietary structure, supplemented by food therapy, so that the blood uric acid level is reduced until the standard. So with so many ingredients, how do we distinguish them? General food purine content can generally follow the following rules: animal offal, shellfish> dried beans, nuts> leafy vegetables> cereals > fruits.
Expert reminder: Foods containing more than 150 mg/100 mg of purines, such as animal offal, seafood, shiitake mushrooms, etc., are banned in both acute and chronic phases. Foods containing 50-100 mg of purines, such as pork, beef, mutton, etc., are still not available in the acute phase, and the chronic phase is appropriately relaxed.
Medicinal dietary conditioning for gout
1. Lily rice porridge:
【Applicable population】Patients with chronic gout arthritis
【Ingredients】 50 grams of fresh lilies (25 grams of dried products), 100 grams of glutinous rice, rock sugar (or white sugar) to taste.
【Directions】 Put into a pot (preferably in a casserole) add water to boil rice until the rice blossom soup is thick and serve warmly. Take 3-4 times a day for 1 month to see the effect.
【Expert advice】Lily is a traditional food and medicine homologous ingredient in the mainland, which has the effects of strengthening the spleen and stomach, moisturizing the lungs and relieving cough, clearing heat and diuresis, and calming the mind and calming the mind. According to modern pharmacological studies, lily bulbs contain a variety of alkaloids such as colchicine. Lily porridge with glutinous rice stomach nourishing characteristics, rice porridge diuretic effect and nutritional supplementation, the lily contains colchicine side effects significantly reduced, gentle play an adjuvant therapeutic effect.
2. Golden Car Tea:
【Applicable population】Patients with acute onset of gout
【Ingredients】Money grass, plantain 15 grams each.
【Method】 Decoct for 40 minutes, take the juice instead of tea, once a day, a week for a course of treatment.
【Expert advice】Money grass has the function of detoxifying and dispersing stasis, reducing swelling and relieving pain, and is often used for damp and hot jaundice, bile swelling and pain, stone shower, hot shower, urine astringent pain, carbuncle boils, snake bites and other diseases. Fresh products are effective when taken internally or externally. And plantain is also a common detoxification of traditional Chinese medicine, "Materia Medica" mentions "plantain, water, diarrhea, cold blood." "Modern pharmacological studies have also found that it has anti-inflammatory properties. The two can play a role in clearing heat and cooling blood, reducing swelling and swelling, and eliminating stasis, which can help reduce fire very well, and can also increase the body's resistance, and can also be put in an appropriate amount when cooking soup, which can play a certain effect. However, plantain and money grass are not recommended for long-term drinking, because both are cold, and long-term use is easy to damage spleen and stomach function.
3. Uric acid-lowering tea
【Applicable population】Patients with intermittent stage of gout.
【Ingredients】Psyllium 15 g, Purslane 15 g, Poria 20 g, Inchen 25 g.
【Directions】 Fry in water for 25 minutes, add 6 grams of rock sugar to replace tea
【Expert advice】Purslane is a medicinal and edible dual-use plant, which has the effect of clearing heat, dampness, detoxification, swelling, anti-inflammatory, thirst quenching, and diuretic. Yin Chen taste bitter, spicy, slightly cold, has the effect of clearing damp heat, choleretic yellowing. The "Compendium of Materia Medica" mentions that "the soil poria can strengthen the spleen and stomach, go to rheumatism, the spleen and stomach are healthy, and the rheumatism is good." "Therefore, in addition to detoxification, dehumidification, and the effect of tongli joints, there are also spleen and stomach effects, which can reconcile the cold medicinal properties of the other three."
4. Red bean loofah soup
【Applicable population】Patients with chronic gouty arthritis and intermittent period.
【Ingredients】 30 grams of red beans, 9 grams of loofah, 9 grams of angelica, 9 grams of wellings.
【Method】 Loofah, angelica, welling fairy decoction take the juice and cook with red beans, add an appropriate amount of sugar. Take once daily for 7 days.
【Expert advice】Red beans, also known as red beans, are common ingredients for ordinary people, rich in protein, sugar and other nutrients. As a medicinal material, it is sweet, acidic, flat, the main water to reduce swelling, detoxification and pus, for water swelling and full, carbuncle sore poison, is a more moderate antipyretic antidote and diuretic. The loofah network has such a record in the "Materia Medica Reading": "Loofah network, into the meridian, to relieve evil fever." When the heat is removed, the wind goes, and the liquid in the network does not combine and becomes phlegm, which becomes a swollen and poisonous disease, so the cloud detoxifies the ear. "It can be seen that loofah has the effect of reducing swelling and detoxification." Angelica is a traditional Chinese medicine that everyone is more familiar with, which has the effect of invigorating blood and nourishing blood, and it has also been found to have anti-inflammatory and analgesic effects in modern pharmacological experimental research. Welling immortal taste spicy, salty, warm, has the effect of dispelling rheumatism, through the meridians. Overall, this therapeutic diet is mild and is suitable for patients with chronic gouty arthritis and intermittent periods. (For more news, please pay attention to Yangcheng Pie pai.ycwb.com)
Source | Yangcheng Evening News Yangcheng Pie
Editor-in-charge | Wang Moyi