Peking University Female Doctor of Medicine Health Says Original Meiwen No. 434
<h1 class="pgc-h-arrow-right" data-track="1" > doctors studied 100 clinical diagnosis and treatment literature on gout, and 100 treatment parties shared 165 kinds of chinese medicines in five categories</h1>
Gout, that is, a group of inflammatory reactions caused by uric acid deposition in the joints and surrounding tissues caused by hyperuricemia, whether it is anti-inflammatory and analgesic Western drugs in the acute stage, or Western drugs that reduce uric acid, have serious toxic side effects, which limits the compliance of many patients.
Traditional Chinese medicine therapy, if you can achieve the unity of prescription evidence, the unity of prescription disease, and the integration of prescription medicine, precision medication can also be effective frequently.
Doctors consulted 100 special prescriptions for the diagnosis and treatment of gout using TCM methods between 2003 and 2006, and a total of 165 kinds of Chinese medicine appeared, which can be divided into five categories:
1. Antipyretic drugs:
Including yellow cedar, earth poria, honeysuckle vine, plaster, skullcap, Zhimu, red peony, danpi, honeysuckle, raw land and so on.
2. Rheumatic drugs:
Including Welling Immortal, Self-Defense, Vine Medicine (Qingfeng Vine, Sea Breeze Vine, Chicken Blood Vine, etc.), Papaya, Qin Gang and so on.
3. Dampening drugs:
These include Cangshu, Amaranth, Psyllium, Sawa, Talc, etc.
4. Tongluo blood activating drugs:
Including ox knee, ground dragon, danshen, Sichuan root, peach kernel, safflower, Zelan, Yan Hu Suo and so on.
5. Tonic:
Including tonic liver and kidney Sichuan break, bone fragment supplement, dogwood and so on.
Moreover, the doctor also found that the 100 special prescriptions for the treatment of gout are all added and subtracted by experience, and most of them are added and subtracted on the basis of the group name Jingfang Simiaosan (composed of yellow cedar, Cangshu, ox knee, coix kernel), and the idea of medication is mostly to take anti-damp medicine + antipyretic medicine + blood circulation medicine.
Under this line of thinking, according to their own understanding, the doctor sorted out a basic prescription for the diagnosis and treatment of all gout and 34 personality prescriptions for addition and subtraction from the perspective of Chinese medicine, and I believe that even if the gout person looks at it, he will also think about the treatment of the disease referred to by traditional Chinese medicine methods.
<h1 class="pgc-h-arrow-right" data-track="18" > the general prescription for the treatment of acute attacks of gout</h1>
On the basis of the classic formula of heat removal and dampness, the doctor uses antipyretic anti-poison, rheumatic medicine, anti-damp medicine, etc. to make the basic formula, which is composed of ox knee, coix kernel, yellow cedar, cangshu, soil poria, amaranth, welling immortal, red peony, honeysuckle vine, mountain mushroom, licorice and so on.
So, is there any TCM principle for doctors to form a prescription like this?
Gout in the field of traditional Chinese medicine belongs to the scope of paralysis, white bone calendar wind and other diseases, and its core pathogens are spleen and kidney dysfunction, phlegm, wet poison congestion, qi deficiency and blood stasis.
Moreover, this disease, more common in the body of the plump middle-aged and elderly for many, usually eating habits often hobby spicy fat sweet and thick taste, living habits like quiet and not moving, over time will lead to the gradual decline of the spleen and kidney organs, resulting in dysfunction of the organs, special preparation is to the spleen and kidneys of the two organs of the rise and clearing of the metabolism disorder.
Spleen and stomach transport failure is not authorized to rise and clear turbidity, kidney qi deficiency is to distinguish the turbidity dysfunction, which will lead to phlegm, wet poison, stasis of the evil endogenous, and mutual knots, plugging the veins and joints, so that the qi and blood run poorly, the meridians do not pass and lead to swollen and painful bone joints.
From the above analysis, the treatment of gout has the characteristics of virtual standards and repeated attacks, and when treating gout, Chinese and Western medicine are based on the principle of "treating the symptoms in an emergency, curing the root causes when slowing down", and the four mysterious scatters are formed in the principle of emergency treatment, and the four mysterious scatters are also based on the basic party, and the famous heat and dampness of the four mysterious scattering groups are pathological characteristics of "phlegm congestion, hot stasis interlocking" of the onset of gouty arthritis.
Among the four mysterious scattering formulas, the two mysterious scatters (Cang Shu, Yellow Cedar) are used as the medicine to clear heat and dryness, and to remove the redness, swelling and heat pain of the hot bet. However, although the damp heat bets, but its root cause is in the spleen, so with the Cangshu dry and wet spleen, in addition to the yellow cedar bitter cold settlement, it has the effect of removing the scorched damp heat and relieving the damp heat turbidity, and the two drugs are combined with the clear stream clean source specimen.
On the basis of the two mysterious scattering, it is added with coix kernels, the sexual taste is sweet and slightly cold, the main discharge, not only has the effect of strengthening the spleen and dampness, but also has the wet evil of the muscles and bones, and is mainly used to treat the disease of damp heat paralysis of the tendons and veins.
Wet turbidity is a disease, all of which are based on the treatment of Yang Ming, and the combination of Cangshu and Coix Kernel two medicines just plays this role.
On the basis of the two mysterious scattering, the beef knee can supplement the liver and kidneys, strengthen the muscles and bones, and also activate the blood and menstruation, and clear the heat.
In addition to the four mysterious scattering, other traditional Chinese medicines, the bitter taste of the grass, into the liver and stomach bladder meridian, has the effect of clearing turbidity, dampness and heat; soil poria, sweet taste into the spleen and stomach, not only can clear the heat and detoxification and dehumidification, but also can enhance the turbidity, the diuretic effect of the soil poria is also conducive to the excretion of turbidity in the blood (hematuric acid).
Fang Zhongwei Lingxian, who is fierce and good at walking but not keeping, can publicize the twelve meridians and open the stasis in the meridians of gout patients.
Fangzhong honeysuckle vine has a sweet and cold taste, is good at clearing the heat poison in the meridians, has the effect of clearing heat, detoxification, meridian activation, and can eliminate the wind and heat of the meridians and relieve pain and cure paralysis.
Fang Zhongshan ci mushroom, has the effect of reducing swelling and loosening knots, modern pharmacology also confirms that shan ci mushroom contains colchicine, which is helpful for preventing gout attacks and alleviating inflammation.
Fangzhong red peony medicine stasis, pain relief, cool blood, reduce swelling, can smooth the blood vein, scatter evil blood, chase the blood of thieves.
Fangzhong licorice can not only take care of the spleen and stomach, to prevent bitter cold from hurting the spleen and stomach, but also to reconcile various medicines.
The whole party plays a concert of clearing heat, detoxifying, drying, wet, activating blood, dissolving stasis, and strengthening the spleen, thus playing a role in treating the acute onset of gout.
After the basic formula, each gout patient has different evidence, and for this situation, the doctor also specially prescribes 34 methods of addition and subtraction:
1. If the fever is more abundant, add gardenia, raw plaster, honeysuckle vine, buffalo horn, skullcap, didec, wild chrysanthemum, etc.;
2. Wet and hot heavy, Fangzhong Kagawa wood tong, tongcao, talc, psyllium, honeysuckle, dandelion, Qin Qian, skullcap, etc.;
3. Wet weight and gas stagnation, square in addition to white bean curd, sand kernel, Peran, weed, self-defense, magnolia and so on;
4. If there are stones in the urinary tract, add chicken gold, stone reeds, sea gold sand, etc.;
5. Joint pain is very serious, fangzhong plus angelica, frankincense, myrrh, Yan Hu Suo, Liu Jinu, Lu Beehive, Sanqi, Yuan Hu, Turmeric, etc.;
6. Stomach pain or poor, add fried malt, divine comedy, white peony, citrus shell, white mustard, etc.;
7. Stasis, Fangzhong Kadan peel, peach kernel, knotweed, purple salvia, pangolin, safflower, leech, milk making, etc.;
8. Constipated, fangzhong plus raw rhubarb, winter sunflower seeds;
9. Thirst, add smallpox pollen to the square;
10. The disease is in the upper limbs, and the fangzhong adds mulberry branches and qianghuo;
11. Illness in the lower limbs, fangzhong plus solitary live, papaya;
12. Local redness and swelling do not recede, and add Xuan Ginseng to the square;
13. The body heat does not recede, and the bone skin, zhimu, half-branched lotus, etc. are added to the square;
14. Local swelling is heavy, and fangzhong aggravates the use of cangshu, coix kernel, increase abdominal skin, betel nut, ze diarrhea;
15. Heavy sputum, square with perilla, rhubarb, soap horn thorn, etc.;
16. Carry wind and heat, add windproof, forsythia, kudzu, etc.;
17. More phlegm, add white mustard seeds, make southern stars, make half summer, bamboo liquor, etc.;
18. Bloated and full, add sand kernels, magnolia, chicken gold, etc.;
19. The cold and humidity are heavy, and the formula is added to the appendage, the production of Sichuan wu, the production of grass wu, fine spices, sea breeze vine, guizhi, etc.;
20. The joint activity is unfavorable, and the square adds stretching grass, millennium jian, earth dragon, chicken blood vine, zombie silkworm, etc.;
21. The condition has been prolonged for a long time, such as Fangzhong Jiadilong, Centipede, Snake of the Black Spp.;
22. If the low back pain is obvious, add continuous interruption, dog ridge, fairy spleen, etc.;
23. Jin's loss of blood is small, and Fangzhong jiashengdi, mai dong, sand ginseng, etc.;
24. Qi deficiency, fangzhong plus astragalus, dang ginseng, baishu, poria and so on;
25. Spleen and kidney yang deficiency, fangzhong plus cooked appendages, eucommia, bayantian, etc.;
26. Qi and yin, Fang Zhong plus prince ginseng, raw land, mountain meat, yam, female virgin, etc.; 27) Liver and kidney yin deficiency: mountain flesh, raw land, dry lotus grass, white peony, etc.;
28. High blood uric acid: earth dragon, etc.;
29. Tophi, square plus money grass, sea sand, fish brain stone, etc.;
30. Blood in the urine, add thistle, white grass root, astragalus, squid bone, madder, fried pu huang, etc.;
31. Edema, add pigweed, poria, Zelan, corn whiskers, etc.;
32. Proteinuria, square with stone reeds, coriander, golden cherry seeds, coix root, etc.;
33. High blood pressure, square with hook vine, kudzu root, etc.;
34. Poor liver and kidney function, square in addition to astragalus, eucommia, goji berries and so on.
Seeing this, is it not for your own gout, using an important method to regulate, and have a number in mind?
In short, our goal is: uric acid is no longer high, gout is no longer committed, and gout is away from tophi.
My references (text/figure are from the Internet, invasion and deletion): 1. In 2016, the 13th issue of "China Health Nutrition" Fang Fang and other articles "Review and development trend of dietary supplements such as cherries in the treatment of gout".
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