Introduction: Peking University Medical Women Doctor Health Says Original American Article No. 394
<h1 class="pgc-h-decimal" data-index="01" data-track="2" > gout, TCM should be treated in stages</h1>
People with high uric acid estimate that this article will not be read, so today's popular science will not introduce the causes and treatment methods of modern medicine for gout.
Talk directly about the understanding of TCM.
Although gout in the eyes of Western medicine and gout in the field of Chinese medicine are still different, although there is also a disease of gout in Chinese medicine, Chinese medicine still classifies the disease of gout into the category of "paralysis".
Once upon a time, like in the West, it was also a "disease of the court nobility".
In fact, gout is only one disease in metabolic syndrome, and the probability of other metabolic syndrome obesity, lipid disorders, hypertension, fatty liver, and diabetes in people with gout is 75%, 70%, 50%, 45%, and 30%, respectively.
Moreover, according to the dialectical principles of Chinese medicine, if gout arthritis is biased towards wind, it is necessary to dispel wind.
Gout acute arthritis is biased towards cold, mainly to disperse cold.
Where wetness and evil are in full swing, it is necessary to focus on reducing dampness.
Where heat and evil are in full swing, it is necessary to focus on clearing heat.
In this way, gout patients, especially those who have been friends for many years, must be treated according to the symptoms and characteristics of joint inflammation and whether they are in the acute onset of gout and the nature of the paralysis, so as to accurately prescribe the right medicine.
Moreover, we will find that in practice, more than two-thirds of patients with gout have combined kidney damage.
Therefore, most patients with gout are particularly prominent in the metabolic disorders of the spleen and kidney organs.
If you follow Western medicine or past knowledge, you will think that most people who have gout will take acid-lowering drugs for life.
However, many acid-lowering drugs have side effects and poor compliance, so it is difficult for many people to stick to them when they use them.
So what happens if traditional Chinese medicine is combined with Western medicine? The results showed that half of the blood uric acid of the wind friend could maintain normal levels for a long time.
Moreover, on the basis of combining the experience of previous generations and their own years of clinical practice in traditional Chinese medicine, Chinese medicine doctors divide gout into three stages of treatment.
Today's science popularization focuses on how Chinese medicine treats gout in stages.
<h1 class="pgc-h-decimal" data-index="02" data-track="21" > acute stage of gout, which can be treated with white tiger tongxi soup</h1>
Chinese medicine for the acute stage of gout joint redness, swelling, heat pain, tendons and veins, hands can not be close to the affected area, more difficult to get out of bed activities, and the daytime pain is reduced, night pain is aggravated, tongue moss is yellow, pulses like strings slip, will be diagnosed as damp heat evil poison, paralysis of joint evidence, treatment to clear heat and dehumidification, blood circulation method, treatment formula using white tiger pain soup treatment, group (detailed group can pay attention to @ Peking University Medicine postdoctoral private message reply "0916-1" there is a surprise) by honeysuckle, forsythia, zhimu, plaster, skullcap, windproof, Qin Gong, Mulberry Branch, Fine Spice, Wu (first fry), Yellow Cedar, Ox's Knee, Dew Beehive, Coix Seed/Soil Poria Each, Knotweed, Licorice, one dose a day, decoction once in the evening and once in the evening. Hot and even 15g of diarrhea and self-defense.
<h1 class="pgc-h-decimal" data-index="03" data-track="24" > gout prolonged active phase (chronic phase), can be treated with astragalus guizhi wuwutang</h1>
Gout relieves symptoms in the chronic phase, but blood uric acid is still in the range of significantly higher than normal values, and at this time, treatment needs to be continued.
However, the pathogenesis of gout prolonged active phase (chronic phase) is characterized by weakened spleen deficiency and wet turbidity function, accumulation of metabolites, wet turbidity fluid injection into joints for a long time, wet stasis conjunction, damp heat fluid injection, paralysis of joints, joint deformity and stiffness, activity failure, or local ulceration (with white salt discharged from the wound).
Moreover, fatigue and anorexia can be seen, the tongue is white and greasy, and the veins are thin.
This is mostly a sign of weakness in the spleen and stomach and poor qi and blood. The treatment method can be used to tonify the spleen and improve qi, dissolve phlegm and dehumidify the method, the party uses astragalus guizhi wuwu soup and the spleen seepage wet soup plus or minus treatment, the group (the detailed group can pay attention to @ Peking University Medical Postdoctoral Private Message Reply "0916-2" has a surprise) composed of astragalus, dang ginseng, Zelan, soil poria, honeysuckle vine, raw coix seed, peony peel, angelica, red peony, yellow cedar, Sichuan root, Cangshu, Half Summer, self-defense, Wellingxian, Baishu, snake, licorice. If the pain is very painful, add an appropriate amount of frankincense and myrrh. One dose per day, decoction once in the evening and once in the evening.
<h1 class="pgc-h-decimal" data-index="04" data-track="30" > gout interval, which can be treated with flavored simiao soup</h1>
Gout intermittent period (can not have gout stones, note that not the remission period Oh), all the symptoms of arthritis have been alleviated, but still feel the waist and knees are cold, cold edema, which indicates that there is a spleen and kidney deficiency or deficiency, treatment should be to strengthen the spleen and deep, dispel dampness to consolidate the efficacy, the treatment formula can be added flavor four magic soup plus subtraction treatment, the group (detailed group can pay attention to @ Peking University Medical Postdoctoral Private Message Reply "0916-3" There is a surprise) by Cang shu, yellow cedar, ox knee, red peony, dilong, full scorpion, parasitism, zhimu, self-defense, ze diarrhea, Poria sativa, Sichuan, coix seeds, money grass, raw astragalus, yam, composition, decoction and warm service once in the morning and once in the evening, one dose per day.
In short, our goal is: uric acid is no longer high, gout will not be committed.
Reference to this article: Xiang Fengmei's article "Diagnosis and Treatment of Chinese and Western Medicine" in the 6th issue of "Modern Distance Education of Chinese Traditional Chinese Medicine" in 2012.
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