Gout is a group of diseases caused by long-term purine metabolism disorders. Its clinical characteristics are hyperuricemia and the resulting recurrent episodes of gouty acute arthritis, chronic arthritis and joint deformities caused by gout stone deposition, often involving the kidneys to cause renal uric acid stones and interstitial renal lesions. The common causes are trauma, surgery, alcohol consumption, hunger, infection, overeating and prolonged walking. The onset of the disease is sudden, mostly in the middle of the night or early morning. A significant number of patients with hyperuricemia present only with elevated blood uric acid and are asymptomatic for a long time. In traditional medicine, this disease belongs to “paralysis”, “calendar joints”, “foot gas”, “gout” and other diseases.
1.Cause
In traditional medicine, the disease is classified as “paralysis”, “calendar joints”, “foot fungus”, “gout” and other diseases. Gout” first appeared in the Liang-Tao Hongjing “famous doctor’s special record – the upper product” “Douhu, slightly warm, non-toxic. The main treatment of all thieves wind, a hundred joints of gout without a long time new”. Yuan Dynasty Zhu Danxi “Ge Zhi Yu Lun”: “gout, the majority of the blood because of the heat, has been boiling, after or wading in cold water, or standing wet, or fan wind to get cool, or lying on the ground when the wind, cold and cold outside the fight, hot blood to get cold, sweat turbid condensation, so pain, night is pain, line in the yin also. The treatment is based on pungent and hot agents.” It is proposed that “wind and cold” cause disease. In the Han Dynasty, Zhang Zhongjing’s “The Essentials of the Golden Horoscope”: “The disease is not to flex and stretch pain.” Put forward “wind-damp”, “wind-blood fight” cause disease. To the Tang Dynasty Wang Tao in the “secret essence of Wai Tai”: “most of the wind, cold, summer and dampness poison, due to deficiency, will not take care of …… day quiet and night hair, hair when the bones strangulation pain”. Proposed “wind, cold, damp” cause disease. Ming dynasty Zhang Jinyue “Jing Yue Quanshu – foot gas” “external by Yin cold water dampness, damp evil attack skin and flesh tendons; internal by plain fat and sweet excessive, damp congestion lower jiao; cold and damp evil conjunctive depression and heat, stay in the skin …… lesion parts red swelling hot flashes, long is bone erosion.” It is proposed that the disease is caused by evil and the pain is caused by stasis. This shows that the mechanism of “gout” can be attributed to: “wind”, “cold”, “damp heat”, “stasis” and other causes. “stasis” and other causes. The pathogenesis of the disease lies in the congenital deficiency of endowment, and the acquired addiction to sorghum and thick flavors, resulting in the disorder of the spleen and stomach, so that the evil of “wind, cold, dampness and heat” block the blood vessels and extremities, resulting in the blockage of the blood vessels, and pain when they do not pass.
2.Signs and symptoms
The initial onset of the disease often affects only a single joint, with the mother toe and the first metatarsal phalangeal joint being the most common, and later involves multiple joints with severe pain, which may be accompanied by headache and fever, and may last for a few days to a few weeks with natural relief and recovery of joint movement. Repeated attacks may lead to chronic arthritis, and some patients may develop renal colic, hematuria, oliguria or even urinary closure, etc., and renal failure may occur in advanced cases.
3, health care and health points
(1) Spiritual regimen.
Gout patients in a long-term chronic pain state is prone to impatience, distress, depression and other bad mood. Therefore, in the mood should be calm joy and anger, dispel sadness, avoid panic, with a good state of mind and mental outlook on the disease.
(2) Dietary regimen and medicinal food
Gout is caused by over-eating sorghum and thick food, alcoholism, damage to the spleen and stomach, dampness and heat, or external wind, cold and dampness, which leads to paralysis of the tendons and veins, and pain if they do not pass. Therefore, gout patients should avoid high purine food, alcohol and meat soup.
Medicinal food supplementation.
① plum sauce: plum for tomato alias, take 3-5 raw tomatoes, crush machine crushed into jam and take. Tomatoes taste sweet, sour, cool. It can clear heat and quench thirst, nourish Yin and cool the blood. Tomatoes have the ability to reduce blood pressure and capillary permeability, and have certain anti-inflammatory and diuretic effects. Eating 3-5 of them raw during a gout attack can reduce pain and swelling. Most patients are effective.
② Job’s tear porridge: take 30g of Job’s tear, 15g of white poria, a little of japonica rice, add the right amount of water to boil the porridge. Job’s tear is sweet and light, slightly cold, water, swelling, spleen and dampness, Shu tendons and paralysis, heat and pus, etc., Poria is sweet, light, flat, into the medicine with water and dampness, benefit the spleen and stomach, tranquilize the mind. Modern medical research: poria can enhance the body’s immune function, barley poria porridge for gout spleen deficiency wet patients.
③ cold shredded radish. Take white radish, carrot appropriate amount of shredded add soy sauce, monosodium glutamate, salt a little cold. Radish contains a lot of water, vitamins, alkaline food, is a kind of vegetable basically does not contain purine. Tang-Meng Monon said: “Radish is good for joints”; “Food Properties of Materia Medica” also believes that radish can “promote wind energy, remove evil heat, and facilitate urination and defecation”; raw radish also contains a large amount of vitamin C and rich potassium salts, which can play a role in alkalizing blood and diuretic effect. Gout patients eat more radish is beneficial to recovery.
(3) Sports and exercise.
Gout patients are often involved in the joints, exercise should pay attention to protect the joints, should not carry out strenuous exercise.
① Swimming, swimming for joint loss is small, patients can swim 2-3 times a week according to their own situation, to improve the metabolic function of the body. This method is a full-body aerobic exercise, less wear and tear on the joints, but there are certain restrictions on skills, seasons and venues.
②Baduanjin, eight duanjin is a traditional fitness program in China, its movements are round and coherent, both dynamic and static, simple and easy to learn, is the intensity of the ground, a long time aerobic exercise. Its song is “two hands to the sky to manage the three jiao, left and right open bow like shooting eagles. Adjust the spleen and stomach need to single lift, five strains and seven injuries look back. Shake your head and tail to remove the heart fire, behind the seven upside down hundred diseases eliminate. The two hands climb the feet to strengthen the kidney waist”. The core theory of the Eight Duan Jin is to regulate the spleen meridian, move the muscles and flesh, dredge the liver and spleen, and have a unique regulating effect on diabetes. Therefore, this method not only can reduce blood sugar, but also can regulate the human meridian qi and blood flow, improve the function of the internal organs, to adjust the function of the meridians, tendons and bones smooth qi and blood line, qi and blood smooth then the internal organs tune. This method is not a large amount of exercise, easy to learn, the season, the venue requirements are small to facilitate the implementation.
4, special tips.
Gout patients are prone to depression, anxiety and other negative emotions in a long-term painful state, so patients should adjust their mindset and maintain a positive attitude towards life to face the disease. At the same time, patients have a poor ability to adapt to changes in heat and cold, so they should pay attention to keeping warm in winter; in summer, they should prevent cold and cold drinking to prevent cold stagnation and blood stasis. Pay attention to dryness indoors and avoid dampness; do more outdoor activities to stretch the yang energy and open up the qi flow.