Gout patients’ dietary attention, health promotion

  Gout, also known as “hyperuricemia”, is a disease caused by the accumulation of uric acid due to disorders of purine metabolism, and is a type of arthritis, also known as metabolic arthritis. Gout is defined as a disruption of the metabolism of a substance called purine in the body, resulting in an increase in the synthesis or decrease in the discharge of uric acid (an oxidized metabolite of purine), resulting in hyperuricemia. When the blood uric acid concentration is too high, uric acid is deposited in the form of sodium salts in joints, soft tissues, cartilage and kidneys, causing a foreign body inflammatory reaction in the tissue, which is called gout.  Clinical symptoms: The main symptoms include acute gouty arthritis, chronic gouty arthritis, gouty nephropathy and urinary tract stones.  Dietary guidance: Normal adult purine intake can be as much as 600-1000 mg/day, and gout patients should not exceed 100-150 mg/day during an arthritic attack, so we should have a “spectrum”; what things have more purine, try to eat less; what things have less purine, eat more.  Low purine food can be safely eaten: 1. Main food: rice, wheat, pasta products, starch, sorghum, macaroni, potatoes, yams, etc.  Milk: milk, cheese, ice cream, etc.  2, meat: eggs, pig blood and chicken and duck blood, etc.  3.Vegetables: Most of the vegetables are low purine food.  4.Fruits: Fruits are basically low purine foods and can be eaten without worry.  5.Beverages: soda, cola, soft drink, mineral water, tea, juice, coffee, cream of wheat, chocolate, cocoa, jelly, etc.  6.Other: honey, fats and oils (melon seeds, vegetable oil, butter, cream, almonds, walnuts, hazelnuts), coix seeds, dried fruits, sugar, jellyfish, seaweed, animal glue or fat snacks and condiments.  1. Beans and their products: bean products (tofu, dried bean curd, milk tofu, soy milk, soy milk), dried beans (green beans, red beans, black beans, fava beans), bean seedlings, etc.  2, meat: poultry and livestock meat.  3. Aquatic products: grass carp, sea bass, flounder, eel, snails, catfish, fish balls, shark fins, sea cucumber, crabs, eels.  Vegetables: spinach, bamboo shoots (asparagus, asparagus, dried bamboo shoots), beans (string beans, green beans, kidney beans, peas), kelp, enoki mushrooms, mushrooms, silver fungus, cauliflower.  4, fats and oils and others: peanuts, cashew nuts, sesame seeds, chestnuts, lotus seeds.  High purine food should be used with caution and preferably not 1. Legumes and vegetables: soybeans, lentils, purple cabbage, shiitake mushrooms, etc.  2. Meat: offal of poultry and livestock, dried meat, thick gravy, meat pies, etc.  3. Aquatic products: fish (fish skin, fish eggs, dried fish, sardines, anchovies and other sea fish), shellfish, shrimp.  4, other: old fire soup, yeast powder, all kinds of alcohol (especially beer) Diet therapy: gout diet therapy at the beginning to clear heat and remove dampness, soups do not boil for a long time, do not eat meat.  Recipe 1: Job’s tear papaya pork bone soup (Job’s tear 100 grams, papaya a, pork bones appropriate) Recipe 2: Tang Kotanyi boiled raw fish (raw Tang Kotanyi boiled 150 grams, raw fish 1) Recipe 3: Tu Fu Ling boiled fish (Tu Fu Ling 50 grams, turtle 1) long-suffering gout, liver and kidney deficiency diet therapy to supplement the liver and kidneys as the main, appropriate blood circulation and blood stasis.  Recipe 1: Eucommia barley pork bone soup (Eucommia 20 grams, barley 30 grams, pork bone appropriate amount) Recipe 2: Eucommia Tianqi pork bone soup (Eucommia 20 grams, Tianqi 10 grams, pork bone appropriate amount) In addition to diet, in daily life should also pay attention to the following points: 1, drink more water, to keep the daily urine volume of more than 2000ml, because the occurrence of urinary stones and uric acid concentration and urine pH, if necessary, can take alkaline drugs to prevent If necessary, alkaline drugs can be taken to prevent the occurrence of urinary tract stones.  2. Avoid overeating or starvation.  3. Moderation of smoking and alcohol, especially alcohol abuse.  4. Properly deal with the triggering factors, prohibit or reduce the use of drugs that affect uric acid excretion: such as penicillin, tetracycline, high-dose thiazides and diuretics such as aminoglutethimide, vitamin B1 and B2, insulin and small doses of aspirin, etc.  5, obese people should actively lose weight, reduce weight, which is quite important to prevent the occurrence of gout.  6, pay attention to the combination of work and rest, avoid overwork, mental stress, infection, surgery, generally do not advocate gout patients to participate in running and other strong physical exercise, or long-distance walking tours.