How to take care of gout and hyperuricemia in daily life

  Gout is a group of diseases caused by disorders of purine anabolism and/or decreased uric acid excretion and increased blood uric acid. Its clinical manifestations are hyperuricemia and characteristic arthritis caused by urate crystallization and deposition, gout stones, interstitial nephritis and uric acid kidney stone formation, which can lead to joint movement dysfunction and deformity in severe cases. Because hyperuricemia is one of the symptoms of gout, for the convenience of elaboration, part of the content may use gout as a collective term instead of hyperuricemia and gout patients.  I. Principles of nutritional treatment 1. Low purine diet The content of purine in various types of food should be understood, and then recipes should be designed according to different conditions. During the acute attack period of gout, food purine should be strictly limited to 150mg/d and meat should be banned, and food with little purine content, such as milk and eggs, can be chosen. For example, when eating chicken, fish and meat, cook them in wide soup first, which can dissolve about 50% of purines in the soup, and then discard the soup to reduce the intake of purines.  2, reasonable control of energy intake gout people are mostly accompanied by obesity, hypertension or diabetes, so energy intake should be limited. Obese people should reduce their weight and maintain their ideal weight as much as possible. However, gout people should lose weight gradually, otherwise excessive fat decomposition will induce an acute attack of gout.  3, low protein intake Moderate restriction of protein intake can reduce the intake of purines. You can use milk, eggs, refined white rice, rich flour and other foods with low purine content. However, when gouty nephropathy requires a strict diet plan again.  4, low-fat diet Gout patients are often accompanied by obesity and hyperlipidemia, high-fat diet will reduce uric acid discharge. Therefore, the intake of fat should be limited.  5. Carbohydrates should be used as the main source of energy. The intake of fructose should be reduced because it can increase uric acid production.  6. Increase the intake of water Gout patients should drink a lot of water and maintain the amount of fluid intake at about 2000-3000ml daily to facilitate urine dilution and uric acid excretion.  7. Vitamins and minerals Adequate supply of vitamin C and B vitamins should be provided. Supply more alkaline food such as vegetables and fruits, because the alkaline environment can improve the solubility of uric acid salts, which is conducive to uric acid excretion. Fresh vegetables and fruits are also rich in vitamin C, which can promote the dissolution of uric acid salts in tissues.  8, gout patients are often combined with high blood pressure, so the daily intake of salt should be below 6g.  Alcohol can cause the accumulation of lactic acid in the body, and lactic acid has a competitive inhibitory effect on the excretion of uric acid, so gout patients should prohibit alcohol.  The Chinese medicine diet Silver vine mulberry porridge 【formula】 Silver vine 30g, mulberry 10g, 100g of round-grained rice. 【method】 Silver vine and mulberry into the casserole, water decoction for 30 minutes, remove the dregs to take the juice and set aside. Wash the round-grained rice, add the right amount of water to the pot, cook the porridge until it is ready, add the juice and continue to cook into porridge.  Efficacy】Clearing heat and dampness, activating and relieving pain. Suitable for damp-heat gout disease.  Usage】1 time daily.  Recipe example 250g of main food, 75g of eggs, 250g of milk, 650g of vegetables, 400g of fruits, 20g of oil, 5g of salt, 2000ml of water. Total energy 1600Kcal, 47g of protein (12%), 41g of fat (23%), 263g of carbohydrates (65%).