A. Gout patients should eat more low purine food, less medium purine food, no high purine food, but also pay attention not to drink alcohol. Low purine foods: 5 grains and cereals, eggs, milk, fruits and vegetables; medium purine foods: meat, beans, seafood; high purine foods: bean sprouts, soy bean sprouts, asparagus, shiitake mushrooms, nori, animal offal, fish. Gout is often complicated by obesity, diabetes, hypertension and hyperlipidemia, patients should observe the following dietary principles:
1, maintain the ideal weight, overweight or obese should reduce weight. However, weight loss should be gradual, otherwise it will easily lead to ketosis or an acute attack of gout.
2, carbohydrates can promote uric acid excretion, patients can eat carbohydrate-rich rice, steamed buns, pasta, etc..
3, protein can be consumed according to the weight, according to the proportion, 1 kg of body weight should be consumed 0. 8 grams to 1 gram of protein, and milk, eggs as the main. If it is lean meat, chicken and duck meat, etc., should be boiled and eaten in soup, avoid eating stewed meat or marinated meat.
4, eat less fat, because fat can reduce uric acid discharge. If you have gout and hyperlipidemia, you should control your fat intake to within 20% to 25% of your total calories.
5, drink a lot of water, should drink 2000ml to 3000ml of water daily to promote the elimination of uric acid.
6, eat less salt, should be limited to 2 grams to 5 grams per day.
7.No alcohol! Alcohol tends to make the body lactic acid accumulation, has an inhibitory effect on uric acid discharge, easy to induce gout.
8, less use of strong stimulating seasonings or spices.
9, limit purine intake. Purine is a component of the cell nucleus, as long as the food containing cells contains purine, animal food has more purine content. Patients are forbidden to eat offal, bone marrow, seafood, fermented foods, beans, etc.
10. Drugs that inhibit uric acid excretion should not be used.
High purine diet can increase the synthesis of uric acid and increase the concentration of uric acid in blood, while low purine diet can reduce the concentration of uric acid in blood. After diet control, blood uric acid can be reduced by about 35.7ηmol/L (O.6mg/dl) in normal people and by about 59.5μmol/L (1.Omg/dl) in gout patients. There are some reasonable explanations for how dietary factors affect blood uric acid levels, including:
1. Excessive alcohol consumption can cause the onset of gout, especially with beer. The possible mechanisms by which ethanol affects blood uric acid levels are:
(1) Alcohol consumption is often accompanied by a diet rich in purines;
(2) Ethanol metabolism can increase the blood lactate concentration, which can inhibit the excretion of uric acid by the kidneys;
(3) Excessive alcohol consumption causes blood ketosis and inhibits the excretion of uric acid by the kidneys;
(4) Ethanol can promote the conversion of adenine nucleotides and increase uric acid;
(5) It is believed that the consumption of alcohol containing lead, such as whiskey, increases the risk of developing gout by three times.
(2) Reducing food intake is also associated with gout attacks, because plasma acetoacetic acid and beta hydroxybutyric acid levels increase when hungry, affecting the excretion of uric acid by the kidneys.
There are some misconceptions about the relationship between soy products and gout. According to tests conducted by scholars in China and Japan, the purine content of most beans is not too high, so it is concluded that soy products have less purine content, which can disprove the misconception of folklore or Chinese medicine that soy products are prohibited for gout. Another piece of circumstantial evidence is that monks who eat soy products regularly also rarely have gout. Therefore, soy products can be consumed in small quantities.
2, gout prevention diet
1, quit eating high purine food: animal offal (liver, intestine, kidney, brain), seafood (abalone, crab, lobster, 3 salmon, sardine, tuna, carp, sea bass, trout, cod), shellfish, meat (beef, sheep, duck, goose, pigeon), soy food, lentils, spinach, cauliflower, asparagus, mushrooms, soup, wheat bark.
2, quit eating high cholesterol food: animal offal (liver, intestines, kidney, brain), fatty meat, squid, fish, cuttlefish
3, abstain from alcohol: do not drink alcohol, especially beer, Shaoxing wine.
Once the blood alcohol concentration is as high as 200mg/dl, lactic acid in the blood will increase with the oxidation process of ethanol, so that the kidney excretion of uric acid is blocked, resulting in an increase in uric acid in the blood.
4, quit eating acidic food, such as coffee, fried food, high-fat food. The imbalance of acid and alkaline will affect the body function and increase the burden of liver and kidney.
Three, the appropriate food to eat
1, eat more high potassium food, such as bananas, broccoli, celery, etc.. Potassium can reduce the precipitation of uric acid and help discharge uric acid from the body. Take plenty of alkaline food, such as kelp, cabbage, celery, cucumber, apples, tomatoes and other fruits.
2, eat more kidney food. According to Chinese medicine, foods that strengthen the kidneys help excrete uric acid, and can be taken in a decoction of water according to the formula of “Six Flavors of the Earth” (Shu Di Di, Cornus Officinalis, Shan Yao, Ze Di, Dan Pi, Fu Ling) to nourish the yin and tonify the kidneys.
3, it is also appropriate to eat more qi and blood circulation, tendons and activating food. For example, can be used mulberry (5 money for one person) boiled sugar water, but do not put eggs, can add lotus seeds.
4, apple cider vinegar with honey.
This is a traditional Western treatment method, which has been proved to be effective by many clinical tests. Apple cider vinegar contains pectin, vitamins, minerals (phosphorus and potassium) and enzymes. The acidic content of apple cider vinegar is antiseptic and helps to eliminate toxins from joints, blood vessels and organs. Regular consumption of apple cider vinegar can regulate blood pressure, improve blood vessels, lower cholesterol, and help treat arthritis and gout. After meal, add one teaspoon of apple cider vinegar and one teaspoon of honey into half cup of warm water and drink it well.
5.Food therapy for gout patients
Job’s tear porridge: Take appropriate amount of barley and white rice, the ratio of the two is about three to one, soak the barley in water for 4 or 5 hours, soak the white rice for 30 minutes, then mix the two, add water and boil them together to make porridge.
Winter melon soup: take three hundred grams of winter melon (not even skin), red dates 5, six, a little ginger. The first oil will be burnt ginger, and then together with the winter melon slices and red dates into a pot, add water and the appropriate amount of seasoning to cook into soup.
6, drink more water every day, go to the toilet more, do not hold back urine.
4.
The Chinese medical textbook says: “If you have the right amount of gas, you have the right amount of blood, and if you have the right amount of blood, the wind will disappear. Therefore, the treatment of gout should focus on nourishing qi, blood circulation and kidney consolidation, and the smooth flow of qi and blood will prevent the accumulation of uric acid. For example, swimming, Tai Chi.
5.
1, control the total calories: gout patients to maintain or achieve the ideal weight, the best way to make their weight below the ideal weight 10% ~ 15%. To do the latter focus on controlling the total calories eaten daily, the total diet should be about 10% lower than the normal diet, do not eat too much 0 food, and do not eat too much or too full at each meal.
2, low protein diet: gout patients should be given 0.4~0.5 grams of protein per metric body weight, the total daily protein should be controlled at about 40 grams, and the intake of fish and legumes should be appropriately limited. Daily 1 cup of milk plus 2 eggs or 2 taels of lean pork can meet the protein needs of the muscles, not too much.
3, limit fat intake: gout patients daily total fat intake of about 50 grams is appropriate, pay attention to vegetable oil-based, less animal fat.
4, with high carbohydrate food: rice, noodles, cereals are the main components of carbohydrates, so gout patients should be the main diet of these foods to ensure the supply of calories.
5, prohibit alcohol, less coffee, tea, cocoa: alcohol can trigger gout attacks and aggravate the disease, gout patients should be absolutely prohibited from drinking alcohol; gout patients in drinking coffee, tea, cocoa should not be too strong, drink too much.
6, maintain adequate vitamin B and C: vitamin B and C is rich in fruits and vegetables, eat some citrus, apples, and more green leafy vegetables in the meal daily, can make the body have enough vitamin B and C.
7, forbidden to eat food containing high purine: food containing high purine are animal offal, fish and shrimp, clams, beef and mutton and bowl of beans, etc., gout patients should eat as little as possible or not. Gout patients should eat more food with less purine content such as milk, eggs, bread, cucumber, tomatoes, etc. to reduce exogenous purine into the body and lower the blood uric acid level.
Six
Here is also introduced gout food therapy prescription:
(1) White fungus root drink: 10 grams each of fresh bamboo leaves and white fungus root. Fresh bamboo leaves and white thatch root washed, put into a thermos cup, brewed with boiling water for 30 minutes, drink as a substitute for tea, diuretic, prevent gout complications kidney stones.
(2) corn beard drink: 100 grams of fresh corn beard. Fresh corn husk with appropriate amount of water, decoction for 1 hour to filter out the juice, low fire concentration to 100 ml, cease fire to be cold, add sugar and stir to absorb all the juice, cooled and dried and pressed powder into a bottle. Take 10 grams 3 times a day with boiling water. It prevents kidney stones and has a diuretic effect.
VII
How long is the best interval between laboratory tests? About 2 weeks before retesting.