I’m 31 years old, male, I always have some bumps on my body, red and swollen, a little hot to the touch, and painful, there is white pus inside the bumps, just squeeze it out for two or three days to heal, has been repeatedly tormenting me, has been two years. I went to the hospital and the doctor said that my resistance was down. I found out in May last year that the ventilation uric acid was high, around 500. The liver and kidney functions are normal. The urine and stool, biochemical tests are all normal. I would like to ask Dr. Sui to give me some advice in my busy schedule. I am grateful. Answer: Because I can’t fully understand your condition, I can only talk about my own law in Fanfan. The reason for the occurrence of gout is due to abnormal purine metabolism, but why for the cause of abnormal purine metabolism? Many sources indicate that 30% is related to genetics and 70% is related to diet. This is true for other metabolic diseases as well. Many people will say that my parents did not have this kind of disease. There are two situations: one is that you did not care about what kind of disease your parents had in their generation, and the other is that their diet was not as high in purines and calories as yours. I can now check the blood uric acid, blood sugar, blood lipids and immune complexes that we do not generally check, and so on. The redness, swelling and pain. The bumps on your skin right now are a manifestation of the toxic evil in your body draining outward. Now, the ability to excrete these poisons to the outside means that the diarrhea and immunity of your skin and organs can still work. If these toxic evils are no longer capable of being excreted from the skin, then it means that your whole organism has more functional problems! So is it just letting him go on like this, of course not! Because this is the body is prompting you that there are already too many metabolites, and if it goes on for a long time all aspects of the body’s function will be impaired. What should I do? I paid attention to the discussion in your group, and also intentionally posted some short articles, as if home everyone did not read carefully. It is not that I don’t pay attention to the problem of lowering blood uric acid, but I don’t see that there is a gentleman who, like the patients I see at the clinic, carefully organizes the process of his illness, including various tests such as biochemistry, ultrasound, etc., and records his diet and physical condition before and after taking the medication. Recently, I have seen you talk about the issue of starvation, which is not mysterious and not ancient. Starvation therapy is one of the most common methods seen in various religions and in current research on many diseases, especially metabolic diseases. Glucose (starch a grain) is the main source of energy for chemical heterotrophs, and reducing the energy source of the organism is, to some extent, beneficial, especially in recent years with the study of mammalian target protein of rapamycin (MTON), and the increasing study of the flora of the intestine and other parts of the body. I think this is a gradual process that should be properly understood and treated correctly. Proper adjustment of the intestinal flora can do the same thing. For example, if you have bumps on your body now, use some Chinese herbs, such as clearing heat and fire, such as Huang Lian Shang Qing Wan, Qing Fei Xie Xie Wan, Gentian Diarrhea Liver Pill. The number of bowel movements will increase a lot, and this may also help very well. The patient asked again: Thank you, doctor, for your patience in answering my question in the middle of a busy day. There is one more thing that I don’t quite understand. You said I have too many toxins in my body and my normal bowel movements are too late to excrete them, so they are coming out of my skin? Is this the case? Is this an indication of a liver problem? Answer: You can understand it that way! If you look at the current Western medical examination, all the organs should not check out the problem, in my personal opinion, on the present-day Western medicine is not already very perfect academic, there is still a lot of progress to be made, but more Western scholars are more willing to progress, and constantly learn from the progress of other disciplines, and constantly progress, to find the problem, such as we are familiar with the Xiang, precision treatment and individualized treatment proposed They increasingly feel that the development of biology today is not only a white or black problem, but many problems have their individuality, but more problems have their relativity and their commonality. These are the concepts that my TCM has always advocated, and if we are more objective and pragmatic about the two modes of thinking that have grown up in medicine, we will find that we do have the need to complement each other. In going back to your question. From the Western medical philosophy the liver is the organ of detoxification, such as the liver’s detoxification ability has problems, may appear yellow bile and other symptoms, but you have such lumpy problems, according to the current examination methods to get the results, liver function is normal, Western medicine will say that liver function is not asked, at most, metabolism and skin immune problems. I think it is more reasonable to discuss with the concept of Chinese medicine, then I will give first to put the “Nei Jing” Su Wen. The heart is the source of life, the change of the gods; its flower is in the face, its filling in the blood veins, … The lung is the source of qi, the place of the spirit; its flower is in the hair, its filling in the skin, … The kidney is the main dormant (winter sleep insects, referring to the seal), the source of the seal, the place of the essence, its flower is in the hair, its filling in the bone … The liver is the source of the T extreme (labor and distress), and the residence of the soul; its flower is in the claws, its charge is in the tendons, and it produces blood and qi…” The following paragraph, I personally feel, is more relevant to most young, relatively early patients with gout and metabolic diseases, including the patient with the pimples you mentioned. Clinical guidance. “The spleen, stomach, large intestine, small intestine, Sanjiao, bladder, the granary of the original, the residence of the camp also, the name is called the apparatus, can transform the dregs, turn the taste and into the outgoing also; its Hua in the four white, its full in the muscle, its taste sweet, its color yellow, this to the yin and so on, the road in the earth qi. Where the eleven Tibetan depends on the bile also. This text shows that Chinese medicine has made the function of transportation and transformation very clear. Now many studies also fully confirmed this point, adjust the intestinal flora, not only can treat metabolic diseases, mental related diseases, autoimmune diseases, tumors and so on, in addition also found that many drugs for the treatment of metabolic diseases, can adjust the intestinal flora, in addition to the treatment of metabolic diseases, can also treat autoimmune diseases, tumors, also has a very good anti-aging effect, such as metformin. By adjusting the intestinal flora, it can also achieve the purpose of treating metabolic diseases, such as safranin, and there are many Chinese medicine experts, who are also using a lot of safranin as the main medicine to treat diabetes. Of course, this type of disease has reached an advanced stage, where multiple organ functions are impaired, and the ligaments, qi and blood appear to be stagnant, so it is not included in this treatise and will be discussed again when the opportunity arises.