Gout treatment is important!

  Most patients think they are well after the pain disappears and do not receive further treatment or monitor their blood uric acid, resulting in recurrent gout attacks, and longer and longer attacks, eventually leading to joint destruction, kidney stones and damage to kidney function.  Gout occurs between the ages of 30 and 50, mostly in men, less often in women, and only occasionally after menopause, with a male to female ratio of about 20:1. The early clinical manifestations are often recurrent episodes of acute arthritis. The typical manifestations of acute gouty arthritis are very intense, most of them have an acute onset, and most of them wake up suddenly at midnight due to foot pain. The joints are red, swollen, and hot, and the pain is untouchable. The pain reaches its peak within 48 to 72 hours. More than 70% of the patients’ first joint is the plantar toe joint, followed by the ankle, knee, finger, wrist and elbow joints.  With the progress of society and the improvement of people’s living standard, gout disease has become a common disease, but the phenomenon of misdiagnosis and mistreatment occurs from time to time, most patients think that the disease is cured after the pain disappears, and no longer receive further treatment and monitoring of blood uric acid, resulting in repeated attacks of gout, and the attack period is getting longer and longer, eventually leading to the destruction of joints, kidney stones and damage to kidney function.  Gout is a disease caused by long-term purine metabolism disorder and high blood uric acid. Although the joints will be red, swollen and painful during acute attacks, it is different from infectious arthritis, so anti-infection treatment is ineffective. The initial attack can be relieved by itself in a week, but it needs to receive further treatment and regular uric acid testing. Gout patients should go to the rheumatology department of a regular hospital to receive standardized treatment, so as not to miss the best time for treatment and cause adverse consequences.  Gout patients should eat a low purine and low fat diet, drink more water (2000ml per day), quit smoking and drinking, adhere to appropriate physical exercise, control weight to avoid obesity, regular checkups, actively treat hypertension, coronary heart disease, hyperlipidemia and other concomitant diseases, and avoid joint cold and sprains. Acute attacks should be treated promptly, not hot compresses or hot water scalding, etc., elevate the affected limbs at rest, can apply potatoes or cactus mashed cold compresses. The treatment of intermittent attacks is mainly to maintain the normal value of uric acid (6.5 mg/dL), reduce recurrence, protect the kidney function and prevent gouty nephropathy. In addition to adhering to general treatment, it is best to use drugs that promote uric acid excretion and inhibit uric acid synthesis.  In addition, Chinese medicine has unique therapeutic effect in treating gout. Gouty arthritis belongs to the category of “heat paralysis” in ancestral medicine, the principle is to eliminate evil in the acute stage, the treatment is based on clearing heat and detoxifying, strengthening the spleen, relieving dampness, cooling the blood and relieving pain; in the remission stage, the treatment is based on strengthening the spleen, relieving dampness, invigorating blood and dispersing silt, softening and dispersing nodules, plus Chinese medicine containing biological components that can promote uric acid excretion, improving the body, promoting uric acid The treatment is based on strengthening the spleen, relieving dampness, activating blood circulation and dispelling silt, softening and dispersing nodules.