The dialectical treatment of gout

  In Chinese medicine, gout is classified as “paralysis” and “chronic disease”. Chinese medicine believes that the main causes of gout are external attack, weakness of the spleen and stomach, and poor diet. If you feel the evil of dampness and heat, or the evil of cold and dampness turns into heat, it closes the meridians and joints and causes the disease. If the spleen and stomach are weak, there is a loss of transportation and transformation, and dampness and turbidity are generated internally, which turns into heat and flows into the meridians and veins. Long-term wanton consumption of thick sorghum, damage to the spleen and stomach, spleen deficiency, dampness and heat, dampness and heat of the evil paralysis of the veins and collaterals is the disease.  Clinical symptoms]: Gout, also known as “hyperuricemia”, is a disease caused by the accumulation of uric acid due to disorders of purine metabolism, which is a kind of arthritis, also known as metabolic arthritis. Patients mostly develop after 30 to 40 years old, about 95% of men, and women mostly occur after menopause, but can develop in adolescents due to specific enzyme defects. It usually occurs intermittently, with redness and swelling in the bunions, ankles, and finger joints, and is accompanied by sharp pain like pins and needles, and most patients have a high fever. Gout can have “acute gout” and “intermittent gout”.  1.Acute attack of gout symptoms: the attack time is usually the second half of the night. The symptoms of gout at this stage are pain, swelling, redness and severe pain in the ankle joints or toes, arms and finger joints. Using a microscope, you will see pine-needle-shaped urate deposits in the affected tissue. It is the precipitation of urate that causes severe pain. Please note that the blood uric acid in the onset of the disease is lower than the usual maximum value because precipitation has been produced.  2. Gout symptoms in the chronic stage: The main symptoms of gout in this stage are the presence of gout stones, chronic arthritis, uric acid stones and gouty nephritis and complications. At this time, gout attacks are frequent, gout stones begin to appear in body parts, and with the extension of time gout stones gradually become larger.  In addition to applying appropriate drugs under the guidance of a doctor, gout patients should also pay attention to the following points in their daily lives: 1. Properly deal with 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 (less than 2g per day).  (1) Obese people should actively lose weight and reduce weight, which is important to prevent the occurrence of gout.  (2) 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.