Gout needs long-term treatment and requires standardized medication under the guidance of a specialist Mr. Huang, 62 years old, has a history of gout for more than 20 years. Last week, after eating seafood and drinking alcohol, his right thumb joint became swollen and painful and his gout recurred, so he went to the hospital. Mr. Huang has long gout stones in many joints, and his face is swollen, a typical hormone-induced “full-moon face”, with complications such as hormone-induced diabetes and osteoporosis. The doctor analyzed that all these were caused by his long-term purchase of his own medicine. Gout is a relatively stubborn disease, requiring long-term treatment, many patients unknowingly into the misunderstanding, not only did not control the disease, gout recurrent attacks, but also produced some irreversible visceral damage. Gout patients should standardize their medication under the guidance of a specialist, so that uric acid can reach the target for a long time and reduce complications, and early gout patients can even be cured. A long-term buy your own medicine to eat into the “full moon face” after eating seafood and drinking alcohol right foot thumb joint swelling pain, Mr. Huang’s foot, knee, wrist, elbow and finger joints, can be seen gout nodules, the largest nodules about 10cm × 8cm, hard texture. The examination showed that his joints were full of bone damage, as if they had been chiseled by a hammer, a medical term for “chisel-like changes”. What also caught the doctor’s attention was that Mr. Huang’s face was swollen, a typical hormone-induced “full-moon face”, and the skin on his body was so brittle that it would bruise at the slightest touch. It turns out that, in order to save trouble not to see a doctor, Mr. Huang only acute attacks of gout pain can not go to the hospital, usually usually buy their own medicine to eat, first long-term purchase of colchicine to take, “the amount needed more and more, and now eat seven or eight grains of diarrhea, joint swelling and pain can only be relieved”. He also told the doctor that he once had a transient bone marrow suppression after taking colchicine. Later, he was introduced by relatives and friends to buy “gout spirit” drugs and take them for a long time, and a year later, he had a “full moon face”. After examination, Mr. Huang’s uric acid, blood sugar, muscle liver has been seriously over the standard, gouty nephropathy, chronic renal insufficiency, steroidal diabetes, coronary heart disease, hyperlipidemia, moderate to severe osteoporosis and so on. The doctor’s analysis shows that these complications are related to Mr. Huang’s long-term use of hormone-containing drugs. Second, the standardized treatment of gout, combined with Chinese and Western medicine has characteristics The combination of Chinese and Western medicine is used to deal with it. First, according to the treatment principle of Chinese medicine to clear heat and dispel dampness, we use Si Miao San plus reduction supplemented with San Huang San, ice chips and mannitol to reduce swelling and pain, these methods can reduce swelling and pain, reduce the acute phase of joint redness, swelling and heat pain, improve symptoms, and pass the acute phase of gout as soon as possible. At the same time, with the treatment of western medicine, considering that the patient was in the acute stage of gout, he was given anti-inflammatory and pain relief, sodium bicarbonate tablets to alkalize urine and lower uric acid, and at the same time, he was given anti-osteoporosis, hypoglycemia, improvement of kidney function, and nutrition of heart muscle to treat gout complications and comorbidities, so as to achieve the purpose of individualized comprehensive treatment. On the second day of admission, Mr. Huang’s joint redness, swelling and heat pain gradually disappeared, and on the third day, the pain in his lower back was also reduced and he could barely turn over, so his gouty arthritis was controlled. Now, Mr. Huang has been discharged from the hospital and transferred to outpatient clinic for further treatment. Third, should I use hormone drugs? It is reported that nine out of ten gout patients have taken a fake drug called “gout spirit”. In fact, the State Food and Drug Administration has not approved the production or import of the so-called “gout spirit”, “gout spirit” is a veritable fake drug. The national professional drug test results found that these so-called expensive herbal ingredients contain: aspirin, dexamethasone, diclofenac sodium and other anti-inflammatory painkillers, hormones, so although the “gout spirit” has an effect, but the cost is painful and irreversible. When is it necessary to use hormonal drugs? Yu Xuanhua said that hormones are not the first choice for gout pain relief, but the ultimate weapon for gout pain relief. Generally speaking, when conventional pain medications (NSAIDs or colchicine) are ineffective, or when other pain medications are not tolerated, or in acute gout with severe recurrent attacks, or in advanced stages, when impairment of body functions such as impaired kidney function has occurred, it is possible to use hormones for anti-inflammatory pain relief. In other words, the use of corticosteroids for pain relief in the short term has little effect on the body, but must be used under the guidance of a specialist.