Hot pot floating fragrant beware of gout

  After the winter, winter came quietly, and the business of major hot pot restaurants is getting hotter and hotter. Many people like to eat hot hot pot to drive away the cold, through dietary supplements “fat” of many people. Doctors remind: the cold season is an important period to prevent gout attacks, it is best to eat hot pot not too often, be wary of gout attacks.  So how can eating hot pot cause gout?  After eating a lot of animal offal, bone marrow, beef and mutton, seafood, shrimp and crab, beer and sugary drinks, purine metabolism is impaired leading to a gout attack. Some people mistakenly believe that it is okay to drink soup and not eat meat, in fact, the purine material contained in the broth is 30 times higher than the normal diet, which can easily lead to an increase in uric acid, the metabolite of purine in the body, and drinking and easy to make the body lactic acid buildup, inhibiting the discharge of uric acid, which is the main reason why people sitting around in front of the hot pot and drinking happily are prone to gout.  The back of the foot pain redness and swelling gout Gout is a group of diseases caused by disorders of purine metabolism and hyperuricemia, with the continuous improvement of people’s living conditions, especially the change in diet, the incidence of gout has increased significantly, and there is a trend of year-on-year growth and rejuvenation. After eating a lot of high purine, high fat and high sugar foods and drinking alcohol, gout patients may experience sudden onset of severe pain and redness in the big toe (first metatarsal toe joint) and the whole back of the foot at night. Patients often find it difficult to sleep, even to the point of not being able to cover themselves with a blanket or walk on the ground when they get up. If left untreated for a long time, it can cause joint deformity or kidney failure. In addition, hyperlipidemia, hypertension, obesity, diabetes, atherosclerosis and coronary heart disease are often accompanied by hyperuricemia and gout.  Gout is more prevalent in men than in women Gout is a disease that favors men in terms of population. Gout mostly occurs in adult males aged 30-60, which is undoubtedly related to the poor lifestyle habits of many men who are used to socializing, eating and drinking, overeating and less physical activity. The ratio of men to women is about 20:1, and the incidence is higher among the brain workers and the economically well-nourished classes. The incidence of gout is also higher in families. Gout occurs more often in women after menopause, which may be related to the decrease in estrogen levels. Postmenopausal women with obesity, high blood pressure and alcohol consumption tend to have a significantly higher incidence of gout, so it is more important to pay attention to prevention.  Gout attacks can be very painful, peaking at 12 hours, tearing, cutting, and unbearable, with red, swollen and burning joints, skin tightness, tenderness and limited function. Medical treatment should be sought as soon as possible to quickly and effectively relieve and eliminate the symptoms of acute attacks. Although colchicine, non-steroidal anti-inflammatory drugs and glucocorticoids can be used to control the disease in the acute stage, with good pain relief, they cannot effectively reduce the blood uric acid level; in the chronic stage, allopurinol, propoxur, ligarixen and baking soda tablets are used to treat the disease, which can inhibit the synthesis of uric acid or promote the excretion of uric acid, thus reducing the level of uric acid in the blood, but it has large side effects, and most patients cannot adhere to the treatment. During the period of illness, we should pay attention to the diet should be light, and we can use drugs under the guidance of doctors at the same time. In addition, drinking more water can promote the excretion of uric acid. Patients who have a history of gout in the past should not suddenly stop taking uric acid-lowering drugs if they have been taking them for a long time. However, patients who have not taken these drugs recently should not add uric acid-lowering drugs on their own, because fluctuations in blood uric acid concentration may cause worsening of joint symptoms and prolonged recovery time.  Chinese medicine treatment of gout Using the advantages of Chinese medicine, according to the characteristics of its pathogenesis, strengthen the treatment of Chinese medicine in its acute attack period and chronic period, which is of great significance to prevent the recurrence and progress of gout.  According to TCM, the patient’s congenital damp-heat constitution, or acquired uncontrolled diet, coupled with modern life leading to the weakening of dirty qi, dampness and turbidity stagnation, and then triggered by factors such as alcohol consumption, overeating, fatigue, emotion and other traumatic factors, resulting in damp-heat, phlegm and stagnation, the ligaments and veins are not blocked, resulting in the development of gout. In Chinese medicine, the treatment of gout is generally based on a combination of internal and external evidence. In the acute arthritis period, the evidence is damp-heat and stasis, the treatment should be to clear heat and dampness, remove stasis and relieve pain, commonly used Fu Ling, Dioscorea Z, Coix Seed, Phellodendron, Silkworm, etc., and with the external application of Jin Huang San, can significantly improve the local symptoms of the joint, and has the effect of excreting uric acid; intermittent period and asymptomatic period, the treatment should be to clear damp-heat, drain turbidity and remove stasis, the medicine is used Cang Zhu, Bai Zhu, Tu Fu Ling, Scutellaria Baicalensis, Gentian Cao, Ze Di, Angelica Sinensis, Che Qian Cao, Tong Cao, Xian Cao. It can improve the damp-heat constitution, and the effect is stable after stopping the medicine.