Gout is a classic, ancient rheumatic disease, a crystalline arthritis caused by the deposition of monosodium urate in the joints, directly related to hyperuricemia due to disorders of purine metabolism and/or reduced uric acid excretion, and belongs to the category of metabolic rheumatism. Gout is currently considered to be a curable and refractory rheumatic disease. The reason why it is curable but difficult to treat is that the process of fighting gout is long and there are many misconceptions. Myth 1: Hormones are better than tigers, and need to be chosen with caution 1. Many people talk about hormones, which have many side effects, such as obesity, hypertension, hyperlipidemia, diabetes, osteoporosis, cataracts, stomach bleeding, etc. Therefore, many people think that “hormones are better than tigers” and should not be used if they can. It is worth noting that these side effects of hormones are caused by long-term use. In the acute stage of gout, if you need to use hormones, use them for a short period of time under the guidance of a rheumatologist, and at the same time with drugs to prevent the side effects of hormones, generally speaking, they do not affect our body much, so there is no need to worry about it. 2. Hormones are not a conventional weapon for anti-inflammatory pain relief in the acute stage of gout, but are used as the ultimate weapon, just like the atomic bomb. So what kind of gout patients need to use hormones? Generally speaking, when non-steroidal anti-inflammatory drugs or colchicine are ineffective or intolerable, or acute gout with severe and recurrent attacks, or advanced stage and already have impairment of body function such as impaired kidney function (at this time, colchicine and non-steroidal anti-inflammatory painkillers can no longer be used), short-term use of hormones is possible for such patients. Myth 2: The use of colchicine 1. It is now believed that the use of low-dose colchicine in the acute phase of gout is equally effective and has significantly fewer side effects than high-dose colchicine (colchicine 0.5 mg 3 times a day is recommended in the acute phase of gout diagnosis and treatment guidelines at home and abroad), and the use of poisonous doses that used to be eaten to the point of diarrhea is like “quenching thirst with hemlock “It has been eliminated. 2. Do I need to use colchicine in the non-acute stage? Most people’s perception is that it is not needed. It is true that the first priority of gout remission is to lower uric acid treatment, but it is necessary to use colchicine prophylactic anti-inflammatory at the same time during gout remission. The so-called prophylactic anti-inflammation means taking 0.5mg (1 tablet) of colchicine daily along with uric acid-lowering medication, and the guidelines recommend a course of treatment for at least six months. Because, after taking uric acid-lowering drugs, the blood uric acid level drops suddenly, which can easily trigger an acute attack of gout. Adding a small dose of colchicine can not only reduce the acute attack of gout, but also reduce the repeated fluctuations of uric acid, which is more conducive to the continuous and smooth reduction of uric acid to meet the standard. Myth 3: Superstition “bull brand gout spirit” and other fake drugs Gout acute attacks often seriously affect the quality of life, and the treatment of gout is a long process, many patients will be anxious to throw themselves at doctors and deceived, superstitious a fake drug called “gout spirit”, gout patients In nine out of ten of them have eaten it. If you type in the word “gout spirit” on the internet, close to 900,000 results pop up, some claiming to be 100% authentic and some claiming to be made of pure precious herbs, but “gout spirit” is not approved by the State Food and Drug Administration. The “Bull brand gout spirit” is not approved for production or import of drugs (in the State Food and Drug Administration official website can not check the gout spirit), in other words “Bull brand gout spirit” is a veritable fake drug (the State Food and Drug Administration has issued a document as early as 2013). According to the results of the national professional drug test, these so-called valuable herbal ingredients, but contains: dexamethasone, diclofenac sodium and other anti-inflammatory painkillers, hormones, etc., so the “gout spirit” effect is so good, the price behind it is painful and irreversible, such as gastrointestinal bleeding, Cushing’s syndrome, diabetes, hypertension, coronary heart disease and so on. Coronary heart disease and so on. Myth 4: Pain is treated without pain is not treated Clinically, we often encounter such a class of patients who “forget the pain when they are well”, who will actively cooperate with the treatment in the acute attack of gout, but immediately stop the medication during the remission period, forgetting the doctor’s instructions to the “ninth cloud” as soon as possible. The patient will continue to eat and drink. Only when the blood uric acid is controlled to the standard, can we fundamentally control the reoccurrence of gouty arthritis and prevent the related diseases caused by hyperuricemia. If only “pain treatment, no pain treatment” is “treating the symptoms but not the root cause”, and cannot control the uric acid level fundamentally, future gout attacks will become more and more frequent, and the resulting long-term harm is often very serious, such as joint deformity, gouty nephropathy, stroke Therefore, the treatment of gout is a long-term project, and it is a long way to go. Myth 5: Gout attacks during uric acid lowering 1. There is a common phenomenon that gout patients have gout attacks after taking uric acid lowering drugs during uric acid lowering, at this time many patients will think that it is the fault of uric acid lowering drugs, so they “angrily” stop the uric acid lowering drugs. In fact, this is completely wrong, the consequence is that gout continues to attack for a long time and can not be cured. 2, uric acid treatment process gout recurrence or aggravation, which is the effective response of uric acid drugs. Gout patients use uric acid-lowering drugs after the uric acid drops quickly, the uric acid crystals in the patient’s body will dissolve into uric acid particles, as the “snowman melted”. The urate particles that fall off the urate crystals are deposited on other joints in the body, causing pain, and this is the process by which the medication takes effect. What we should do at this time is to use a combination of colchicine or anti-inflammatory drugs to prevent the recurrence of gout. If we can keep the blood uric acid level below 360umol/L (300umol/L is recommended for patients with obvious gout stones), the gout stones deposited in the body will gradually dissolve and disappear, and no more attacks will occur, thus achieving the possibility of curing gout.