In clinical practice, after people suffer from gout, they will pay special attention to the treatment of gout. Generally speaking, the treatment of gout can be carried out from the perspective of traditional Chinese medicine by using the method of syndrome differentiation and classification. 1. Damp-heat blocking arthralgia: The treatment is suitable for clearing away heat, removing dampness, relieving numbness and relieving pain. The medicinal Baihu Jia Guizhi Decoction is added with Coix seed, Stephania tetrandra, Phellodendron chinense, Achyranthes bidentata, etc. 2. Stasis-heat syndrome: Treatment should be based on clearing away heat, removing blood stasis and unblocking meridians. Medicinal cooling blood Siwu decoction with modifications. 3. Phlegm-dampness stagnation syndrome: The treatment is suitable for resolving phlegm and dampness, relaxing muscles and tendons and dredging meridians. Medicinal Liujunzi Decoction with added ingredients. 4. Liver and kidney yin deficiency syndrome: The treatment is suitable for nourishing the liver and kidneys, relaxing muscles and tendons and dredging collaterals. Medicinal Qiju Dihuang Pills with modifications. 5. Wind-cold-dampness arthralgia type: Treatment method: dispel wind and cold, remove dampness and dredge meridians. Prescription: Added flavor to Coix Seed Decoction, which includes Qianghuo, Duhuo and Fangfeng to dispel wind and dampness; Chuanwu, Ephedra and Guizhi to warm the meridians and dispel cold; Coix seed and Atractylodes to strengthen the spleen and eliminate dampness; Angelica and Chuanxiong to nourish blood and promote blood circulation; ginger and licorice to strengthen the spleen and harmonize the stomach. If wind evil prevails, with wandering pain in the upper limbs as the main symptom, you can use more Notopterygium wilfordii 30g, and add mulberry twig 30g and turmeric slice 10-159g to dispel wind and dampness; if cold evil prevails, and the pain does not move, but is relieved by warmth, you can add asarum 1.5-3g and Aconitum 10g to warm the meridians and dispel cold; if dampness evil prevails, with swollen joints and heavy pain, and it is mainly in the lower limbs, you can add Stephania tetrandra 10-15g, Smilax glabra 15-30g, Rhizoma Atractylodis Macrocephalae 10-20g, and Radix Dipterocarpa 15-30g to promote diuresis and overcome dampness. |
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