Chinese medicine prescription for gout

The symptoms of gout are somewhat similar to those of rheumatic diseases, but the causes of the two diseases are different. Rheumatic diseases are caused by rheumatic factors in the patient's body. Gout is an imbalance disease caused by excessive purine levels in the patient's body. Some gout patients prefer the therapeutic effects of traditional Chinese medicine, so they choose Chinese herbal prescriptions to treat gout. In summary, there are different Chinese medicine prescriptions for the treatment of different gout symptoms.

1. Cold-dampness arthralgia type: The main methods of treatment are warming the meridians and dispelling cold, removing wind and dampness. Wutou Decoction can be used with modifications. The medicines include Chuanwutou, Ephedra, Astragalus, stir-fried white peony root, Millettia reticulata, Angelica sinensis, raw Coix seeds, Radix Dipterocarpa, licorice, cinnamon twig, asarum, Smilax glabra, and ginger.

2. Damp-heat arthralgia type: The treatment is mainly based on clearing away heat and dampness, promoting blood circulation and unblocking collaterals. The commonly used prescription is Xuanbi Decoction with modifications. Stephania tetrandra, apricot kernel, forsythia, silkworm feces, adzuki bean, turmeric, gentiana macrophylla, talc, pittosporum bark, angelica sinensis, radix polygoni multiflori, orientalis, gardenia, pinellia, coix seed, smilax glabra, and polygonum cuspidatum.

3. Phlegm (dampness) blocking blood stasis type: Treatment can adopt drugs that have the effect of promoting blood circulation, removing blood stasis, resolving phlegm and unblocking collaterals. The commonly used prescription is Shentong Zhuyu Decoction with modifications. Peach kernel, safflower, angelica, Notopterygium wilfordii, Gentiana macrophylla, earthworm, Achyranthes bidentata, Aconiti lobata, Ligusticum chuanxiong, myrrh, Cyperus rotundus, raw licorice, whole insect, beehive, black-necked snake, white mustard seed, Bombyx batryticatus.

4. Blood heat and toxic invasion type: It is necessary to use drugs with the effects of clearing heat and detoxifying, cooling blood and promoting diuresis. In clinical practice, patients are often given Gout Analgesic Decoction (empirical prescription) with modifications. Raw rehmannia, red vine, Cyathula, Centella asiatica, Smilax glabra, honeysuckle, moutan bark, phellodendron, knotweed, red peony root, plantain seed (wrapped and decocted), Rhizoma Smilacis Glabrae, buffalo horn, earthworm, and raw licorice.

5. Liver depression invading spleen type: Use medicines that have the effects of soothing the liver, relieving heat, strengthening the spleen and removing dampness, and modify the Sogan Jieyu Xiaogu Decoction (empirical prescription). Bupleurum, safflower, immature bitter orange, costus root, cyperus rotundus, curcuma, moutan bark, papaya, selfheal, yuanshen, gentian, scutellaria, phellodendron, akebia, salvia miltiorrhiza, radix trichosanthis, corydalis, and astragalus.

6. Spleen deficiency and dampness obstruction type: The treatment is to use medicines that have the effects of strengthening the spleen and removing dampness, clearing turbidity and unblocking the meridians. For example, Yunpi Shenshi Decoction (an empirical prescription) with modifications is one of the commonly used prescriptions with obvious effects. Radix Dioscoreae, Atractylodes macrocephala, Cyathula capitata, Pyrola, Polyporus umbellatae, Talcum, Semen Persicae, Dianthus superbus, Polygonum multiflorum, Plantago seed (wrapped and decocted), Rhubarb, Safflower, Pangolin, Angelica sinensis, Cassia twig, Raw Coix seed, Smilax glabra.

7. Liver and kidney deficiency type: The medicines suitable for treatment are to nourish the liver and kidney, remove dampness and dredge the meridians, and use Duhuo Jishe Decoction with modifications. Angelica dahurica, Saposhnikovia divaricata, Ligusticum chuanxiong, Gentiana macrophylla, Angelica sinensis, Rehmannia glutinosa, White Peony Root, Eucommia ulmoides, Cyathula capitata, Poria cocos, Millettia reticulata, Asarum, Cinnamon bark, Ginseng, Licorice, Parasitic.

The above is the complete list of Chinese herbal prescriptions for the treatment of gout introduced to you today. Patients with this disease must not take the above-mentioned medicines casually, because the severity of each patient's condition is different, and the required drug dosage is also different. The best therapeutic effect can only be achieved through the doctor's syndrome differentiation and medication.