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3 general gout clinical application

 

 

Cao Hongxin China academy of traditional Chinese medicine

 

 

China's traditional Chinese medicine to

 

 

 

        3 general gout party from the yuan dynasty by stream Dan creek art, gout, with functions of dehumidification, heat, phlegm, invigorate the circulation of t2dm. The doctor of traditional Chinese medicine "gout", is not a simple "gout" of modern medicine, it is to point to by wind, cold, wet, heat, phlegm, blood stasis etc, the category of diseases is given priority to with the whole body pain. The author use the party to add and subtract in the treatment of systemic lupus erythematosus (sle) and sjogren's syndrome, gout, difficult diseases such as rheumatoid arthritis, curative effect is satisfied.

 

        3 general gout party from the yuan dynasty by stream Dan creek art, gout. Composed of cortex phellodendri, rhizoma atractylodis, cassia twig, f, peach kernel, safflower, rhizoma ligustici wallichii, notopterygium, angelica dahurica, clematis root, rhizoma arisaematis, radix geutianae, divine comedy, etc. Said the doctor of traditional Chinese medicine "gout", is not a simple "gout" of modern medicine, it is to point to by wind, cold, wet, heat, phlegm, blood stasis etc, the category of diseases is given priority to with the whole body pain. Clinically, the author use the add and subtract treatment of difficult diseases such as systemic lupus erythematosus (sle), receive satisfactory curative effect, clinical treatment experience will now report as follows.

 

        Systemic lupus erythematosus (sle)

 

        Liu Mou, female, 37, was on March 26, 2007.

 

        In 2003, in XiYiYuan patients diagnosed as "systemic lupus erythematosus (sle)", has been treated with hormone, now take prednisone 15 mg daily. Finger joint deformation, finger, left hand ring finger and little finger numb the pain, shoulder pain, knee pain, chest heartburn and expansion, the diagnosis the new full, mouth breath, palpitation, urine yellow, fat, yellow greasy moss on root thick dark purple tongue, pulse string number slip. Laboratory examination: 35 mm/h blood sedimentation, antinuclear antibody (+), hemoglobin 89 g/L. Ultrasound: double kidney with chronic inflammatory change.

 

        Syndrome differentiation: steaming hot and humid, depressive, qi and blood stasis.

 

        Treatment: heat dry wet, invigorate the circulation of detoxification.

 

        Prescription: cortex phellodendri 10 grams, 10 grams of rhizoma atractylodis, rhizoma arisaematis 10 grams, 15 grams of cassia twig, 15 grams of peach kernel, safflower 10 grams, 20 g clematis root, has 15 grams, 15 grams of rhizoma ligustici wallichii, radix gentianae macrophyllae 20 grams, big belly skin 15 grams, 15 grams of gentiana scabra bge, 30 grams of spreading hedyotis herb, liquorice 10 grams. 14 agent water decoction, day 1, 3 times.

 

        2 diagnosis: after the above 14 doses, finger joints, numbness significantly reduce pain, chest heat and expansion, the diagnosis the new full. Shoulder pain, knee pain, mouth odor fade. Dark red tongue, moss thin yellow, slip of arteries and veins. Check: blood sedimentation 22 mm/h, 110 g/L hemoglobin, antinuclear antibodies (+). Reduction of 5 mg prednisone, following the above add and subtract, again after more than 30 agents, will be a reduction of 5 mg prednisone.

 

        Basic don't show again when diagnosis, finger joint pain, residual disease disappear, still leave a joint deformation, can be engaged in housework, stop using prednisone. To know when to parker's four wonderful powder, taking more than half a year, and consolidating curative effect. In a stable condition, has 5 years without recurrence.

 

        Press: systemic lupus erythematosus (SLE) is a diffuse, systemic autoimmune disease, diverse clinical manifestations, mainly involving the skin mucous membrane, bones, muscles, kidneys and central nervous system. For the treatment of SLE, modern medicine application of glucocorticoid and immunosuppressants, can alleviate illness, but it is difficult to prevent disease progression, damage to kidneys and other organs or even into the lupus crisis.

 

        SLE belongs to "warm poison hair spot" of traditional Chinese medicine, such as "five viscera bi" category. Its pathogenesis is due to rheumatic fever evil inside the house, and the body toxic heat stroke, burnt burning qi and blood, and blood stasis resistance context and muscle Cou, bizu joints, and viscera injury, forming a complex clinical manifestations. The patient due to toxic heat immersion, joints bizu, so the deformation of finger joint pain; Toxic heat and blood stasis resistance, poor bullishness, shoulder and knee joint muscle pain; Hot and humid block di qi activity, chest and abdominal distention stuffy hot, diagnosis the new full, mouth odor; Damp heat toxin factor burnt burning up and down, with inside and outside, blocking blood running, so the fat dark purple tongue, yellow greasy moss on root thick, pulse string number slip.

 

        To clear heat and dry wet, invigorate the circulation of detoxification. Party with 3 general gout and subtract, party of rhizoma atractylodis and Huang Baiqing and hardness; Rhizoma arisaematis functions of phlegm, especially to the meridian between phlegm turbidity qi; Rhizoma ligustici wallichii invigorate the circulation of qi and twelve meridian passage, peach kernel, safflower blood know luo, altogether plays three promoting blood circulation to remove blood stasis pain relief work; Cassia twig tong Yang qi, warm vein, take the medicine, the patient's Out the dehumidification water bi elimination; Divine comedy material product elimination, dispelling the meridians of the brawn "stale qi"; Gentiana scabra bge clear liver and gallbladder damp and hot; Add spreading hedyotis herb detoxification been used; The party altogether plays qingrejiedu, phlegm dehumidification, invigorate the circulation of t2dm.

 

        When two clinical symptoms significantly reduce, reduction of hormone, three diagnostic methods, namelv in stable condition, stopped after hormone by kidney, the hot and humid, invigorate the circulation of t2dm, consolidate curative effect, has 5 years without recurrence.

 

        Sjogren's syndrome in

 

        Qin Mou, female, 44. On October 14, 2007 to begin.

 

        In 2001 patients with a diagnosis of sjogren's syndrome, the hormone and immune inhibitors and suit the medicine treatment, remission. Now around joints, muscle pain, hip, knee, ankle, especially, limited activity, bilateral parotid enlargement tenderness. Limb skin junkie itchy rash, yellow sputum, dry eye pain. Dark purple tongue fat big ecchymosis, yellow greasy moss, pulse number. Now strong suit to 10 mg, daily 1 time. Laboratory examination: antinuclear antibodies (+), anti SSA (+), SSB (+), rheumatoid factor (-), blood sedimentation 110 mm/h, IgA5.6 g/L.

 

        Syndrome differentiation: hot and humid embodiment, blood stasis blocking collaterals.

 

        Treatment: clear heat, wet, promoting blood circulation to remove blood stasis.

 

        Prescription: cortex phellodendri 10 grams, rhizoma atractylodis 10 grams, 10 grams of peach kernel, safflower 10 grams, 10 grams of cassia twig, radix gentianae macrophyllae 20 grams, caulis dendrobii 15 grams, 15 grams of divine comedy, radix rehmanniae 10 grams, rhizoma arisaematis 10 grams, 30 grams of clematis root, yam 20 grams, 30 grams of raw keel (Fried) first, liquorice 10 grams. 14 agent, water decoction, day 1, 3 times.

 

        Diagnosis: in the whole joint muscle pain relief, knee, ankle flexion activities, rash disappeared. Antinuclear antibodies (+ -), anti SSA, SSB (+) (-), blood sedimentation 36 mm/h. The defender and subtract the 30 agent; strong reduction to 5 mg, once a day.

 

        More than three diagnosis: joint muscle pain disappeared basically, disease. Take 30 agent again, stop to loose, muscle joints without pain. After the above plus or minus 3 months before taking medicine, consolidate curative effect. Without recurrence during 1 year follow-up.

 

        Press: sjogren's syndrome is an infringement of lacrimal and salivary glands exocrine glands chronic autoimmune disease, also known as autoimmune exocrine gland disease, divided into primary and secondary two, in the mouth, dry eye for common performance, belong to the traditional Chinese medicine "dry permit", "bi syndrome" category. Its pathogenesis is mark this virtual to real, Yin deficiency of the viscera, hot dry for standard, damp and hot blood stasis for its change.

 

        This patients is hot and humid embodiment, blood stasis resistance winding to the endogenous. Damp and hot accumulate knot, blood stasis blocking collaterals, around the joints, muscle pain, limited activity, bilateral parotid enlargement tenderness, hot and humid, lingers so hip, knee, ankle joint pain especially; Implication of damp and hot, depression in the skin is implicit itchy rash; Damp heat stroke, caustic YinShang liquid, the dry eye pain; Dark purple tongue fat big ecchymosis, yellow greasy moss, pulse sliding and also for the hot and humid embodiment, caused by blood stasis blocking collaterals, hence more than the middle and lower general gout and subtract rule.

 

        Square in cortex phellodendri, rhizoma atractylodis heat desiccant; Clematis root, radix gentianae macrophyllae, yam functions of t2dm with pain; Peach kernel, safflower, promoting blood circulation to remove blood stasis, menstruation pain; Cassia twig tong Yang qi, warm unclogged arteries; The divine comedy material product elimination; Rhizoma arisaematis phlegm spasmolysis; Caulis dendrobii, radix rehmanniae can nourish dry, and the medicine just in pathogenesis, altogether plays heat wet, activate blood, t2dm analgesic effect. Taking 14 agent, and the disease significantly reduce, the defender to add and subtract, regulate 2 time, stop taking hormone, to obey the law three months before treatment, follow-up of 1 year not relapse.

 

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