Gout syndrome differentiation on distinguish hurry slowly 
 
 
Cui Yan Liu Hui Wu Jianping Henan college of traditional Chinese medicine YiFuYuan 
 
  
China's traditional Chinese medicine to 

        Gout, TCM is also called "pain bi", "white tiger", "calendar quarter wind", etc. Because of inadequate natural endowment, kidney Yang deficiency, temper, overeating rich men's thick flavour, hot and humid embodiment, and exogenous evil, cold and dampness and blood stasis resistance, coagulation closed of main and collateral channels, qi perform poorly, phlegm, blood stasis, dampness, heat knot joints, bones, and the joint swelling red, subcutaneous nodule formation. Pathological changes of the disease in middle-aged and old man, in the limb joints, often violate the first plantar toe joints or 踇 knuckles, inflamed hot pain, suddenly grew steadily, day light night. The disease of acute attacks continued for several days or weeks, after repeated attacks can form joint stiffness, deformity, activity limitations, sick for a long time can cause kidney damage. Cui Gong let when treatment guided by the modern theory of traditional Chinese medicine, regulate and restore the function of internal organs, body, eliminate pathogenic go out, the momentum of the disease symptoms, not only pay more attention to, to correct the imbalance of the human body, gradually adjust the internal environment of purine metabolism in the body, make the formation and excretion of uric acid into balance. Cui Gong to believe that the disease is marked as wet poison inside the hysteresis, resistance meridians closed, is the key of acute gouty arthritis attack. This is, or lost due to spleen health, QingZhuo regardless, or due to kidney deficiency, gasification irresponsibility by medullary turbidity toxin lingers on the joints. 
 
        Treatment on urgent for the standard, treat its this slow. Damp heat toxin factor cohesion, is the key factor of the disease, so the acute phase is been used, drain turbidity detoxification, exorcism out quickly, to terminate the onset of the disease. In remission with blood or removing of the spleen and kidney, create conditions for outside the wet poison. Four diagnostic parameter, evidence-based medicine, can achieve good curative effect. 
 
        Gout is equal to the western medicine of gouty arthritis, for purine metabolic disorder caused by. 
 
        Parting differentiation 
 
        Gout clinical often can be divided into three type of syndrome differentiation. 
 
        Wet blood stasis type 
 
        Clinical manifestation: gouty arthritis episodes, joint swelling pain, skin redness fever, swelling in the organization, the whole body heat, brown urine and stool stem node, the tip of the tongue is red, moss Huang Hou, pulse number and strong. 
 
        Therapeutic principle: dispelling dampness, blood know luo. 
 
        Agent: remove the gout drinks add and subtract. 
 
        15 grams of drugs: 12 grams of radix bupleuri, radix scutellariae, radix puerariae 30 grams, 12 g, arrowhead, fresh mushroom mountain tinospora 12 grams, 15 grams of horsetail, 9 grams of rhubarb, two head of 12 grams, 30 grams of coix seed, liquorice 10 grams. 
 
        Add and subtract using: blood stasis, obviously to tinospora, radix scutellariae, radix paeoniae alba, peach kernel, diverse wormwood herb, etc. Have gout calculi with dried tangerine or orange peel, clam, oyster, soft firm such as fritillaria thunbergiiwere fights the product. Hot and humid obviously with plaster stone, reuse of rhubarb. 
 
        And qi stagnation and blood stasis type 
 
        Clinical manifestations: delay chronic gouty arthritis, joint dark purple, swelling, alleviate pain, organization and hard, dark purple tongue, pulse string. 
 
        Therapeutic principle: promoting blood circulation to remove blood stasis t2dm. 
 
        Agent: remove the gout drinks add and subtract. 
 
        15 grams of drugs: 12 grams of radix bupleuri, radix scutellariae, radix puerariae 30 grams, 12 g, arrowhead, fresh mushroom mountain tinospora 12 grams, 15 grams of horsetail, 9 grams of rhubarb, two head of 12 grams, 30 grams of coix seed, liquorice 10 grams. 
 
        Blood stasis visible when to add and subtract using: tinospora, radix scutellariae, madder, ze LAN, peach kernel. Have gout calculi with dried tangerine or orange peel, clam, oyster, soft firm such as fritillaria thunbergiiwere fights the product. 
 
        Pixu (spleen deficient) and blood stasis type 
 
        Clinical manifestation: gouty arthritis intermittent period, many can be found in patients with recurrent episodes of a long illness, was off-white, physical weakness, joint pain is lighter, muscle stiffness, pulse count, pale tongue, moss thin white. 
 
        Therapeutic principle: the kidney and spleen, blood know luo. 
 
        Agent: spleen and kidney gout drinks add and subtract. 
 
        Drug composition: angelica 20 grams, 15 grams of rehmannia, rhizoma ligustici wallichii 15 grams, 15 grams of codonopsis pilosula, poria cocos 20 grams, 15 grams of rhizoma atractylodis, mountain arrowhead 12 grams, 30 grams of radix puerariae, horsetail 20 grams, 30 grams of raw radix polygoni multiflori, liquorice 10 grams. 
 
        Add and subtract using: add solomonseal, jade bamboo if kidney empty clear; If clear atractylodes pixu (spleen deficient), dried tangerine or orange peel, coix seed; Blood stasis is obviously used leeches, jia mountain.
 
 
 
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