Know cypress rehmannia tonga taste treat gout

Miao Ziqing Miao Weiping Shandong Texas college institute of medical sciences

China's traditional Chinese medicine to

        Gout caused by a lack of innate endowment, or the day after tomorrow not of diet, leading to loss of pixu (spleen deficient), endogenous phlegm; A long illness, and kidney kidney Yin deficiency, hot and humid embodiment, gradually produce phlegm turbidity; Phlegm dampness, blood stasis and toxic heat accumulation in the kidney and become hot. And seven emotions, LaoJuan or exogenous, trauma or overeating thick flavour, can induce the phlegm and blood stasis, heating lingers joints, inflamed hot pain.

        The acute phase, the pathogenesis of renal fire flaming, lingers joint meridians; Treatment when zi kidney Yin, kidney fire, leakage of phlegm turbidity, blood know luo. Remission, give priority to with spleen, nourishing liver and kidney, with phlegm and turbid, to enlarge.

        Gout is a purine metabolic disorder caused by chronic metabolic disease, with higher blood uric acid, recurrent joint pain, concurrent joint deformity, tophus formation as the main characteristics, belong to the traditional Chinese medicine "bi syndrome", "hot bi" category. The onset of the disease incidence trend among young people, and not of diet, over eating rich men's taste, often break out repeatedly, still lack of effective treatment.

        The disease of traditional Chinese medicine is divided into renal flaming fire, kidney Yin deficiency, spleen and kidney deficiency, phlegm wet resistance network card type, etc. The author according to the clinical practice for many years, exploring study repeatedly, with known rehmannia parker tonga taste treatment of gouty arthritis have achieved good results.

        Medical record

        LiuMou, female, 42, accounting, April 5, 1986 to begin.

        His left great toe lateral swelling pain more than 3 years, add 2 days. Patients always healthy body, good living conditions, over eating rich men's thick flavour, three years ago, because of his left great toe lateral swelling, successively in hebei, shandong and other places the hospital diagnosed with gouty arthritis. Were treated with colchicine and so on, but with dizziness, nausea, side effects after big, failed to adhere to. After taking indomethacin therapy, pain relief, but can't control. Each attack, pain and 1 day more in the night, for 3 ~ 5 days; Interval shorter and shorter, and attacks by two or three months to shorten 1 to 20 days or so.

        Lint nearly 2 days, because of overworked, catch cold catch cold, pain, pain at night is aggravating, two feet fever, urine yellow short, turbidity, constipation, dry mouth to drink, loss of appetite, upset easy dryness, insomnia, much dream, but not hot. His left great toe lateral swelling, amaranth, refuse to according to local pain, limp walk. Tongue reddish, moss thin yellow, pulse string feet slip.

        Check: blood pressure is 120/70 MMHG, blood uric acid in 510 umol/L; Great toe lateral X-ray radiography in left foot, a 1 cm X 1.2 cm oval pervious to light resistance defect in the shadows, rendering bug turbidity, create sample, cystic change. Around the edges with different degree of bone hyperplasia, soft tissue swelling.

        Western medicine diagnosis: gouty arthritis. TCM diagnosis: BiZheng, hot bi.

        Syndrome differentiation of TCM, kidney Yin deficiency, kidney flaming fire, phlegm and blood stasis resistance, empty into the joints.

        Treatment: zi kidney purging fire, phlegm turbidity diarrhoea, cooling blood to remove stasis. Choose know rehmannia tonga taste parker.

        20 g 20 g formula: radix rehmanniae, prepared rhizome of rehmannia, cornel 15 grams, 15 grams of yam, cortex moutan 12 grams, poria cocos 12 grams, 30 grams, rhizoma alismatis rhizoma anemarrhenae 10 grams, cortex phellodendri 10 grams, 20 grams of flos lonicerae, fructus forsythiae 20 grams, frankincense, 9 g, 9 g, myrrh ~ 9 grams, 15 grams, ze LAN cannon mountain a 6 grams, leech 10 grams, 30 grams, glabrous greenbrier rhizome Bi Xie 15 grams, 15 grams of semen plantaginis, 3 slices ginger, jujube 4, licorice root 6 grams. The water decoction, day 1 agent, morning and evening dress. Taboo wine, spicy, seafood, meat, soy products and other foods rich in purine.

        Above two diagnosis of April 16: take 10 agent, his left great toe swelling, pain disappeared, increased sleep Ann, walk back to normal, local skin turns red, urine color turn pale, urine volume increased, the blood uric acid to 430 umol/L, tongue reddish, moss thin white, pulse string, is slow. Defecate number increase, only 2 ~ 3 times, may be associated with LiangYao spleen injury, above to radix rehmanniae, rhizoma anemarrhenae, cortex phellodendri, reduced to 6 grams, rhizoma atractylodis 10 grams, 30 grams of yi, pinellia 10 grams, 10 grams of dried tangerine peel, in order to increase the spleen wet phlegm.

        On April 28, three diagnosis: the 20 agent on treatment, the disease, foot great toe swelling disappeared, the pain is not complex, two feet fever subsided, be convenient to both. Assay blood uric acid in 390 umol/L. Tongue reddish, moss thin white, pulse string. In stable condition, reduction of honeysuckle, forsythia, frankincense, myrrh, above a cannon mountain, plus astragalus membranaceus 20 grams, 15 grams of codonopsis pilosula, 12 g to increase spleen lishi limit, and eliminating phlegm turbidity.

        On May 6, four: after treatment, the disease about solutions, not again and again, the disease tends to be stable, tongue reddish, moss thin white, pulse string, in order to prevent recurrence, still need to the kidney, spleen and lishi, in order to consolidate compound capsule.

        15 grams of 20 g formula: astragalus, codonopsis, pale all 12 grams, poria cocos 20 grams, 20 g of rehmannia, cornel 15 grams, 15 grams, cortex moutan 12 grams, 30 grams of rhizoma alismatis, rhizoma anemarrhenae 6 grams, cortex phellodendri, 6 grams, 30 grams of yi, pinellia 10 grams, 10 grams of dried tangerine peel, glabrous greenbrier rhizome 30 grams, 20 grams of drynaria fortunei, epimedium 20 grams, 15 grams, sichuan dog ridge 20 grams, 30 grams of raw oysters, gun mount a 6 grams, 10 grams of frutus aurantii immaturus, betel nut 10 grams, 6 grams of licorice. Take 5 agent compound capsule, 6 seed/grain (5 g) each time, 3 times daily, with warm water after a meal.

        Followed up for more than 20 years, have not repeatedly gouty joints.

        Due to machine the cure gout

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