(3) Integrated Chinese and Western medicine, diagnosis and treatment of gout arthritis in stages
Release time:
2023-05-31 06:39
With the improvement of living standards, the population of patients with gout arthritis in our country is getting younger and younger, and female patients are gradually increasing.Most patients do not pay attention to the period of hyperuricemia, and there is no standardized treatment after the onset of gout, which causes gout stone deposition, joint disability, and various complications such as diabetes, cardiovascular and cerebrovascular diseases, and renal impairment.Traditional Chinese medicine belongs to the categories of “gout”, “paralysis”, and “White Tiger Calendar Festival”. As early as the Yuan Dynasty, Zhu Danxi's “Gezhiyu on Gout” said, "Those who have gout are most likely to be affected by blood heating...or lying down in the wind, cold and cold, external strokes, dirty and astringent, and cannot run, so they suffer from pain."The etiology and pathogenesis of this disease is insufficient innate endowment or deficiency of the spleen and kidney, resulting in turbid phlegm endogenous, or due to feeling wind, cold and dampness, or due to fatigue, seven emotions, alcoholism, food injury, etc., resulting in turbid phlegm flowing into joints, muscles, bones, and blood circulation is not smooth.Clinically, it is divided into acute attack phase, remission phase, and chronic attack phase.The acute onset period focuses on turbidity, stasis, and detoxification, taking into account the conditioning of the internal organs; the remission period focuses on nourishing the kidney and spleen, nourishing blood and relieving the liver, in order to adjust the body's metabolism, while taking into account the treatment of symptoms; the chronic onset period focuses on removing stasis and dissolving knots, reducing phlegm and Tongluo, and preventing and treating complications.In the clinical process, due to the influence of certain objective factors, coupled with the lingering condition of gout, it is easy to relapse, the pathogenesis is varied, and the symptoms are complicated.During the treatment process, we found that many patients cannot tolerate the toxic side effects of Western medicine, cannot persist in treatment, have suffered from pain for many years, and even have visceral lesions. At this time, we dialectically apply traditional Chinese medicine treatment, which can reduce toxicity and increase efficiency, better improve patient compliance, and reduce pain, so as to better treat gout.The chief physician of our department, Zhao Hengli, led the academic team. After summarizing many years of clinical practice, he put forward the view of “treating gout from the internal organs. The disease is located in the liver, spleen and kidney. It is based on liver, spleen and kidney dysfunction, and the retention of hepatic meridian turbidity and toxicity is the key pathogenic factor.” Selected clinically commonly used and effective traditional Chinese medicines are composed of Erqin acid-lowering drink, and with the assistance of joint ultrasound and laboratory examinations, combined with the different physiques of patients, dialectical treatment, the acute phase can achieve rapid relief of symptoms, reduce pain, and improve the quality of life. Significant curative effects; The chronic phase can reduce recurrence, reduce the side effects of Western medicine, and prevent complications. The long-term goal of emergence, and the Erqin acid-lowering drink is made into a “gout tea”, which is simple, effective and cheap, and has been recognized by many patients.
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