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  • Oct,2006 The International Academic Exchange on Gout (USA &UK)

    The International Academic Exchange on Gout

    Time: 22nd, Oct 2006

    Place: Guilin International Intercommunion Center of Chinese Medical Culture

    Quantity: 16 people

    Countries: USA &UK

    Content:

    General Description

    Gout is a kind of disease caused by prolonged purine metabolic disturbance, clinically characterized by hyperuricemia, repeated attack of acute arthritis, gouty tophus sedimentation, chronic arthritis with deformity of joints, pathogenic change of renal parenchyma and formation of tophus. The disease is grouped into two categories by different causes of increased uric acid in blood, i.e., primary and secondary. Primary gout is caused by congenital purine metabolic disturbance and secondary gout is caused by hyperuricemia due to the increase of uricopoiesis or hypoeccrisia of uric acid, which is induced by other diseases or drugs. The disease may occur in people at any age, mostly at the age between 30 - 40. Among the patients, 95% are male and usually they have a family history of gout.

    Because gout is clinically manifested as recurrence of redness, swelling, a burning sensation, pain, and limited flexibility of joints, it is included in the category of bisyndrome in TCM. As for the pathogenesis, this disease is externally caused by blockage of the meridians following invasion of the body by exogenous pathogenic wind, cold and damp heat; and internally caused by deficient healthy qi, overstrain, or exposure to wind while sweating and the weakened weiqi failing to protect the body from the exogenous pathogenic factors, giving rise to blockage of the meridians and stagnation of qi and blood. In a prolonged case, there may appear blood stasis and phlegm stagnation with the involvement from the meridians to the viscera, then visceral hisyndrome occurs.

    Essentials for Diagnosis

    Massage for lumbar's gout
    (1) At the initial stage, it is symptomless with only the increase of uric acid in blood. At the acute stage, its typical manifestation is sudden onset of arthralgia and most of the cases would suddenly be woken up by sharp arthralgia when sleeping. The affected parts are mostly the first metatarsophalangeal joint or other metatarsophalangeal joints with localized redness, swelling, a burning sensation, pain and limited flexibility. When the greater joint is involved, there may be some exudate. In addition, such symptoms as chills, fatigue, poor appetite and headache may appear. However, the above mentioned symptoms would be relieved in 1-2 weeks.

    (2) At the chronic stage, there may be gouty tophus, deformity and rigidity of joints, and renal lesions.

    (3) Laboratory examination shows uric acid in blood increasing to over 420 umol/L. In roentgenogram, a round or irregular transparent defective area can be found in the bone substance of the joint adjacent to osteochondral edge, which is characteristic of gout in Xray examination.

    Syndrome Differentiation and Treatment

    The pathological factors of this disease are chiefly dampness, phlegm and blood stasis, and therefore removing dampness, resolving phlegm and eliminating blood stasis are the basic treatment principles. However, dampness is classified into cold dampness and damp heat and different treatments should be adopted according to syndrome differentiation. At the later stage, spleen yang and kidney yang are usually impaired. Thus it is advisable to eliminate pathogenic factors and support healthy qi as well.

    A.Obstruction of Damp Heat in the Meridians

    Chief Manifestations: Redness, swelling, a burning sensation and pain of the joints which is alleviated by cold, tenderness, or fever, constipation, dark yellow urine, yellow and greasy tongue coating, and wiry and rapid or smooth and rapid pulse.

    Therapeutic Methods: To clear away heat, eliminate dampness, and remove obstruction in the collaterals.

    Prescription:Rhizoma Cibotii, Radix Angelicae Pubescentis, Fructus Psoraleae, Herba Lycopodti, etc.

    Chinese Patent Drugs: Pills for Arthritis, Gout and Rheumatism

    Prescription: Rhizoma Polygoni Cuspidati, Caulis Spatholobi, Radix Notogineng,etc.

    Chinese Patent Drugs: Sinew-Bone Regulation Liquid(external use only)

    Usage: Taking pills for arthritis, gout and rheumatism after meal, spurting the sinew-bone regulation liquid to your effected area and apply it three or five minutes three times daily.

    This two kinds of products not only can help you to clear away heat, eliminate dampness and remove obstruction in the collaterals, but also can Expelling pathogenic wind and dampness, activating the flow of Qi (vital energy) in the meridians and relaxing muscles and tendons, activating blood circulation, relaxing muscles, relieving pain resulting from sprains, fractures or dislocation. It can also relieve fatigue when used before or after practising sports.

    B.Invasion of the Collaterals by Cold and Dampness

    Chief Manifestations: Rigidity and deformity of the joints, limited flexibility, darkish red skin, aversion to cold and cold limbs, darkish tongue with ecchymosis, thin and white coating, deep and thready pulse.

    Therapeutic Methods: To warm the meridians, eliminate cold, remove dampness and activate the collaterals.

    Prescription: Rhizoma Cibotii, Radix Angelicae Pubescentis, Fructus Psoraleae, Herba Lycopodti, etc.

    Chinese Patent Drugs: Pills for Aethritis, Gout and Rheumatism

    Prescription: Rhizoma Polygoni Cuspidati, Caulis Spatholobi, Radix Notogineng,etc.

    Chinese Patent Drugs: Sinew-Bone Regulation Liquid(extermal use only)

    Usage: Taking pills for arthritis, gout and rheumatism after meal, spurting the sinew-bone regulation liquid to your effected area and apply it three or five minutes three times daily.

    This two kinds of products not only can help you to To warm the meridians, eliminate cold, remove dampness and activate the collaterals, but also can Expelling pathogenic wind and dampness, activating the flow of Qi (vital energy) in the meridians and relaxing muscles and tendons, activating blood circulation, relaxing muscles, relieving pain resulting from sprains, fractures or dislocation. It can also relieve fatigue when used before or after practising sports.

    Acupuncture for arthritis

    C. Phlegm Stagnation Blending with Blood Stasis

    Chief Manifestations: Subcutaneous nodules which are normal colored, tenderless or ruptured, darkish tongue with occasional ecchymosis, thin and white coating, and deep and smooth pulse.

    Therapeutic Methods: To resolve phlegm, eliminate stagnation, activate blood circulation to dissipate stasis.

    Prescription: Rhizoma Cibotii, Radix Angelicae Pubescentis, Fructus Psoraleae, Herba Lycopodti, etc.

    Chinese Patent Drugs: Pills for Aethritis, Gout and Rheumatism

    Prescription: Rhizoma Polygoni Cuspidati, Caulis Spatholobi, Radix Notogineng,etc.

    Chinese Patent Drugs: Sinew-Bone Regulation Liquid(extermal use only)

    Usage: Taking pills for arthritis, gout and rheumatism after meal, spurting the sinew-bone regulation liquid to your effected area and apply it three or five minutes three times daily.

    This two kinds of products not only can help you to To resolve phlegm, eliminate stagnation, activate blood circulation to dissipate stasis, but also can Expelling pathogenic wind and dampness, activating the flow of Qi (vital energy) in the meridians and relaxing muscles and tendons, activating blood circulation, relaxing muscles, relieving pain resulting from sprains, fractures or dislocation. It can also relieve fatigue when used before or after practising sports.

    D. Retained Damp Heat in the Urinary Bladder

    Chief Manifestations: Sandy stones in the urine; difficult, frequent and urgent urination; urethral pain and colicky pain of the loins and abdomen; even hematuria, red tongue with yellow coating, and rapid pulse.

    Therapeutic Methods: To clear away heat, promote diuresis, relieve stranguria and expel stones.

    Prescription: Ginseng, Rhizoma Rehmanniae Praeparata, Rhizoma Alismatis, Poria, etc.

    Chinese Patent Drugs: Multi-Functional Tonic Pills to Invigorate Yin

    Prescription:Radix Clematidis, Herba Lobeliae Chinensis, Succinum, Radix Linderae,etc.

    Chinese Patent Drugs: Stone-Free Tablets

    This two kinds of pills not only can help you to clear away heat, promote diuresis, relieve stranguria and expel stones, but also can Nourishing the liver and kidney, boosting the immune system, promoting the blood circulation, improving the physical condition and metabolism, and regaining vigor from weakness and fatigue .

    E. Deficiency of Spleen Yang and Kidney Yang

    Chief Manifestations: Short breath, lassitude, loss of appetite, nausea, vomiting, abdominal flatulence, loose stools, sore and weak loins and knees, aversion to cold, cold limbs, edema of the face and lower limbs, pale complexion, pale swollen tongue with white and thin coating, and deep, thready and forceless pulse.

    Therapeutic Methods: To invigorate the spleen, replenish qi, nourish the kidney and warm kidney yang.

    Prescription: Ginseng, Rhizoma Rehmanniae Praeparata, Rhizoma Alismatis, Poria, etc.

    Chinese Patent Drugs: Multi-Functional Tonic Pills to Invigorate Yin

    Prescription: Ginseng, Rhizoma Rehmanniae Praeparata, Rhizoma Alismatis, Poria, etc.

    Chinese Patent Drugs: Pills to Invigorate Yang

    This two kinds of pills not only can help you to invigorate the spleen, replenish qi, nourish the kidney and warm kidney yang, but also nourishing the liver and kidney, boosting the immune system, promoting the blood circulation, improving the physical condition and metabolism, and regaining vigor from weakness and fatigue.


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