| Gout is a decompensation disease which is caused by purine metabolism disorder and/ or reduction of uric acid secretion. The primary clinical symptom of gout is blood uric acid raised. Acute gout arthritis is a common principal symptom, which is the basic type of gout and relapsed easily. Patients were suffered with it. Gout is the metabolism obstacle disease that spreads all over the world. During these years, with improvement of the people's life standard and change of food configuration, the morbidity of acute gout arthritis raised obviously. The morbidity in the south of China is higher than that in the north, especially in the middle-aged and the elderly. The mechanism of gout is uncertain now. It is lack of the therapy accounted for pathogenesis and can't be cure completely. Our study analyzed the treatment results of sixty patients from the aspects of especial nature climate, geography environment, physical constitution, living habits of Lingnan territory, explored the relationship between the Traditional Chinese Medicine theory and gout, Found a new way to prevent and treat the disease effectively, and contributed to the development of medicine in Lingnan territory. ObjectsTraditional Chinese Medicine is considered that gout belong to "bizheng" category, whichis related to diseases of "gout", "severe and migratory arthralgia", "dermatophytosis", andso on . There are many different opinions about pathogeny and pathological mechanism of acute gout arthritis, but the real cause is uncertain. It is considered that the tiny crystal of uric acid salt aggraded near arthrosis, and leaded to a series of inflammation reaction. MethodsClinic study was proceed by adopting the law of random, single-blind, comparison. 60 patients were diagnosed as acute gout arthritis according to the clinic standard, and divided into Tongfenglixiaotang therapeutic group (30 cases) and Western medicine group (30 cases)as contrast randomly. One period of treatment was 6 days, 2 periods were persisted successively. Observed the clinic symptoms and main data in the lab before and after treatment, analysed the data with statistic method. ResultsWe concluded that the effect of using Tongfenglixiaotang was better than using western medicine. It was confirmed that Tongfenglixiaotang could diminish inflammation, ease the pain, reduce the uric acid, and have no side effect, which showed the superiority and feature of treatment with Traditional Chinese Medicine. The clinic data suggested that the morbidity of acute gout arthritis was higher in the person who has the characters of spleen damp character and yang heat. The curative effect were better in the types of spleen poor damp choking and damp hot blocking inside than in other types. It was indicated that the physical constitution decided the evolutive of syndrome types. There are obviously relationship Between them. Conclusion1 > Explored the pathogeny and treatment principle of gout arthritis according to the particular geography environment, Natural climate and physical constitution.2> The principle of treatment was not only for the symptoms but also for the pathogeny.3n Increased the clinic curative effect of gout arthritis and used the integrative methods.4> The keys to prevent and treat the gout arthritis were paid attention to the diets and life style. |