Professor Wang Man 's Experience In Treating Damp - Heat Syndrome With

The incidence of gout is rising yearly,its remedy of Traditional Chinese Medicine is also paid attention. Traditional Chinese Medicine consider that gout is part of “Arthralgia syndrome” or “Li-jie disease”.It contains gouty arthritis,rheumatoid arthritis and so on. Modern medicine considers that Gout is a heterogeneous chronic metabolic disease that caused by purine metabolic disturbance.Its pathogenesis are the dysfunction of uric acid excretion and the excessive formation of uric acid.Modern medicine divides gout into four periods.They are asymptomatic period,acute gouty arthritis period,intermission and chronic arthritis stage.It can cause kidney desease if in serious condition.Different doctors of TCM has their different ideas of the gout’s etiology and pathogenesis.Tonifying spleen to remove dampness,Clearing heat and dredging collaterals and Cooling blood and invigorating circulation are the different therapies.Herbal medicine,acupuncture and moxibustion as well as extermal application are TCM treatment of gout.In modern medicine respects, patients feel inflamed hot pain during the acute gouty arthritis period.Non-steroidal anti-inflammatory drugs,colchicine and glucocorticoid are always used during the acute gouty arthritis period to relieve pain.Their side effect is gastrointestinal reaction. Glucocorticoid can also lead to peptic ulcer,osteoporosis or hypertension.It will appear “setback” of the symptoms ealisy after drug discontinuance.During intermission and chronic arthritis stage,reduce the uric acid is necessary.Allopurinol,Febuxostat and benzbromarone are the common drugs.However, allopurinol causes abnormal liver function and myelosuppression. Benzbromarone is forbidden to apply to people who has kidney stone. To treat gout by Traditional Chinese Medicine can relieve the pain, reduce the uric acid,reduce the frequency of seizures of gout.It has significant clinical effect if it conbined treatment of western medicine.During the long-term clinical practice,my tutor has been gathered much experience to treat gout.My tutor considers that gout is the same as the ”arthralgia” in TCM,and has the most closely relationship with the spleen.The insufficient natural endowment and the acquired improper nursing lead to gout.The asymptomatic period and the intermission due to the weakness of the spleen,it can’t transport water normally. If the dampness exist in arms and legs over time,it will produce heat,the dampness and heat will block the channels and cause painess.It’s the acute gouty arthritis period. Therapeutically,may tutor use Simiao Powder,and self-make Gout prescription based on it.Combined with the patient’s tongue and pulse,my tutor treats them based on syndrome differentiation as modifies medicine according to symptoms as well.These therapies have been achieved satisfactory clinical effect.