Discussion And Clinical Research Of The Theory Of Gout "Eliminate Pathogenic Factors Trends In Separation Method"

Gout is a type of disease that is caused by an increase in blood uric acid levels due to a reduction in the metabolic disorders of purine and the decrease of uric acid discharge.According to the course of the disease,the pain is divided into three stages:acute,slow and intermittent.Gout is a "bi" category in Chinese medicine.The main cause of the disease is phlegm stasis,spleen,moist heat,liver and kidney.In recent years,the incidence of gout and hyperuric acid have increased.In recent years,the incidence of various metabolic diseases has been increasing year by year.In the course of follow-up,the patients with gout were found to be accompanied by other metabolic diseases such as obesity,metabolic syndrome,abnormal lipid metabolism and diabetes.In the treatment of gout,the instructor has always used the combination of disease and dialectics in the treatment of gout.The drug was found to be more frequent in the drug.By reading the medical literature in recent years,found that the etiology,pathogenesis,diagnosis and treatment for gout literature is very rich,gout and other metabolic diseases is becoming more and more valued,Chinese medicine treatment of gout and high uric acid hematic disease of experimental and clinical studies have made certain progress,muddy,wet muddy referred to some of the literature is a major cause of gout.Is there a link between the etiology of gout and other metabolic diseases?Is blood uric acid related to blood sugar and lipids?What is turbidity?What is the mechanism of production,operation and disease of turbidity?What is the meaning of the treatment of hyalurinemia and other metabolic syndrome?I started this study with the above questions.Objective:It is concerned to discuss the dietary patterns of gout patients,the causes of gout,the relationship between gout and other metabolic diseases,and the correlation of blood UA,GLU,TG,CHO,LDL,and HDL.The experience of treating gout is analyzed by professor Yin haibo and the results of the treatment are observed.This paper discusses the theoretical basis of the deturbidity method in the treatment of gout.Methods:To collect the clinical history of patients with gout,and fill in the chart of medical records;Use the Epidate3.1 software to set up a database,enter data,and perform statistical analysis of data through SPSS24 software.Results:General situation:1.In cases of this institute selected cases patients were men,this case study subjects' average age was?43.14+/-11.33?,the average age was?36.96 +/₈.84?,the onset by age 20 to 29.The average duration of the patient was?6.18 +/-6.41?,with the shortest duration of 3 days and the longest duration of 28 years.Most of the patients fall ill less than five years,accounting for 59.09%of all patients.Patients have had a number of gout attacks in nearly a year.The average number of episodes was?4.7 +/-2.88?,which was more than twice a year.Most of the patients did not actively control diet and/or diet is not scientific:in 25 patients were included in the patients usually have the habit of drinking,accounts for about 56.82%of the total,most of the patient's diet variety,in grains,fruits and vegetables,meat for many,also have some patients daily practical processing all kinds of meat,Fried,grilled,snack food.Combined metabolic disease and biochemical results:37 of the 44 patients studied were dysplasty,84.09%of the total.The mean standard deviation of the TG is?2.57 +/-1.37?mmol/l,higher than normal,a total of 29 people,accounting for 65.91%of the total number of patients,and TG average does not fall within the normal range of TG;The mean plus or minus standard deviation of CHO is?5.01 +/-1.03?mmol/l,which is above the normal value of 18 people,accounting for 40.91%of the total number of patients;Mean standard deviation of the HDL is?1.07 +/-0.22?mmol/l,lower than normal,a total of 25 people,accounting for 56.82%of the total number of patients,average standard deviation of the LDL?3.24 +/-8.3?mmol/l,higher than normal,a total of 13 people,accounting for 29.55%of the total number of patients,patients of BMI an average of?29.4+/-4.04?kg/m2,lowest 22.9 kg/m2,up to 41 kg/m2,the weight:too low?0.00%?,the normal range?13.64%?,obesity early?40.91%?,? obesity account for?34.09%?,? degrees obesity account for?9.09%?,? degree accounted for?2.27%?.Of the 44 patients,only five had a normal waistline,with 36 waist circumference>90cm,as 81.82%of patients with abdominal obesity.The average waistline is?96.05 +/-8.1?cm.Of the 44 patients,23 had high blood pressure,11 had elevated fasting blood sugar,and the mean of the blood sugar was?5.9 +/-0.97?mmol/1.Of the 44 patients,26 were diagnosed with metabolic syndrome,accounting for 59%of the total.In all cases,the average blood uric acid was?545.48 +/-106.57?umol/1,with a maximum of 793umol/l,with the lowest value of 359umol/l.In four patients,blood uric acid was at normal levels and 40 patients had elevated levels of uric acid,accounting for 90.90 percent of the total population.3.Clinical symptoms:since the onset of patients,all of the high risk of gouty arthritis,pain happens in the first 51?41.13%?,23 ankle plantar toe joints?18.55%?,in this study,most patients because of the high purine meal 25?30.49%?,alcohol,20?24.39%?,fatigue,18?21.95%?,11?13.14%?cold cause acute gout.The main accompanying symptoms of the patients with:body joints,numbness,body/shutdown trapped weighing 25?56.82%?,24?54.55%?,spontaneous perspiration weak 23?52.27%?,20?45.45%?,dry mouth,night sweats 16?36.36%?,15?34.09?,chest tightness upset 14?31.82%?,dizziness,two eye dryness,phlegm,shortness of breath,insomnia,lumbar debility,12?27.27%?.The tongue color of 44 patients with gout was mostly light red or pale white,accounting for 77 per cent of all tongue color.The tongue is old,the tongue is tender,the tongue is fat.The condition of the 44 patients was heavy and slippery.4.Through the research on the distribution of disease syndrome showed that accords with phlegm and blood stasis resistance of each accounted for 52.27%,followed by wet sheng?50.00%?,liver and kidney Yin deficiency accounts for 38.34,damp and hot accumulate knot is 27.27%.Three of them,three of them,were in the third group,accounting for 6.82;The two types of syndromes were 25 people,56.82 percent;Only-one of the 16 people,36.36%.Through the mentor 44 patients of 155 a total of 2491 flavour,use of prescription drugs,including average each prescription drug use 16 flavour,which the frequency is more than 50 drugs have semen coicis?149?,semen plantaginis?147?,rhizoma atractylodis?138?and salvia miltiorrhiza?130?,zhejiang fritillary?127?,Bi Xie?126?,pinellia?123?,tuckahoe,liquorice?110??117?,sophora?109?,cortex phellodendri?99?,money?94?,artemisia annua?84?,herba leonuri?76?,rhubarb?53?.Conclusion:1.Most gout patients have high purine in their diet,most of them eat poorly,and some people with gout do not have a scientific diet.Eating dissection is the main cause of the disease and the main cause of the acute attack.2.That is common in patients with gout with other metabolic diseases,such as hyperlipidemia,obesity,metabolic syndrome,gout patients with phlegm and blood stasis type classification connecting transresistance,wet pixu?spleen deficient?.Its common symptoms in addition to the attack outside the joint redness,swelling,heat,pain and body joints trapped heavy/numbness,sweat out abnormal,dry mouth,bosom frowsty,tongue is red,moss greasy water slide,pulse sink and smooth.3.Gout associated with body mass index?bmi?,waist circumference,closely related to abnormal blood lipid,blood pressure,blood glucose,TG and CHO,TG and GLU,CHO and HDL,CHO and GLU,LDL and GLU relationship is positive correlation with statistical significance;The relationship between TG and HDL is negative and statistically significant.4.Both pathogenic factors and dampness are the result of the qi of the valley of the spleen,and the turbidity is produced in the valley,and the moisture is produced in the water.pathogenic factors is run in the body through the meridians,and it runs in the trifocal canal.5.The nature and pathogenic characteristics of pathogenic factors:?the disease is hidden and the development is slow.?pathogenic factors is apt to become phlegm.?pathogenic factors is sticky and dirty,and the air force is affected by the air.?The disease of pathogenic factors is lingering.?pathogenic factors is widespread.6.Treatment:?1?general treatment:proper diet to eliminate the source of pathogenic factors.Physical exercise.?2?TCM treatment:aromatization of pathogenic factors;The spleen pathogenic factors;The water drain pathogenic factors Through relieving diarrhea pathogenic factors.7.My mentor in the treatment of gout in how to use the method of combining disease syndrome differentiation clinical commonly used points away drain pathogenic factors method,the commonly used formula for four wonderful scattered us Bi Xie moisture penetration of soup,used to treat water seepage dampness,promoting blood circulation to remove blood stasis,heat is given priority to,with phlegm centralizer.