Etiology: It is pointed out in The Theory of Gout that a large proportion of gout patients feel pain because of heat boiling blood, then cold water, or standing in a wetland, or fan cooling, or lying in the wind, cold cooling, cold blood, dirty and astringent; The night is painful and cloudy. These are common causes, and then there are uncommon causes, such as obesity, overwork, incurable dysentery, wet wine and phlegm pain.
Course of disease: Danxi rarely discusses the length of the course of disease. In Gezhi Yu Lun, "Dongyang House is tired and hurts its legs, and it will be safe after thirty or forty years". It shows that there are many drug addicts. Zhu Zhai's wife (female) suffers from gout diet, but clearly points out that it is safe within six months.
Main symptoms: According to the writing method of Danxi Heart Therapy, more than 90 kinds of diseases and syndromes listed in Danxi Heart Therapy are generally summarized in the first sentence of the paragraph. Either as the main evidence or as the main reason. The first sentence of Gout Festival says: "It is also true that all limbs are painful when walking. Looking up two books, Danxi Heart Therapy and Synopsis of the Golden Chamber, we can see that Danxi did not discuss arthralgia syndrome or arthralgia syndrome, and rheumatism mentioned in these two books was discussed as the cause, not as the name of the disease. The gout mentioned by Danxi should be a general exposition of arthralgia syndrome, that is to say, all the pain of limbs and joints belongs to gout category.
Treatment: According to Gout Theory, a large part of gout patients suffer from pain due to heat boiling from blood, then cold water, or standing in wetlands, or fan cooling, or lying in the wind, cold and cold blood, dirty and astringent; The night is painful and cloudy. In view of these causes, Danxi put forward the treatment methods of pungent heat, dispelling cold and dampness, developing phlegm method, making blood run, harmonizing qi-flowing, and making the disease self-safe. This is the cure for gout. From the etiological point of view, "wind, dampness, phlegm and blood deficiency" are the four major causes, and four commonly used methods such as "expelling wind and removing dampness, resolving phlegm and nourishing blood" are used in treatment. Medication is relatively simple in prescription. This is also the difference between the upper, middle and lower prescriptions for gout and the prescriptions based on a single cause.
The upper, middle and lower gout prescriptions give consideration to phlegm and blood stasis. This is also the difference between the upper, middle and lower prescriptions for gout and the prescriptions based on a single cause. From the location of the disease, from the upper, middle and lower levels of treatment, from the etiology, it is both wind, phlegm and blood stasis. The whole prescription can dispel wind and remove dampness, dispel phlegm and remove blood stasis, accumulate heat in diarrhea, warm the middle warmer and disperse the knot, and relieve upper, middle and lower pain. Therefore, the Collection of Medical Prescriptions has a high evaluation of this prescription: "This gout is also a general prescription. Secondly, from the perspective of distinguishing the deficiency from the excess of gout, Danxi put forward that "if the disease is shallow, it will be wet and dry, and if the blood is hot, it can also be effective"; The deeper the illness, the less blood, the weaker the robbery and the deeper the robbery. "This is also a temporary solution. In addition, the treatment of gout caused by untreated dysentery and the treatment of black blood were put forward.
Prescription: Treat according to the cause and location of the disease. Danxi proposed three prescriptions. Wherein "Shang" comprises Rhizoma Atractylodis, Rhizoma Arisaematis, Rhizoma Chuanxiong, Radix Angelicae Dahuricae, Radix Angelicae Sinensis, Radix Scutellariae, Notopterygii Rhizoma, Ramulus Cinnamomi, Radix Platycodonis and Radix Clematidis; Xia is composed of Achyranthes bidentata, Radix Stephaniae Tetrandrae, Caulis Akebiae and Cortex Phellodendri. Shangxia Tongfeng Prescription is different from Xiashang and Shangxia, and it is a widely used prescription. From the etiological point of view, "wind, dampness, phlegm, blood deficiency and damp heat" are the five major causes, and "Qufeng Xiao Xuan Xu Ming Decoction" is used for treatment; Moistening Atractylodes rhizome, Atractylodes macrocephala, etc. Parching Scutellariae Radix, Notopterygii Rhizoma and Rhizoma Atractylodis with Huatan Erchen decoction and wine; Nourishing blood, invigorating the body, etc., supplemented by safflower and peach kernel; Ermiao powder is used to clear damp-heat, qi deficiency and qi supplement, and blood deficiency and blood supplement. Then there are rare causes such as wine-wet phlegm gout, phellodendron amurense, clematis chinensis, atractylodes rhizome, notopterygium root, licorice, dried tangerine peel and peony. Tortoise shell, cypress leaf, Cyperus tuber and spicy mustard seed are used for dyspepsia, shoulder and leg pain. Pill powder also has many medicines, such as Zhantong Powder, Frankincense Pill and Dixiandan. In the treatment of pain, it is found that Danxi prefers frankincense and myrrh to Yuanhu for pain relief, which is also a feature of his medication.