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I have had gout for 20 years, and I have been taking dexamethasone for two years. Now I am bedridden~ My family is very anxious! What should I do? Urgent!

Copied expert opinions for reference 1. Principles and purposes of treating gout The principles of treating gout are: reasonable dietary control; adequate water intake; regular life system; appropriate physical activities; effective Medication; regular health checkups. Clinical treatment of gout generally requires the following goals: (1) Terminate acute arthritis attacks as soon as possible; (2) Prevent recurrence of arthritis; (3) Correct hyperuricemia and prevent urate deposition in the kidneys, joints, etc. Complications; (4) Prevent the formation of uric acid crystal stones in the kidney; (5) Prevent and treat complications such as diabetes, obesity, hypertension, and dyslipidemia. Clinically, targeted treatment should be carried out according to the condition of different stages of the disease, and the best treatment plan should be selected. 2. General treatment includes adopting a low-purine and low-fat diet, drinking more water, quitting smoking and alcohol, adhering to appropriate physical exercise, controlling weight to avoid obesity, and regular examinations. 3. Treatment of acute gouty arthritis. Acute gouty attacks should be treated promptly, mainly to control symptoms. The most effective drug is: colchicine. Other drugs include indomethacin, piroxicam, and ibuprofen. wait. Colchicine is the most effective, but it also has the greatest side effects. Traditional Chinese medicines include: Qingbi and Tongluo medicinal wine. 4. Treatment of intermittent attacks of gout The treatment of intermittent attacks of gout is mainly to maintain the normal value of uric acid (6.5 mg/dl), protect kidney function, and prevent gouty nephropathy. For this reason, in addition to adhering to general treatment, it is best to use drugs that promote uric acid excretion and inhibit uric acid synthesis. Clinically, the only drug that inhibits the synthesis of uric acid is allopurinol, while the drugs that promote the formation of uric acid include Binghuangshu, Goutlixian, etc. Chinese medicines include: Compound Shenjin Capsules. 5. Treatment of chronic gouty arthritis. Once gouty arthritis becomes chronic, it is difficult to recover. The main purpose is to avoid repeated attacks and damage to kidney and joint functions. Patients with larger gout stones can be surgically removed. 6. Treatment of late-stage gout disease Most patients with late-stage gout disease have developed gouty nephropathy. For late-stage gouty nephropathy, hyperuricemia should be actively controlled to maintain uric acid at normal levels for a long time, protect the kidneys, and prevent the development of uric acid nephropathy. Eliminate all factors that affect kidney function. Prevent the occurrence of urinary tract infection, hypertension, diabetes and arteriosclerosis. Treatment of gout by traditional Chinese medicine Traditionally, there are two types of treatment for gout: western medicine and traditional Chinese medicine. Western medicine mainly uses analgesics and anti-inflammatory drugs to temporarily relieve pain. The principle of traditional Chinese medicine in treating gout is to clear away heat and diuresis, activate blood circulation and dredge collaterals, plus Some biological components contained in traditional Chinese medicine promote the excretion of uric acid. In the acute stage, the syndrome is characterized by internal dampness and heat, and the main treatment method is to clear away heat and diuresis. In the remission stage, the syndrome is based on blood stasis and obstruction of collaterals, and the main treatment method is to activate blood circulation and unblock the collaterals. At present, the main Chinese patent medicines used to treat gout include Qingbi Tongluo Medicinal Wine and Compound Shenjin Capsules.