Gout is also a common chronic disease in clinic, and it is on the rise year by year. The symptoms of gout are generally acute attack in the middle of the night or early morning, with symptoms such as fever, headache, dry mouth, bitter taste, red joints, swelling, heat and pain. So I prepared it for you. I hope these Chinese medicine prescriptions will help you!

I. Acute phase

1. Cold-dampness obstruction type: severe joint pain, slight swelling, reduced fever, unfavorable joint flexion and extension, local cold sensation, reddish tongue, white fur and tight pulse. The treatment is to warm channels and dispel cold, dispel wind and remove dampness, and add and subtract Aconitum Decoction. 6 grams of Radix Aconiti, 6 grams of Herba Ephedrae, 20 grams of Radix Astragali, 65,438+05 grams of Radix Paeoniae Alba, Caulis Spatholobi, Radix Angelicae Sinensis, Coicis Semen, Rhizoma Dioscoreae Septemlobae, 9 grams of Radix Glycyrrhizae, 5 grams of Ramulus Cinnamomi, 3 grams of Asari, 30 grams of Rhizoma Smilacis Glabrae and 3 slices of ginger.

2. Damp-heat obstruction type: joint swelling and pain, intense swelling and pain, tight tendons and veins, out of reach, difficulty in getting out of bed, light day and heavy night, red tongue with yellow fur and slippery pulse. The main treatment is clearing away heat and promoting diuresis, promoting blood circulation and dredging collaterals, and Xu 'anbi Decoction is modified. Radix Stephaniae Tetrandrae, Semen Armeniacae Amarum, Fructus Forsythiae, Bombyx Batryticatus, Semen Phaseoli, Curcuma Rhizome, Radix Gentianae Macrophyllae, Talcum, Cortex Erythrinae, Radix Clematidis, Rhizoma Dioscoreae Septemlobae, Alismatis Rhizoma, Fructus Gardeniae, Rhizoma Pinelliae, Coicis Semen, Rhizoma Smilacis Glabrae, Rhizoma Polygoni Cuspidati.

3. Phlegm * * * dampness * * * blocking blood stasis type: gout lasts for a long time, recurs, the joints are stiff and deformed, the joints are dark red, the pain is severe, the pain is limited, the tongue is dark with ecchymosis, and the pulse is thin and astringent. The treatment method is activating blood circulation and removing blood stasis, resolving phlegm and dredging collaterals, and relieving body pain with modified Huayu decoction. Peach kernel, safflower, angelica sinensis, notopterygium root, Gentiana macrophylla each 12g, earthworm and Achyranthes bidentata each 20g, Oletum Trogopterori, Ligusticum Chuanxiong, Myrrha and Rhizoma Cyperi each 9.

Grams, 6 grams of raw licorice, 6 grams of scorpion, 6 grams of beehive, Zaocys 10 grams, 65,438 grams of white mustard seed and 65,438 grams of silkworm.

4. Blood-heat toxin invasion type: joint swelling and pain, acute body sweating with heat, thirst and upset, red tongue with yellow coating, rapid pulse, treated with clearing away heat and toxic materials, cooling blood and diuresis, and gout and pain relieving decoction. Radix Rehmanniae, Caulis Sargentodoxae, Radix Cyathulae, Herba Lysimachiae Christinae, Rhizoma Smilacis Glabrae and Flos Lonicerae each 30g, Cortex Moutan and Cortex Phellodendri each 65438 00g, Rhizoma Polygoni Cuspidati, Radix Paeoniae Rubra, Semen Plantaginis each 65438 05g, Fructus Lipuidambaris and Cornu Bubali each 65438 02g, and Radix Glycyrrhizae 9g.

5. Type of liver depression and spleen deficiency: dizziness, chest tightness, irritability, abdominal distension, sore limbs, swollen nodules, heavy lower limbs, aggravated mental stress, red tongue with thin coating and rapid pulse. The treatment methods are soothing liver and clearing heat, invigorating spleen and eliminating dampness, soothing liver and relieving depression, and removing bones. Bupleurum 65438 02g, Carthamus 65438 02g, Fructus Aurantii Immaturus, Radix Aucklandiae, Rhizoma Cyperi, Radix Curcumae, Cortex Moutan, Fructus Chaenomelis, Prunellae Spica, Radix Scrophulariae, Radix Gentianae, Scutellariae Radix, Cortex Phellodendri, Caulis Akebiae, Radix Salviae Miltiorrhizae, Rhizoma Dioscoreae 65438±05g, Rhizoma Corydalis and Radix Astragali 20g.

6. Damp-resistance type due to spleen deficiency: the joint is sore, the painful part is motionless, the joint is deformed and stiff, there is tophus, people feel short of breath, not hungry, the tongue is red and greasy, and the pulse is thin. The treatment method is to strengthen the spleen and eliminate dampness, expel turbidity and dredge collaterals, and transport the spleen and ooze dampness. The empirical formula was modified. 20g of Rhizoma Dioscoreae Septemlobae, Rhizoma Atractylodis Macrocephalae, Radix Cyathulae, Folium Pyrrosiae, 65438 05g of Polyporus, Talcum, Semen Persicae, 65438 00g of Herba Dianthi, Polygonum cuspidatum, Herba Plantaginis, 65438 00g of cooked Radix et Rhizoma Rhei, 65438 00g of Carthami Flos, Squama Manis, Radix Angelicae Sinensis and 5g of Ramulus Cinnamomi.

7. Deficiency of liver and kidney type: gout lasts for a long time, joints are swollen and deformed, unable to bend and stretch, with severe pain, weak waist and knees, inconvenient movement, aggravated by fatigue and cold, sometimes accompanied by low fever, aversion to cold and warmth, pale tongue with thin white fur, and deep and thin pulse or weakness. The treatment method is tonifying liver and kidney, eliminating dampness and dredging collaterals, and adding and subtracting Duhuo Jisheng decoction. Radix Angelicae Pubescentis, Radix Saposhnikoviae and Rhizoma Chuanxiong each 65438±00g, Radix Gentianae Macrophyllae, Radix Angelicae Sinensis, Radix Rehmanniae, Radix Paeoniae Alba,

Eucommia ulmoides Oliv Radix Cyathulae, Poria, Caulis Spatholobi each 15g, Asari 3g, Cinnamomum cassia, Ginseng 5g, Glycyrrhiza 6g and Taxilli 20g.

Second, postpone the activity period.

1. Damp stagnation type: acute unhealed, damp-heat pouring down, joint pain, swelling and pain, tophus, urinary calculi, which can be treated by clearing damp-heat, promoting blood circulation and resolving stagnation. Xu 'anbi Decoction contains Folium Artemisiae Argyi, Scorpio, Radix Aconiti Kusnezoffii, Rhizoma Pinelliae, and Rhizoma Arisaematis.

2. Spleen and stomach weakness type: Spleen deficiency weakens the function of removing dampness and turbidity, and the accumulation of metabolites remains unchanged. Stagnation of dampness and blood stasis is the pathological basis of gout hyperuricemia. Therefore, uric acid is high but not falling, and tophi is harmful to joint swelling. The treatment is to strengthen the spleen and replenish qi, resolve phlegm and eliminate dampness. 20 grams of Radix Astragali and Herba Lycopi, 65,438 05 grams of Radix Stephaniae Tetrandrae and Radix Clematidis, and 30 grams of Radix Salviae Miltiorrhizae are added into the decoction for invigorating spleen and moistening dryness.

3. Blood stasis type: the course of disease is prolonged, the joints are deformed and stiff, and there are tophi, which can be treated by resolving phlegm and removing blood stasis, searching wind and dredging collaterals. Pangolin, Eupolyphaga Seu Steleophaga, Agkistrodon10g, Rhizoma Pinelliae Preparata15g.

Third, the intermission period

1. Spleen deficiency and dampness resistance type: the symptoms are relieved, but the serum uric acid is still significantly higher than the normal value, and the treatment should be continued at this time. Use the formula of invigorating qi and strengthening spleen, removing turbidity and removing blood stasis, and lowering uric acid and lowering blood pressure to treat it. Rhizoma Smilacis Glabrae, Caulis Lonicerae, Talcum and Coicis Semen each 30g, Rhizoma Alismatis, Cortex Moutan, Radix Angelicae Sinensis, Radix Paeoniae Rubra, Cortex Phellodendri, Rhizoma Chuanxiong and Radix Stephaniae Tetrandrae each10g, Rhizoma Atractylodis15g, Rhizoma Pinelliae12g and Radix Codonopsis 20g.

2. Love-type positive deficiency and evil: joint inflammation and signs have disappeared, blood uric acid is still high, mental fatigue, repeated colds, pale tongue with white fur, thin or weak pulse, and the treatment is to replenish qi and nourish blood, relax muscles and collaterals, and modify Sanbi Decoction. Ginseng * * * is mixed with * * *, Atractylodis Rhizoma, Radix Glycyrrhizae Preparata and Fructus Schisandrae Chinensis each 65438 05g, Radix Angelicae Sinensis, Poria, Radix Rehmanniae Preparata, Radix Achyranthis Bidentatae, Radix Dipsaci, Eucommiae Cortex and Radix Paeoniae Rubra each 65438 05g, Radix Astragali 30g and Pericarpium Citri Tangerinae.

9 grams of Radix Saposhnikoviae and Radix Gentianae Macrophyllae each, 3 grams of Asari, 65,438+02 grams of Rhizoma Chuanxiong and Radix Angelicae Pubescentis each, 6 grams of Ramulus Cinnamomi, 3 slices of ginger and 5 pieces of jujube.

3. Spleen and kidney deficiency type: gout symptoms are relieved, but the waist is still sore and knees are cold, and there is chills and edema. The treatment is to strengthen the spleen and protect the kidney, eliminate dampness and strengthen the body resistance, and modify Simiao Decoction. Rhizoma Atractylodis, Cortex Phellodendri, Radix Achyranthis Bidentatae, Rhizoma Dioscoreae Septemlobae, Radix Paeoniae Rubra, Lumbricus, Scorpio, Herba Taxilli and Rhizoma Anemarrhenae each 65,438 05g, Radix Stephaniae Tetrandrae, Rhizoma Alismatis, Poria and Radix Dipsaci each 65,438 00g, Coicis Semen 20 g, Herba Lysimachiae 30g, Radix Astragali and Rhizoma Dioscoreae each 65,438.

The above prescription is decocted in water twice a day and taken warm in the morning and evening.

Folk remedies for this disease are:

1: 50g of Radix Astragali, 6g of pregnancy, 4g of Radix Aconiti Lateralis Preparata, Rhizoma Pinelliae Preparata, Notopterygii Rhizoma, 9g of Radix Paeoniae Alba, Herba Epimedii, Rhizoma Dioscoreae Septemlobae, Radix Angelicae Sinensis, Semen Ziziphi Spinosae and Poria, 4g of Radix Saposhnikoviae, Asari, Radix Angelicae Pubescentis, Cortex Cinnamomi, Radix Glycyrrhizae Preparata and 4g of Rhizoma Chuanxiong. Usage: decoction, daily 1 dose, three times. Efficacy: Take medicine 1 month, and it can be cured.

Prescription 2: 60g of Angelica sinensis, 60g of Radix Paeoniae Alba and 60g of Radix Glycyrrhizae, 30g of Agkistrodon, 20g of Scolopendra and Asari, and 2000ml of white wine. Usage: Grind the medicine and soak it in cloth for 10 day, 30ml each time, twice a day, and 25 days is 1 course of treatment. Each course of treatment is intermittent for 5 days. Efficacy: 1-2 course of treatment.

Diet control: Eat more foods with little or no purine content: polished rice, corn, white bread, steamed bread, noodles, macaroni, soda biscuits, cabbage, carrots, celery, cucumber, eggplant, cabbage, lettuce, pumpkin, tomato, radish, sweet potato, pickles, pickles, longan, cabbage and various eggs.