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What are the treatments for gout?

1. Western medicine

〈1〉Acute treatment: colchicine, the first dose of 1mg orally, and then every 2 hours 0.5mg, until the symptoms are relieved or nausea, vomiting, diarrhea and other gastrointestinal reactions when the drug is stopped. However, the total dosage is generally not more than 6mg. Symptoms are mostly reduced within 12 hours and controlled within 48 hours.

〈2〉Chronic and intermittent treatment

Allopurinol: inhibit the synthesis of uric acid, the initial dose of 100 mg each time, three times a day, and gradually increase the dose to 200 mg, three times a day.

Propofol: inhibit the reabsorption of uric acid in renal tubules. Starting from a small dose, the initial dose of 0.25g each time, 2 times a day, within 2 weeks to 0.5g, 2 times a day, the maximum dose can not be more than 2g per day.

2. Traditional Chinese medicine

〈1〉Dampness-Heat Paralysis: joint swelling, pain, pain in the red burning, the pain is intense, the pain at night is very bad, dry mouth, heartburn, yellow urine, dry stools or irrepressible, the tongue is red, yellow fur, pulse is slippery and strong. The pulse is slippery and strong.

Treatment: clearing away heat and removing dampness, clearing the channels and relieving pain.

Prescription: Fangji 12 grams, talc 15 grams, coix seed 15 grams, almonds 10 grams, silkworm sand 15 grams, 12 grams of half-summers, azuki beans 15 grams, forsythia 15 grams, gardenia 12 grams.

Constipation plus rhubarb; pain plus panax notoginseng, frankincense, myrrh; redness and swelling, plus honeysuckle, cypress, cocos; upper limb joint pain, plus qiangwu, wilingxian; lower limb joint pain, plus hyssop, papaya.

〈2〉Obstinate paralysis: recurrent attacks of redness, swelling and pain in the joints, joint enlargement, deformity and stiffness, gout stones near the joints and under the skin, the tongue is purple and dark or petechiae, the pulse is fine and astringent.

Treatment: expelling phlegm and clearing heat, promoting blood circulation.

Prescription: 10 grams of peach kernel, 10 grams of safflower, 10 grams of Angelica sinensis, 10 grams of Wu Ling Yi, 12 grams of Dilong, 12 grams of Gentiana Macrophyllae, 12 grams of Rhizoma Ligustici Chuanxiong, 12 grams of hyssop, 12 grams of Qiang Wu, 6 grams of myrrh, 9 grams of licorice, 15 grams of cypress.

〈3〉Kidney deficiency: increased nocturia, proteinuria, oliguria, swelling of the lower limbs or swelling of the whole body, lumbago and knee weakness. The person who is weak in yang is cold, cold limbs, white color. Yin deficiency: dizziness, tinnitus, hot flashes and night sweats.

Treatment: tonifying the kidney and diuretic.

Prescription: 15 grams of wolfberry, 12 grams of cuscuta, 12 grams of chasteberry, 20 grams of psyllium, 30 grams of leucorrhiza.

Yang deficiency is obvious add Xian Ling Spleen, Xianmao; Yin deficiency is obvious add Huangbai, Zhimu; abdominal distension, loose stools, add Dangshen, Atractylodes macrocephala; dizziness, dizziness, hyperactivity of the liver yang, add Crocus, chrysanthemums, tianmu.

〈4〉Stone shower: urine sandstone or X-ray shows urinary stones, urinary astringency or urine interruption or can not pawn out, or urine with blood, waist and abdomen pain, pulse string.

Treatment: to clear the lymph and diuresis and eliminate the gravel.

Prescription: 15 grams of Shi Wei, 15 grams of Qu Mai, 12 grams of Che Qian Zi, 6 grams of Mu Tong, 10 grams of Dong Kwai Zi, 30 grams of Qian Cao, 15 grams of Poria, 15 grams of Chicken Nei Jin, 9 grams of Slippery Stone, 20 grams of Hai Jin Sha.

For those with lumbar and abdominal cramps, add Paeonia lactiflora to ease the pain; for those with blood in urine, add Artichoke to cool the blood and stop bleeding.