In order to figure out the answers to these questions, especially when it comes to Chinese medicine, which is less familiar to us as Western doctors, we have to understand the environment, personal experiences, and way of thinking of the person who is giving the answers; and we have to learn to ask for help. Therefore, in order to find the answers to these questions, I asked Zhang He, director of the Department of Orthopedics at the Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, and Tang Caidong, director of the Special Committee on Paralysis of the Sichuan Institute of Traditional Chinese Medicine Information, and other teachers, for advice several times.
At first I didn't understand why many people would ask these questions, and then I realized it's because many of the gout patients who ask these questions are from the countryside, and some of the gout treatments that they pass on by word of mouth come from someone's hearsay or personal practice, and sometimes when they look at the results, they are used by everyone.
Today, Dr. Liu is here to summarize the opinions of doctors of traditional Chinese medicine to properly answer the question about whether cornhusk, plantain, and medicinal wine can lower uric acid.
Cornhusk is a traditional Chinese medicine, is the stigma and stigma of corn, in the "Diannan Materia Medica" recorded as Yu Mai beard, "Modern Practical Chinese Medicine" for corn stamens, "Hebei Herbs" for the stick hair. There are hundreds of ways to consume corn husk as the main ingredient.
But in the Ming Dynasty before the Chinese medicine books did not include cornhusk this flavor of Chinese medicine, because it is belong to the "imported goods", the 16th century by the Portuguese into India and China. In the Chinese medicine books, cornhusk has diuretic, choleretic effect, can be clinically used for the treatment of diabetes, nephritis, hypertension and many other diseases.
In fact, there is no cornhusk can cure gout related prescription in the Chinese medicine books, so why do some people say cornhusk can cure gout? We can first take a look at the "experts" recommended therapy: "Fresh cornhusk 100 grams, add the right amount of water, decoction 1 hour concentrated to 100 mg, cease-fire to be cold to drink, with boiling water is better."
In fact, we from the nutritional composition of cornhusks, and did not see its ability to treat gout-related nutrients. Modern medical research has found that cornhusk contains phytosterols, polysaccharides, alkaloids, flavonoids, cryptoxanthin, organic acids, minerals, tannins with astringent activity and other nutrients and efficacy components.
Modern medicine believes that too much uric acid production or reduced uric acid excretion leads to an increase in the concentration of blood uric acid in the body, long-term blood uric acid is greater than 420 μmol / L, resulting in urate crystals deposited in the joints, cartilage and synovial membrane, the emergence of inflammatory reactions caused by. In other words, the treatment of gout is mainly uric acid lowering treatment, how to lower uric acid? Inhibit uric acid production and promote uric acid excretion. Inhibit xanthine oxidase, prevent the conversion of hypoxanthine and xanthine into uric acid, or increase renal excretion, inhibit the reabsorption of uric acid in renal tubules, or break down uric acid into allantoin, allantoic acid, uric acid and so on.
From the point of view of the mechanism of lowering uric acid, cornhusk is more common as corn, you can drink water with it. For gout patients, drinking cornhusk in water can replenish water, promote kidney excretion of urine and thus excretion of uric acid, so it is not too much to say. However, drinking plain water can also achieve this effect.
Therefore, Dr. Liu's recommendation is to drink cornhusk water is not important, the important thing is to drink more water after gout, to ensure that the total amount of daily urinary output is more than 2,000 ml, which means that the daily drinking water should be about 2,500 ml.
Psyllium (grass), is a common herb in our daily life, many places in the field. Psyllium can cure rheumatic diseases, a number of Chinese medical textbooks also have relevant records: "medicinal properties": psyllium "can go to the wind poison"; "Herbal remittance": psyllium "with the Shu-jin medicine can be wet line gas, healthy transport foot and knee, there is a rapid response to the experience also"; "Drugs Chemical Meaning": psyllium can cure "peripheral wet paralysis".
So, can psyllium cure gout? We can take a look at the gout of Chinese medicine. Chinese medicine believes that gout is mainly due to the lack of innate endowment, deficiency of liver and kidney, the lack of blood to the bones and meridians of the loss of nourishment; or dietary indiscretion, over-eating cream and wine and sweet, damage to the spleen and stomach, the spleen and stomach deficiency, dampness and heat stagnation of the joints; or to feel the wind, cold, damp and heat of the evil, the evil attack on the meridians, the gas and blood running poorly; or paralysis disease for a long time, the depletion of qi and blood, damage to yin, qi and blood, the accumulation of phlegm and phlegm stasis, phlegm and stagnation of the junction.
And the reason why it is said that psyllium can treat gout, mainly because psyllium clear heat diuretic, expectorant, cool blood, detoxification, that is to say, psyllium can assist in the treatment of heat paralysis, and gout belongs to the heat evidence, so it is taken for granted that the psyllium can promote blood circulation, relieve the body of localized pain.
However, the popularity of the folk is the psyllium soaked in water to drink, as we said earlier cornhusk. In Chinese medicine clinics, psyllium is used together with other medicines, rather than single use, usually including heat-clearing, dampness-relieving, blood-activating and swelling-reducing herbs used together. For example, in the treatment of gout with heat and toxicity and dampness evidence, the main treatment is to clear heat and remove toxins and dissolve dampness and pass the collaterals, and the main formula is Ganluo Disinfecting Dan, which includes many Chinese medicines such as Scutellaria baicalensis, Phellodendron Bark, Plantago ovata, forsythia, mint, cardamom kernel, Coix lacryma, Cynanchum officinale, Calamus calamus, and Glycyrrhiza glabra.
That is to say, psyllium alone in water, can not do to lower uric acid, and can not do acute gout pain relief. Some people suggest that you can drink lily and psyllium together, that is because the lily contains a small amount of colchicine, colchicine can be used for acute gouty arthritis anti-inflammatory pain.
And psyllium soaking water and cornhusk soaking water as the same, also much or water itself is to promote uric acid excretion. In addition and cornhusk soak water is different, psyllium cold, clearing the role of stronger, weak spleen and stomach people still need to eat less; in addition, psyllium diuretic, but too much urinary excretion will also increase the burden on the kidneys.
The medicinal wine is considered to be a more common form of health care in our lives, the medicinal wine not only has a long history, but also seems to be in the West. Western medicinal wines are also known as cocktails today, such as quinine, which later became tonic water; for example, bitters made from field mustard, horseradish, absinthe, and dahurica root, which was once used to treat gout in 18th-century Europe.
And in our country, the medicinal wine is more common, some people say that the white snake medicinal wine, the grass crow safflower wine, Chenpi medicinal wine often drink can lower uric acid. However, for gout patients, generally Dr. Liu does not recommend drinking medicinal wine. Although some of the medicinal wine may have a certain effect on the treatment of gout, but the medicinal wine is still wine, and the controversy over the medicinal wine is still relatively large, not recognized by the relevant professional.
Why is medicinal wine not recommended? Because medicinal wines are made with high alcohol such as yellow or white wine, which contains a large amount of ethanol (alcohol). Alcohol causes blood uric acid to rise in the body for a number of reasons.
Although it is said that alcohol for the human body can have pain and swelling, blood circulation and dissipate heat, especially for rheumatoid arthritis, osteoarthritis and other joint pain patients have a certain analgesic effect, but for gout patients, drinking medicinal wine may be counterproductive, increase the chances of acute gout attacks, and may aggravate the internal heat and swelling and pain.
In addition to cornhusk, psyllium, medicinal wine, Dr. Liu also heard of Pueraria Mirifica, mulberry leaves, gardenia, and other different "prescription", which are traditional Chinese medicine, but my advice is that even if the use of traditional Chinese medicine, please use the medication under the guidance of professional Chinese medicine practitioners; do not use their own medication, so as not to be counterproductive.
In conclusion, if gout and hyperuricemia occur, it is still recommended to use reasonable treatments to inhibit uric acid production, promote uric acid excretion, reduce the volume of uric acid pool, and remove uric acid crystals under the guidance of a doctor, instead of blindly believing in prescription treatments, as well as monitoring and evaluating the function of the liver and kidneys in a timely manner. Gout treatment is the need for long-term persistence, there is no overnight method.
#ChronicDiseaseThings ##LearningSharingOfficer ##CK Health Program