Those with excessive pathogenic wind are arthralgia, arthralgia and vacillation; Excessive cold pathogens are joint pain, joint stiffness and local pain; Dampness is joint pain, numbness and swelling of joint muscles; The pathogen of excess heat is heat arthralgia, the joints are red, swollen and burning, and the pain refuses to be pressed; However, excessive uric acid belongs to wet turbidity, which is endogenous due to the damage of spleen health, and the kidney's function of distinguishing turbidity and secreting turbidity is out of balance, which leads to the disorder of wet turbidity excretion. In addition, excessive drinking, overeating and fatigue. Wet turbidity is injected into joints and muscles, resulting in poor qi and blood circulation. The treatment in acute stage is mainly to eliminate pathogenic factors, and methods such as expelling wind and removing dampness, clearing heat and promoting diuresis are adopted. In the chronic stage, it is mainly to strengthen the body resistance and eliminate pathogenic factors, such as invigorating spleen and qi, nourishing liver and kidney, etc. Damp-heat obstruction
Gout expelling acid is the key point, which is caused by dampness turning into heat, or element ascending yang, internal heat accumulating and dampness steaming. Symptoms include joint redness, swelling, fever and pain, acute illness, local burning sensation and relaxation in cold weather. With fever, thirst, upset, short and yellow urine. Red tongue with yellow or greasy coating and smooth or thin pulse. Treatment should be clearing away heat and promoting diuresis, dredging collaterals and relieving pain. The prescription is Simiao Baihu Decoction, which contains Rhizoma Atractylodis, Cortex Phellodendri, Rhizoma Anemarrhenae, Gypsum Fibrosum, Flos Lonicerae, Fructus Forsythiae, Fructus Chaenomelis, Lumbricus, Coicis Semen, Geranium geranium, Radix Cyathulae and Radix Clematidis.
anemofrigid-damp arthralgia
Due to the lack of healthy qi, pathogenic wind, cold and dampness enter from deficiency, blocking meridians and joint pain. Symptoms include joint swelling and pain, unfavorable flexion and extension, or local subcutaneous nodules and tophi. Accompanied by warm joints, heavy limbs, numbness, long urine and loose stools. Red tongue, thin white fur, tight or slow pulse. The treatment should dispel wind and cold, eliminate dampness and dredge collaterals. The prescription is Guizhi Fuzi Decoction, which is made of Guizhi, Radix Paeoniae Alba, Rhizoma Zingiberis Recens, Radix Astragali, Radix Aconiti Preparata, Herba Ephedrae, Radix Stephaniae Tetrandrae, Radix Angelicae Sinensis, Rhizoma Chuanxiong, Notopterygii Rhizoma, Rhizoma Atractylodis and Radix Saposhnikoviae.
Stagnation of phlegm and blood stasis
Due to long-term illness, weakness, meridian obstruction, qi and blood obstruction, and joint phlegm and blood stasis. Symptoms include joint swelling and pain, recurrent attacks, sometimes mild and sometimes heavy, local joint hardness, or tophi. Accompanied by joint deformity, unfavorable flexion and extension, local dark red skin color, weak body and dull complexion. Red tongue with petechiae, white or yellow coating, heavy, smooth or thin pulse. The treatment should be resolving phlegm and resolving hard mass, promoting blood circulation and dredging collaterals. The prescription is Er Chen Tao Hong Yin, which is used for medicines such as tangerine peel, Pinellia ternata, Poria, Angelica sinensis, Chuanxiong rhizome, Paeonia lactiflora, peach kernel, safflower, Gentiana macrophylla, pangolin scales, Rhizoma Arisaematis and Lycopodium.
Yang deficiency of spleen and kidney
It is caused by body yang deficiency, invasion of exogenous pathogens and long-term injury of spleen and kidney. Symptoms include persistent joint swelling and pain, edema of limbs and face. Shortness of breath, weakness of waist and knees, chills and cold limbs, anorexia and nausea, abdominal distension and loose stool. The tongue is light and fat, the coating is thin and white, and the pulse is slow or thin. Treatment should strengthen spleen and kidney, warm yang and dispel cold. The prescription is Fuzi Lizhong Decoction, Fuzi, Cinnamomum cassia, Atractylodes macrocephala, Codonopsis pilosula, Poria, Astragalus, Eucommia ulmoides, Psoralea corylifolia, Epimedium, Cistanche deserticola, Rhizoma Drynariae, Cibotii, etc.
Yin deficiency of liver and kidney
Due to long illness, body fluid is damaged, vaginal fluid is less, liver and kidney can not be raised, and evil spirits reside in bones and muscles. Symptoms include joint pain, recurrent and persistent, sometimes light and sometimes heavy, or joint deformation, visible nodules, and unfavorable flexion and extension. Accompanied by soreness of the waist and knees, tinnitus and dry mouth, numbness of the skin, fatigue and flushing. The tongue is dry red, the fur is thin and yellow, and the pulse is thin or thin. Treatment should be nourishing liver and kidney, expelling wind and removing dampness. This prescription is Jiawei Duhuo Jisheng Decoction, which contains medicinal Duhuo Jisheng Decoction, Taxilli, Radix Paeoniae Alba, Radix Rehmanniae Preparata, Eucommiae Cortex, Achyranthis Radix, Carapax Trionycis, Semen Cuscutae, Fructus Ligustri Lucidi, Herba Lycopodii, etc.
The above drugs can be added or subtracted according to symptoms: acanthopanax senticosus, bone-seeking wind and speranskia tuberculata can be added for excessive pathogenic wind; Radix Aconiti Lateralis Preparata, Asari and Ramulus Cinnamomi are added for patients with excessive cold pathogen; Rhizoma Dioscoreae Septemlobae, Fructus Chaenomelis, and Herba Siegesbeckiae are added for those who are wet; Adding Fructus Gardeniae, Cortex Phellodendri and Caulis Lonicerae for excessive damp heat; Rhizoma Curcumae, Scorpio and Xu Changqing are added for joint pain; Radix Stephaniae Tetrandrae, Alismatis Rhizoma and Semen Plantaginis are added for joint swelling; Asari, Zingiberis Rhizoma and Radix Aconiti Lateralis Preparata are added for joint pain; If the skin is numb, Rhizoma Dioscoreae Nipponicae, Caulis Piperis, and Caulis Trachelospermi are added; Yang deficiency plus dried ginger, Morinda officinalis and Cistanche deserticola; Radix Rehmanniae, Herba Dendrobii and Carapax Trionycis are added due to yin deficiency; Achyranthes bidentata, Radix Angelicae Pubescentis and Caulis Sinomenii are added for joint pain of lower limbs; Upper limb joint pain plus Ramulus Mori, Curcuma Rhizome and Radix Clematidis; The waist and knees are sore and weak, and Radix Dipsaci, Pyrola and Colla Cornu Cervi are added; Radix Paeoniae Rubra, Radix Rhodiolae and Pollen Typhae are obviously added for blood stasis; Bombyx Batryticatus, Semen Sinapis Albae and Arisaema cum bile are added into subcutaneous nodules or tophi.
In the acute phase, the disease should stay in bed and be treated symptomatically. In the chronic stage, uric acid should be excluded and treated according to syndrome differentiation. Do early detection and early treatment.