Discussion on the relationship between toxin and gout

TIAN Caijun; LIU Ying; CHEN Xianhai

doi:10.3969/j.issn.0257-358X.2001.03.003

Abstract：Gout results from noxious damp-heat or noxious blood stasis, which are caused by a long term of improper diet or disturbance of the zang-fu functions. Noxious damp-heat may lead to noxious blood stasis. Gout does not occur when noxious damp-heat and blood stasis are latent .while the disease will occur when they are active, which manifests itself as swollen, painful joints accompanied with pyrexia or subcutaneous noduli. Noxious damp-heat which accumulates near the joints leading to the symptoms,pain of which often attacks on legs at night. Noxious blood stasis and phlegm accumulate near joint, skin.or kidneys. At the late stage of gout.difficulty in urination or dysuria with incessant vomitting will occur when kidney-essence is damaged by toxins. The stages of gout are divided into the acute stage and the internal stage. The different therapy is applied at different stage. At the internal stage,the prescriptions for regulating and nourishing spleen-kidney, such as decoction of four noble drugs, decoction of six drugs including rehmannia,and so on,are applied to treat the toxins. At the acute stage,drugs for removing heat and dampness, such as honeysuckle flower, honeysuckle stem. dandelion herb. pleione rhizome, plantain herb. and so on,are applied to eliminating the toxins. Rhubarb has the dramatic effect on clearing away heat and toxic material,promoting blood flow,purging,and so on.so it is applied in large quantities at the acute stage of the disease.