Zheng Fuzeng's Experience of Staged Treating Gout from the Perspective of the Liver and Spleen and Kidney
Professor Zheng Fuzeng believes that the incidence of gout is closely related to the liver,spleen,and kidney.He advocates treating gout from the perspective of liver,spleen,and kidney,with spleen deficiency,dampness excess,intermingled phlegm and blood stasis,liver dysfunction,fluid and dampness accumulation,and kidney yang deficiency as the key causes and pathogenesis.Professor Zheng divides gout into acute stage,remission stage,and complication stage for differentiation and treatment.In the acute stage,treat-ment focuses on clearing heat and removing dampness,unblocking collaterals and relieving pain.Commonly used formulas include Won-derfully Effective Four Powder,Gentian Liver-Draining Decoction,etc.In the remission stage,treatment focuses on tonifying qi and acti-vating the spleen,resolving dampness and promoting diuresis,so Four Gentlemen Decoction,Ginseng and Poria and White Atractylodes Powder can be adopted.In the stage of complications,treatment focuses on tonifying the liver,spleen,and kidney,regulating qi and blood,promoting diuresis and relieving turbidity,and commonly used formulas include Pubescent Angelica and Mistletoe Decoction,Golden Cabinet's Kidney Qi Pill,etc.
gouttreatment from the perspective of the liver and spleen and kidneystaged treatmentZheng Fuzeng