Origin and Development of Traditional Chinese Medicine Understanding of Gout Disease
Gout is a chronic,progressive,and disabling metabolic disease closely related to hyperuricemia and urate deposition.This article aimed to systematically review the records of gout at various stages in ancient Chinese medical texts,clarify the develop-ment of traditional Chinese medicine(TCM)understanding,and outline the knowledge and characteristics of gout during different periods,thereby providing TCM theoretical support for in-depth research and clinical prevention and treatment of gout.By reviewing 106 TCM texts,including medical theories,prescriptions,materia medica,and medical cases from the pre-Qin to the Ming and Qing dynasties,the TCM understanding of gout was summarized,including disease names,symptoms,etiology and pathogenesis,and treat-ment methods,to explore its developmental origins.In the pre-Qin period,TCM texts sporadically recorded symptoms,disease names,and(or)etiology and pathogenesis of gout at various stages.From the Han to the Sui and Tang dynasties,medical practition-ers expanded on disease names,symptoms,and etiology and pathogenesis,and proposed various internal and external treatments,marking the formation of gout theory.During the Song,Yuan,Ming,and Qing dynasties,discussions on syndrome differentiation,dif-ferential diagnosis,and dietary taboos enriched this theory.TCM understanding of gout began in the pre-Qin period,with theoretical formation from the Han to the Sui and Tang dynasties,and further development during the Song,Yuan,Ming,and Qing dynasties,gradually forming a relatively comprehensive TCM theoretical system for gout.
Gout diseaseHyperuricemiaUrate depositionGouty arthritisMetabolic diseaseTraditional Chinese medicine theoryAncient traditional Chinese medicine bookOrigin