Staged Diagnosis and Treatment of Gout based on"Consolidating the Root and Clearing the Source"
It is believed that gout is rooted in spleen-kidney depletion,and damp-heat,turbidity toxin,and phlegm stasis are the sources.The treatment principle should be fortifying the spleen and boosting the kidney to con-solidate the root,while draining dampness and removing turbidity,clearing heat and resolving toxins,relieving stasis and dissolving phlegm to clear the source.Staged treatment based on the relationship and transition between healthy qi deficiency and excess pathogen is recommended.For intercritical gout when there is internal accumulation of damp turbidity mainly,the treatment method should be draining dampness and removing turbidity by Chushi Fuling Decoction(除湿茯苓汤)with modifications.During the acute stage of gout when damp-heat toxin accumulation is the most urgent,it is recommended to clear heat and resolve toxins with self-made Qingpi Tongfeng Formula(清皮痛风方)with modifications.During the chronic stage of gout,when spleen deficiency and damp-heat and phlegm-stasis obstruction are the predominant,the method of fortifying spleen,clearing heat and draining dampness,as well as dissolving phlegm and dissipating stasis should be implemented,by using self-made Qingre Shenshi Decoction(清热渗湿汤)with modifications and Erchen Decoction and Taohong Siwu Decoction(二陈汤合桃红四物汤)with modifications,respectively.For gouty nephropathy,when spleen-kidney depletion is the root,and phlegm,stasis and toxin are accompanied,it is recommended to fortify spleen and boost kidney,and dissolve phlegm,move stasis and resolve toxins using self-made Bupi Yishen Decoction(补脾益肾汤)with modifications.
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