What is the standard treatment for gout?

Most people with gout are not clear about their disease, and they often hear questions from these patients, such as:

①What does up-to-standard treatment mean?

②I heard that the normal value of blood uric acid is actually around 420 μmol/L.

③ Is the lower the uric acid level, the better?

④My joints don’t hurt anymore, can I stop taking the medicine?

⑤ Do I have to take medicine for the rest of my life when I have gout.

In order to solve the doubts of these gout patients, today I will give you some popular science

01 First of all, let's understand

What is Gout Targeted Treatment?

The concept of up-to-standard treatment has been around for a long time, and this concept has also penetrated into the field of gout treatment in recent years.

So, how much should the patient's uric acid level be reduced to achieve the purpose of "cleaning dirty dishes"?

Generally speaking, if the patient does not have tophi, the value of blood uric acid should be controlled below 360 μmol/L, and if the patient has tophi, the value should be controlled below 300 μmol/L

02Speaking of which, here comes the patient's problem

"Wait! I remember that the upper limit of the normal reference value of blood uric acid is 420μmol/L.

"To know the reason, we have to mention the saturation of blood uric acid in the normal human body, which is generally around 410 μmol/L, so the patient’s uric acid value only drops to 410 μmol/L, which is simply not enough to “wash” clean plate" purpose

However, it is worth noting that the lower the uric acid value, the better.

why?

Because our normal human body will produce bad oxygen free radicals, and normal levels of uric acid can clean these things, we cannot kill them with one shot because too high uric acid is the main culprit in causing gout

03 The patient hears here and asks again

Gout treatment is not achieved overnight.

04 When the patient heard this, he suddenly realized

"Does it mean that if you have gout, you have to take medicine for life?"

"In fact, there is no absolute statement.

In terms of medication, Western medicine divides gout treatment into three periods for medication:

①Acute exacerbation period - treatment with colchicine and non-steroidal anti-oxidant and anti-inflammatory drugs;

②Intermittent period - according to the patient's blood uric acid level, choose appropriate drugs to inhibit the production of uric acid, or to promote the excretion of uric acid;

③ Chronic phase - mainly to lower uric acid

#have to be aware of is:

Because the treatment of gout is a long-term process, the long-term use of western medicine will bring a burden to the kidneys of patients, and patients may have kidney problems over time

So is there any suitable decoction in traditional Chinese medicine to treat gout? Of course there is

For example, the ancient Chinese medicine book "Golden Chamber Yaoluo Lun" records this:

Baihu Guizhi Decoction—composed of gypsum, Zhimu, Guizhi, japonica and licorice, has the functions of clearing away heat and detoxification, clearing the meridians and relieving pain, and can help gout patients reduce uric acid and shorten the course of gout