Gout, pain when covering with paper, three doses of one prescription will gradually cure

Gout, pain when covered with paper, a prescription of three doses of Cangbai powder with added flavor comes from the "Golden Mirror of the Medical Ancestral Pathology: Essentials of the Heart Method for Miscellaneous Diseases". The original prescription was designed to treat beriberi with damp heat, redness, swelling, heat and itching. Professor Pei Yongqing applied it to gout and erysipelas due to damp heat, and the effect was remarkable, which is worth learning.

Experience in using Jiawei Cangbaisan

TCM believes that the classical prescriptions are the source and the contemporary prescriptions are the flow. Only by combining the source and the flow and learning from others without being rigid about the prescriptions can we adapt to the ever-changing and complex spectrum of diseases. For example, the use of Jiawei Cangbai San deeply reflects this idea.

1. Eliminate dampness and heat to treat gout

Jiawei Cangbai Powder comes from "Yi Zong Jin Jian·Essentials of Treating Various Diseases". The original prescription was designed to treat beriberi with damp-heat, redness, swelling, heat and itching.

The current gout disease is characterized by redness, swelling, heat and pain below the knee (especially the toes and ankle joints). The redness is due to heat, the swelling is due to dampness, and the pain is due to obstruction. Dampness and heat are accompanied by blood stasis, which blocks the lower part of the body. The tongue is red or dark red, and the tongue coating is mostly white and greasy with yellow or yellow greasy. It often occurs in people who drink wine and eat meat. This prescription is effective in treating it:

15 grams of Atractylodes lancea, 12 grams of Phellodendron chinense, 9 grams of Papaya, 9 grams of Cyathula officinalis, 10 grams of Angelica dahurica, 10 grams of Notopterygium wilfordii, 12 grams of Stephania tetrandra, 6 grams of Akebia, 12 grams of Rehmannia glutinosa, 15 grams of Red Peony Root, 12 grams of Angelica sinensis, 9 grams of Anemarrhena asphodeloides, 9 grams of fried Areca catechu, 15 grams of Atractylodes macrocephala, 6 grams of raw licorice, plus 9 grams of peach kernel, 9 grams of safflower, 9 grams of Forsythia suspensa, and 6 grams of processed myrrh. If the patient has a strong smell of alcohol, add 15 grams of fried Shenqu.

There was a patient who had suffered from gout for many years. The upper part of the big toe was red and swollen, and the pain was unbearable. He covered his feet with a bed sheet, and his feet hurt when the bed sheet touched them. During the diagnosis and treatment, the patient said, "Don't touch me!" before I even reached the bedside. After three doses of Jiawei Cangbai San, the swelling and pain subsided sharply, and he was able to get out of bed and walk. He gradually recovered after continuing to take the original prescription.

Most gout patients return to normal blood uric acid levels after treatment, but in some cases, gout symptoms disappear but blood uric acid levels remain high. This is just like high transaminase levels do not necessarily mean liver disease, as many diseases such as myocardial and skeletal muscle problems can cause high transaminase levels. It is clear that using Western methods to demand Chinese medicine is a dead end.

2. Reduce turbidity, swelling and erysipelas

Jiawei Cangbai Powder can be used not only to treat gout, but also erysipelas. Erysipelas often occurs in the lower limbs, and the clinical manifestations are mainly redness, swelling, heat and pain. The pathogenesis is damp-heat, and most of them are turbid toxins.

I treated a patient who had erysipelas on both lower limbs for 3 years. The skin color from below the knee to the ankle was dark red. The erysipelas lesions were visible 6-7 cm above the ankle, which were purple-red in color. He usually had athlete's foot, itching and watery. He had a history of hypertension and moderate to severe fatty liver. Western medicine gave anti-inflammatory and anti-infective treatment, but antibiotics were ineffective in the past six months. The patient usually liked to drink alcohol and eat meat. This was due to improper diet, damp heat in the body, which led to damp heat betting. Over time, the heat and toxicity were blocked, the nutrient heat and flesh rotted, and the blood vessels were damaged, leading to erysipelas. He was treated with Jiawei Cangbai San, taking 1.5 doses a day. After a follow-up visit 3 days later, the swelling and pain were reduced. He was cured after taking 25 doses in total.

In addition, Jiawei Cangbai Powder can also be used to treat allergic purpura, which is often manifested by purple-red bleeding spots on the legs and a yellow and greasy tongue coating, which is also a pathological mechanism of damp-heat. In short: whether it is gout or lower limb erysipelas or allergic purpura, as long as the pathogenesis is the same, different diseases can be treated with the same method. It can be seen that grasping the pathogenesis is the key to syndrome differentiation and treatment.

Clinical application of addition and subtraction: In clinical application of Jiawei Cangbai San, it is necessary to flexibly add or subtract according to the specific situation. For example, if the main symptom of gout is pain, 9 grams of peach kernel, 9 grams of safflower, 9 grams of forsythia, and 6 grams of myrrh can be added;

For those who love alcohol, add 15g of stir-fried Shenqu;

For those who are obese and have severe dampness, add 30 grams of raw coix seed.

The pain of erysipelas is less severe than that of gout, and is mainly caused by heat. Heat-clearing and detoxifying drugs such as Shuanghua, Lianqiao, Gongying, and Diding can be added as appropriate. For allergic purpura, heat-clearing, blood-cooling and blood-activating drugs such as Danpi, Taoren, Honghua, and Danshen can be added as appropriate.

In addition, whether it is gout or erysipelas, the onset of both is directly related to an unreasonable diet structure, so it is very important to require patients to avoid certain foods. For example, gout patients should control their intake of high-purine foods such as mushrooms, rapeseed, spinach, fish, animal offal, beans, and cauliflower. Strictly abstaining from food, changing unhealthy lifestyles, and combining with traditional Chinese medicine will achieve twice the result with half the effort (please use the traditional Chinese medicine under the guidance of a traditional Chinese medicine practitioner)

Warm reminder: This account is intended to spread Chinese medicine culture. The Chinese medicine prescriptions mentioned in the article are for learning and communication only.