joint pain!Is it gout or rheumatism?Look at these two points!

A aunt on the Internet said that the knees pain a few days ago, because she worked in a car washing room and always came into contact with cold water. She thought she didn't care about rheumatism. I did not expect that her feet and joints have also started to hurt. As a result, I went to the hospital to check it. It turned out to be gout!

Many people will be uncomfortable this season, how to distinguish rheumatism and gout? We still ask Zhang Bing, chief physician and professor of Beijing University of Traditional Chinese Medicine, and give us a good popular science!

Expert

1

joint pain

How to distinguish between gout or rheumatism?

Gout is an acute inflammation caused by uric acid caused by high blood uric acid.

1

Characteristic

The main manifestation is the redness and pain of the joint, and it is the pain that refuses to press. The joint joints on the feet are on the feet, especially on the side of the toe.

Followed by ankle joints, which are our ankles; in the end, it may occur in large joints, such as knee joints.

2

Onset time

The time of gout attack is related to the diet, such as eating a meal of hair, internal organs, or lamb to induce the attack, which is different from rheumatism. In addition, cold stimulation may also lead to gout attacks, which is relatively easy to attack at night.

2

Symptoms of the four -stage gout

1

Asymptomatic hyperuricemia

At this time, the blood uric acid increased, and there was no eruption of joint redness and swelling and pain.

2

Acute gouty arthritis

At this time, hyperuric acid is deposited in the joints in the form of uric acid salt. The onset of the onset is more common in midnight. The joints are red and swollen and painful.

3

Intermittent period

The gout can not have a period of time, which is manifested as a higher concentration of blood uric acid. If the concentration of blood uric acid can be effectively controlled, it can reduce and prevent acute gout again; the difference between the length of the interval period is very large, and as the disease progresses, the intermittent period is gradually shortened.

4

Chronic period

Uric acid began to deposit around tissue and joints, forming gout stones, affecting joint activity, compressing nerves, infection, and even disability.

3

What about gout attacks?

For acute period gout, western medicine preferred non -steroidal anti -inflammatory drugs, plum -in hosemicine and other anti -inflammatory and analgesics;

In terms of traditional Chinese medicine, it uses turbidity and stasis to organize prescriptions. According to the patient's overall situation and the pathological response of local joints, there are clear heat and dampness, promoting transportation, uric acid reduction, and stasis stasis, alleviating the symptoms of pain.

1

How to quickly relieve pain?

The mechanism of gout red swelling and heat pain is mainly because uric acid sedimentation is deposited towards the joint cavity, which produces inflammatory reactions, which is different from sprains.

Cold stimulation will accelerate uric acid deposition. During the experiment, the quail of hyperuric acid stimulated with ice cubes and cold water, and it was easy to occur in it. Therefore, it is not recommended to apply cold compresses during acute gout to avoid worsening the disease.

You can use hot compresses to relieve pain during the gout. In terms of traditional Chinese medicine, cork, ostelastial, raw barley, heat and dampness, detoxifying, and nocalized bunch of baysons, Mao Gen, Qiancao and so on. When a water bath, be sure not to cool the temperature.

2

The use of uric acid reduction drugs are exquisite

If you have never taken uric acid medicine, do not take uric acid drugs immediately when you suddenly occur. According to the hospital's standardized treatment, non -steroidal anti -inflammatory drugs or hot compresses are used to relieve the treatment.

If you always take uric acid lowering drugs, you still have gout, continue to take uric acid lowering and seek medical treatment in time.

3

Can't uric acid high energy use Chinese medicine?

Question: I am 65 years old, with high blood pressure and high uric acid. I have to take antihypertensive medicines every day. I am worried that it will damage the liver if you eat more western medicine. High uric acid can not be treated with Chinese medicine?

There are many drugs for the treatment of hypertension. Among them, thozide antihypertensive drugs are reduced by diuretic blood pressure. It has a side effect of increasing uric acid.

The patient's own uric acid is relatively high. If it is used for antihypertide antihypertensive drugs, it is recommended to find a doctor to adjust the antihypertensive drug that suits them, pay attention to changes in uric acid, and improve uric acid elevation.

At present, some Chinese medicine ingredients have also been found, which can affect the excretion of uric acid, promote the discharge of uric acid, and help restore the level of blood uric acid.

4

Can gout stones still disappear?

Question: My husband has a big toe with a big bag, and gout has appeared. I heard that I was solemn and amputated. I was particularly scared. Can the gout stones disappear if the uric acid control is controlled normally?

If high uric acid is not treated, gout stones usually appear in about 20 years. The morning and evening and growth rate of gout stones has an inseparable relationship with blood uric acid. In other words, the higher the uric acid, the longer the duration, the faster the gout stones, and the faster it grows. Although surgery can now be surgical, uric acid reduction is the root of gout and delay gout stones. If gout stones have appeared, experts suggest that uric acid should be reduced to less than 300 μmol/L.

4

Why is gout "heavy men and women"?

Misunderstanding:

After my observation, men who have gout are men, and women generally do not have gout.

Before women's menopause, gout men are indeed more common than women. On the one hand, men's drinking is more entertainment, which is the incentive of gout; on the other hand, estrogen has the effect of metabolism and excretion of uric acid, which is a protective umbrella for women.

The rapid decline in the level of estrogen after menopause causes metabolic disorders; the estrogen level is insufficient, the excretion effect of uric acid weakens, and uric acid will increase. Therefore, women will also have gout, and they need to be more vigilant after menopause!

August 9th at 7:20

10:15 evening

Chongqing Satellite TV "Healthy Home"

Invited Beijing University of Traditional Chinese Medicine

Chief physician and professor Zhang Bing

Bringing "Turning Turly Treating Pain"

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