Gout #1

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Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Clematidis	Wei Ling Xian	15g	Dispels Wind-Dampness, Reduces Phlegm and pathogenic water and alleviates pain, Unblocks the channels.
Sm. Persicae	Tao Ren	9g	Breaks up Blood Stasis and invigorates Blood circulation. With Hong Hua, invigorates the Blood for all types of Blood Stagnation. With Dang Gui and Chi Shao, for Blood Stasis with pain.
Flos Carthami	Hong Hua	9g	Invigorates the Blood, dispels Blood Stasis, opens the channels and alleviates pain. With Chuan Xiong, for pain due to Qi and Blood Stasis.
Rz. Chuanxiong	Chuan Xiong	9g	Invigorates the Blood, promotes the movement of Qi, expels Wind and alleviates pain. With Dang Gui, for Wind-Damp Invasion blocking the Blood vessels causing pain, numbness and paralysis.
Rx. Paeoniae Rubra	Chi Shao	9g	Invigorates the Blood, dispels Blood Stasis,clears Heat, cools the Blood, reduces swelling and relieves pain. With Chuan Xiong and Dang Gui, for abscesses, boils and trauma induced pain.
Rx. Angelicae Sinensis	Dang Gui	9g	Tonifies, invigorates and harmonizes the Blood, disperses Cold, reduces swelling and stops pain due to Blood Stasis. With Tao Ren and Hong Hua, for symptoms associated with Blood Stasis.
Per. Citri Reticulatae	Chen Pi	9g	Regulates Qi, dries Dampness and transforms Phlegm.
Rz. Pinelliae Preparatum	Zhi Ban Xia	9g	Dries Dampness and transforms Phlegm Dissipates nodules and reduces Stagnation. With Chen Pi, for Phlegm-Damp Obstruction.
Sm. Sinapis	Bai Jie Zi	9g	Alleviates pain, Dissipates nodules, Expels Phlegm, Regulates Qi, Unblocks the collaterals, Warms the Lungs.
Bombyx Batryticatus	Jiang Can	9g	Dispels Wind, transforms Phlegm, softens hardness, eliminates toxins and dissipates nodules.
Pheretima	Di Long	9g	Clears Heat and unblocks and promotes movement in the channels and collaterals.
Rx. Glycyrrhizae Preparata	Zhi Gan Cao	5g	Tonifies the Spleen, augments Qi, moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels.

Formula Actions

• Transforms Phlegm
• Dispels Stasis
• Unblocks the channels
• Stops pain

Syndromes

• Phlegm Obstruction of the Channels

Clinical Manifestations

Enduring joint pain which is sometimes mild and sometimes stronger The joint pain does not heal Recurrent attacks of joint swelling Restricted movement Stiffness, hardening and deformation of the joints

Maybe dark, purple skin in the affected area Tophi (painless uric acid crystals) under the skin, mainly on the face, ears and joints T: Dark or Purple with possible static spots C: White P: Thready and choppy and/or wiry

Treats

Gout

Contraindications And Herb/Drug Interactions

Notes

Modifications

For severe or recalcitrant pain:		For pain in the upper limbs:
+ 5g Olibanum	Ru Xiang	+ 9g Rz. Curcumae Longae	Jiang Huang
+ 5g Myrrh	Mo Yao
+ 3g Scorpio	Quan Xie	+ 9g Ram. Cinnamomi	Gui Zhi
+ 3g Scolopendra	Wu Gong	For pain in the lower limbs:
For severe joint swelling:		+ 9g Rx. Angelicae Pubescentis	Du Huo
+ 9g Bul. Cremastrae/ Pleiones	Shan Ci Gu
+ 9g Fr. Chaenomelis	Mu Gua
+ 9g Rz. Dioscoreae Hypoglaucae	Bi Xie	For restricted mobility:
+ 30g Caulis Spatholobi	Ji Xue Teng
+ 9g Caulis Trachelospermi	Luo Shi Teng