Gout Flashcards
What is gout?
Gout is a common and complex form of arthritis characterized by sudden, severe attacks of pain, swelling, redness, and tenderness in the joints.
Where does gout commonly affect the body?
Gout often affects the joint at the base of the big toe.
When there is pain at night, what does it usually involve?
Blood
What happens after the severe pain of a gout attack subsides?
After the most severe pain subsides, some joint discomfort may last from a few days to a few weeks.
How do later gout attacks differ from initial attacks?
Later attacks are likely to last longer and affect more joints.
What is a potential progression of gout?
As gout progresses, there may be limited range of motion.
What seasons does gout occur more frequently?
Gout occurs more often in Spring and Fall.
What does gout belong to in Traditional Chinese Medicine (TCM)?
Gout belongs to Bi syndrome in TCM.
What is the pathogenesis in the etiology of External Pathogen Invasion causing Gout?
Wind, cold, dampness, heat invasion –> blocking Qi, blood, body fluid circulation –> stagnations blocking channels at joints
Bi Syndrome —- Wind-damp-heat
Bi Syndrome —- Wind-damp-cold
What is the pathogenesis in the etiology of Internal Heat causing Gout?
Constitutional Yang excess, improper diet, alcohol (chaotic Qi dynamic) –> phlegm heat –> wind, phlegm, heat blocking channels, collaterals and joints
Chronic Bi syndrome –> unsmooth flow of Qi, blood and fluid –> stagnations blocking channels, collaterals and joints
The following are patterns of ________.
External Invasion of Wind-Damp-Heat
External Invasion of Wind-Damp-Cold
Phlegm Blood Stasis
SP + KI Yang Xu
Gout
What are the body conditions of Gout?
SP + LR weakness or deficiency
Triggered by External invasion of Wind-Damp-Heat or Wind-Damp-Cold –> blocking the channel and joints of the SP + LR = Bi-syndrome
The following are S/sx of Gout due to _________.
Redness, swelling, burning pain
at toe joint, or pain during movement, fever, sweating, restlessness, sore throat
T: Red w/ thin coating
P: Rapid + Wiry
may see Floating if pt is treated within 1 week
External Invasion of Wind-Damp-Heat
The following are S/sx of Gout due to _________.
Redness, swelling, cold pain at the toe
joint, aggravated with cold and
relieved with warmth, local skin is
slightly red or not red
T: w/ thin coating
P: Tight + Wiry + Soggy
may see Floating if pt is treated within 1 week
External Invasion of Wind-Damp-Cold
The following are S/sx of Gout due to _________.
Stabbing pain, worse at night, frequent episodes, nodes at joint, deformity
and swollen, limited motion
T: Dark red or purple w/ ecchymosis
P: Choppy or Thin + Wiry
Phlegm Blood Stasis
The following are S/sx of Gout due to _________.
Long-time condition, without treatment, pain worse with overstrain better with rest,
pale complexion, cold extremities, dull
pain at low back, soreness and weakness
of legs, fatigue, SOB, frequent night urination
T: Pale w/ thin-white coating
P: Deep + Thin
SP + KI Yang Xu
What are the main points for treating Gout?
ST-36 + GB-34 + SP-6 + LI-11 + SJ-5
What are the specific pattern points for treating Gout?
Wind-Damp-Heat:
BL-62 (Pacifies interior wind and expels exterior wind)
GB-34 + GB-41 + LR-2 + SP-9
Wind-Damp-Cold:
GB-20 + SP-9 + LR-5 (expel cold in LR channel) + BL-18 + BL-19 + REN-3 (moxa)
Phlegm-Blood Stasis:
ST-40 + SP-10 + GB-34 (release tendons)
SP + KI Yang Xu:
ST-36 + SP-3 + SP-5 + KI-3 + REN-4 (moxa)
What are the supplementary points for Gout?
GB + LR channel
BL channel- body fluids
KI-3
SP-3
SP-4
LR-1
BL-65
BL-60
BL-28
BL-23
GB-40
GB-41
GB-31
LI-4
LI-10
REN-4
Ashi
