Many patients are helpless in the face of an acute attack of gout, and can only endure the severe pain and insist on working and living. Every day, limping out of the house with the foot is still light. In severe cases, they can't walk at all, and can only lie in bed to rest. The slightest touch of the joints, the pain is unbearable.

In this case, we suggest that the patient should treat the symptoms immediately. Otherwise, the longer the pain lasts, the more urate crystals will accumulate in the body, and the repeated irritation of the joints will aggravate the pain. In more serious cases, it will also cause damage to the kidneys and so on.

Taking western medicine for treatment, the effect is fast, but the side effects are big. Here, I recommend that you may want to try traditional Chinese medicine, such as blood pricking, acupuncture, physiotherapy, etc., not only good pain relief, but also natural and safe.

According to Chinese medicine, gout is a paralytic disease with various causes. The causes are as varied as living in a wet place for a long time or being exposed to rain, where external dampness leads to internal dampness, resulting in poor circulation of qi and blood; slow drainage of dampness and turbidity, which leads to internal accumulation of dampness and turbidity in the joints, causing paralysis and blockage of the meridians; and dysfunction of the spleen and kidneys, with dysfunction of the spleen and gastric system, resulting in internal generation of dampness, heat, phlegm and turbid matter. Therefore, the use of Chinese medicine for Continuity can effectively dispel wind and cold, remove dampness and clear the channels, and warm the yang to relieve pain.

1. Stabbing blood

For gouty joints, the Continuity Clinician will perform blood-prick treatment. First, the local skin is disinfected. After the local skin is routinely disinfected, a blood needle is used to puncture the bright red or dark red stasis on the affected area, and the stasis of blood will flow out, and pressure can be applied to stop the bleeding when the color changes from dark red to bright red. If there is no clear stasis in the affected area, the stasis will be found around the base of the joint and blood will be pricked, taking care not to cause infection.

2. Acupuncture

After receiving the blood-stabbing treatment, it is best to combine it with acupuncture to consolidate the effect. Specific points used are Baihui, Shenting, Quchi, Hegu, Shenmen, Ashanli, Taichong, Fenglong, Neiting, Yinlingquan, and Ahshi points. Stimulation of these points can dispel heat and dampness, clear the menstruation and relieve pain. Treat once a day for a course of 5 sessions. Usually 2 to 3 treatments are enough to calm the mind and relieve pain.

3. Physical therapy

In addition, for gout patients who suffer from needle-sickness, the Continuity Clinic has a physiotherapy unit that can provide pain relief treatment by using electrotherapy and infrared rays. The principle is to promote blood circulation and open up the meridians through the use of physical heating to relieve localized pain.

Traditional Chinese medicine, which is profound and effective in relieving pain in emergencies. Long-term adherence can also improve physical fitness. For gout patients, want to recover as soon as possible, but also pay attention to dietary management, avoid the intake of high purine food.

What are some ways to get immediate pain relief from a gout attack?There is nothing else to do but medicate the pain.

Gout attacks are unbearably painful, so pain relief is the primary treatment for gout attacks. The main medications that can be used during an acute gout attack are:

1. Colchicine

Colchicine is an ancient medicine, but today, it is still theThe most effective medication for pain relief during a gout attack.. The main component of colchicine is the biopharmaceutical alkaloid extracted from the flowers of Narcissus colchicus, whichFor acute attacks of gout has a very significant therapeutic effect, in the early stages of acute attacks of the drug can get better resultsIn general, symptoms are relieved within 12 hours of taking the medication and disappear completely in 36 to 48 hours.

2. Non-steroidal anti-inflammatory drugs

In addition to their antipyretic and analgesic effects, NSAIDs have anti-inflammatory and anti-rheumatic effects. Aspirin is one of the most familiar of this class of drugs, but it is not used much nowadays because of its high gastrointestinal response. This class of drugs for the treatment of acute attacks of goutMainly ibuprofen, diclofenac sodium, celecoxib, indomethacin, etc., taking it for 2 to 5 days in a row can make the pain significantly reduce or disappear.

3. Adrenocorticotropic hormones

That's what we're always yelling about.Glucocorticoids, short for hormones. Colchicine or non-steroidal anti-inflammatory drugs are ineffective or ineffective, the patient can not tolerate severe pain in the case of hormones can be used for pain relief.Side effects are not scary when used in a regulated manner.

Lowering uric acid is the root of the cure

Whether it is colchicine, NSAIDs or hormones, they can only temporarily reduce the patient's pain, but not achieve the effect of lowering uric acid; therefore, after a gout attack, the patient should continue to use uric acid-lowering treatment. When the uric acid is kept within the ideal range, gout attacks will naturally be reduced.The main medications used to lower uric acid are allopurinol, benzbromarone, and febuxostat.

Note: The above drugs should be used under the guidance of a specialist, do not choose or change the drugs privately.

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Gout is directly related to hyperuricemia caused by disturbances in purine metabolism and or reduced uric acid excretion, and is a crystal-associated arthropathy caused by monosodium urate deposition. It is most common in middle-aged men, and the natural course of the disease includes an asymptomatic hyperuricemia phase, an acute phase, an intermittent phase, and a chronic phase.

How quickly can gout be treated when the pain is excruciating during an acute attack?

1, drug application, note: this period does not advocate the lowering of uric acid treatment, but has been taking uric acid-lowering drugs do not need to stop.

Non-steroidal anti-inflammatory drugs: are the first-line drugs for effective relief of acute gout. Non-selective NSAIDs such as ibuprofen and other common adverse reactions for gastrointestinal symptoms, if necessary, can be added to the gastric mucosal protective agents, active peptic ulcer is prohibited, renal insufficiency with caution. Selective non-steroidal anti-inflammatory drugs such as celecoxib have fewer gastrointestinal reactions, but should be wary of its cardiovascular system adverse reactions.

Colchicine: it is the traditional drug for the treatment of acute attacks of gout, the side effects are mainly gastrointestinal reactions, can also cause allergy, liver damage, neurotoxicity and bone marrow inhibition, etc., renal insufficiency should reduce the dosage.

Glucocorticoid: that is, what we usually call "hormone", is effective in acute gout, commonly used in intolerance of NSAIDs and colchicine or renal insufficiency. In order to avoid the "rebound" phenomenon after stopping the drug, when stopping the drug can be added with a small dose of colchicine or non-steroidal anti-inflammatory drugs.

Note that drug application should be carried out under the supervision of a medical professional.

2. Bed rest.

3. Elevate the affected limb.

4, Cold mattress.

5. Gradually resume activities after 3 days of pain relief.

In addition, the treatment of the intermittent and chronic phases should achieve long-term effective control of uric acid levels, dissolve gout stones, and prevent gout attacks. The main application of drugs that inhibit uric acid production, promote uric acid excretion and alkalize the urine can simultaneously prevent and control gout-related renal lesions. Today's Headlines - Dr. Zhang, Department of Integrative Medicine

At the same time, in order to prevent recurrence and reduce pain, we should usually do a low purine and low energy diet, drink more water, abstain from alcohol, control weight, and avoid overeating, stress, excessive fatigue and cold and damp. Be careful with drugs that affect uric acid excretion, such as diuretics, small-dose aspirin and so on. Prevent hypertension, diabetes, coronary heart disease and other concomitant diseases. Usually wear shoes to be comfortable, avoid strenuous exercise, prevent damage to joints.

(Answer by: Dr. Jia, Institute of Infectious Diseases, The Second Hospital of Tianjin Medical University)

As people's standard of living continues to improve nowadays, their dietary nutrition has also been greatly enhanced, with a higher intake of high-protein, high-calorie foods, and the onset of gout has become more common.

Formation of gout

There is an essential substance in the human body, purine, which has a variety of roles including energy supply and regulation of metabolism. Purines are mainly synthesized in the liver and metabolized into uric acid. When the purine metabolism is abnormal, uric acid production increases, the discharge decreases, will trigger "hyperuricemia". When the blood uric acid concentration remains too high, it will be deposited in the form of salt crystals in the joints and tissues, causing gout.

Uric acid salts are needle-sharp crystals that are most likely to be deposited in small joints such as fingers and toes, where swelling and severe pain occur, and can lead to joint deformities in the long run. Because uric acid also accumulates in tissues and organs, there is also a risk of gouty nephropathy, stones, gouty coronary heart disease, and high blood pressure if not treated early enough.

Management of acute gouty attacks

Many patients are not in the habit of monitoring their uric acid and usually realize they have gout through an acute attack of severe joint pain. During an acute attack, it is mainly an acute inflammatory reaction of redness, swelling, heat and pain caused by uric acid crystals in the joints. Treatment is focused on relieving symptoms:

1, bed rest, avoid joint movement to make force, can slightly elevate the affected limbs, accelerate blood circulation.

2. Reasonable use of drugs. Now commonly used colchicine, non-steroidal anti-inflammatory drugs, glucocorticoids. It can also be combined with uric acid-lowering drugs to promote renal urination and excretion of uric acid.

3. Patients with severe intra-articular deposits and wear and tear may also undergo joint cavity cleaning.

Colchicine has long been considered the drug of choice for the treatment of gout, with powerful anti-inflammatory properties but with some toxic side effects. In addition to gastrointestinal side effects such as nausea and vomiting, its myelosuppression, hepatotoxicity, and nephrotoxicity suggest that we should be cautious when using it in patients with dysfunctions of the above organs.

Non-steroidal anti-inflammatory drugs are: ibuprofen, etoricoxib and other antipyretic and analgesic drugs. They are mainly used to relieve pain in gout patients and need to be used as early as possible and in sufficient quantity. Their side effects are relatively small and they work quickly.

Glucocorticosteroids, mainly used when colchicine and other anti-inflammatory medications are ineffective or intolerable, but use must be under the supervision of a physician and only after all sites of infection have been ruled out.

Nowadays, for the treatment of gout, the combination of Chinese and Western medicine is also widely used. According to Chinese medicine practitioners, the use of herbal ingredients that promote blood circulation and dissipate blood stasis, clear heat and dampness, reduce swelling and relieve pain, together with physical therapy such as acupuncture, can provide good pain relief. However, it is recommended that patients wishing to take a multi-pronged approach should also take a combination of treatments under the guidance of a doctor to avoid toxic side effects.

Daily care for gout patients

In order to avoid recurrent attacks of gouty arthritis and the development of damage to internal organs, daily care should not be underestimated. Middle-aged and elderly people, as well as young and middle-aged people with long-term bad dietary and living habits, should develop the habit of regular medical checkups to observe uric acid levels. Now many patients have understood the need to increase the amount of exercise, drink more water, reduce the intake of high-protein, high-fat foods, and limit the high purine diet (such as animal offal, high soup, plants in the soybean products, cauliflower, spinach, etc.), but often neglected to control the intake of sugar.

It has been found that high intake of fructose promotes the production of uric acid and significantly increases blood uric acid levels. So when patients for low purine diet, large intake of carbohydrates, fruits, may also cause gout. Therefore, in the daily diet or pay attention to a reasonable combination, and avoid drinking a lot of alcohol, avoid drinking fruit juice, drinks.

In addition to relieving the symptoms of gout, it is also necessary to improve our understanding and awareness of the disease in our daily life, do a good job of prevention, pay attention to the high-risk factors that may cause the disease, early detection, early control and early treatment in order to get the desired results.

The goal of treatment in the acute phase of a gout attack is to rapidly control the symptoms of arthritis, and should include bed rest, elevation of the affected limb, and localized cold compresses. Medication in general, you can choose non-steroidal anti-inflammatory drugs or colchicine, and the earlier the administration of drugs, the better the therapeutic effect.

I. Colchicine

Colchicine acts as a pain reliever by inhibiting leukocyte chemotaxis, phagocytosis, and reducing the inflammatory response. Guidelines mention that it should be given as early as possible within 12 hours of the onset of gout, with significantly reduced efficacy when used beyond 36 hours. The first loading dose of 1.0mg orally, followed by an additional 0.5mg after 1 hour and 0.5mg after 12 hours, is given orally 1-3 times daily. Colchicine should be avoided if cyclosporine A, clarithromycin, verapamil, ketoconazole, etc. are used.

II. Non-steroidal anti-inflammatory drugs

The guidelines recommend early and adequate use of NSAID rapid-acting agents for those who have no contraindications. NSAIDs include nonselective cyclooxygenase (COX) inhibitors and selective cyclooxygenase-2 (COX-2) inhibitors. The difference between these two classes of drugs is that nonselective COX inhibitors are associated with gastrointestinal adverse effects such as peptic ulcers, gastrointestinal perforation, and upper gastrointestinal bleeding, and COX-2 inhibitors may be considered for those who cannot tolerate these adverse effects. However, COX-2 inhibitors may also increase the risk of cardiovascular disease and should be avoided in those with myocardial infarction and cardiac insufficiency. Renal function should be closely monitored or during the use of NSAIDs.

III. Glucocorticoids

For patients in whom the use of colchicine as well as NSAIDs is ineffective or in whom there are contraindications to the use of colchicine or NSAIDs, then glucocorticoids can be considered to control inflammation. When administered systemically, the dose is 0.5 mg/Kg per day for 5-10 days. Intravenous use may be considered for those who cannot take it orally. If systemic administration is not effective, local intra-articular injections of short-acting glucocorticosteroids may be considered, but they should not be repeated for a short period of time.

IV. Other

In cases where none of the above medications are effective or contraindicated, treatment with interleukin-1 receptor antagonists may be considered.

The above is only a personal opinion, not as a basis for the use of medication, please use the medication under the guidance of a physician, any questions or views are welcome to leave a comment at the bottom of the article.

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

I had two gout attacks, the first big toe joints swollen and painful, with moxibustion, acupuncture, massage, plus drink soda three or four days well, always pay attention to not overeating, three or four years without an attack, the most recent attack is to eat outside the rabbit hot pot, hot at night, open the air conditioning, get up the next morning, feel big toe joints pain, but still tolerable, after two or three days no good nor aggravation, with acupuncture, bloodletting, moxibustion after three hours, the whole foot is red and swollen, can not go down to the ground, hurry to eat colchicine, almost ten tablets a day, the stomach pooped a lot, the pain did not slow down at all. Hours, the whole foot is red and swollen, can not walk on the ground, hurry to eat colchicine, almost ten tablets a day down, the stomach pulled a lot, the pain did not slow down a little, the third day rushed to the clinic to play a drip, the doctor said it is to activate blood circulation and remove blood stasis, the process of the loss of feeling pain has slowed down, the whole person sweating profusely after returning home, but already can stand, after a hot bath sweat more. The pain in my toes was getting lighter and lighter. The next morning, I went back to the infusion, and came back with more sweat, and the pain in my toes basically disappeared. My personal feeling is that the body long cold and dampness lead to insufficient kidney yang, metabolism can not be inside the body of uric acid, infusion of large amounts of sweat effectively uric acid from the body inside the discharge, the body of uric acid to reduce, naturally, will reduce the pressure of the pain point! Also gave me a hint, in fact, Chinese medicine sweating is definitely the solution: ephedra and cinnamon stick soup, ephedra and cinnamon stick dry ginger soup and so on should have a good effect, but dealing with the acute stage, it is best to cultivate the energy and strengthen the foundation, the kidney Yang supplement up, can resist the erosion of wind, cold and dampness of the natural world! That's the real solution to gout!

Thank you Goku for inviting me, we need a multi-pronged approach on how to stop the pain when gout strikes acutely and is excruciatingly painful.

oral medication

1) Non-steroidal anti-inflammatory drugs, the most commonly used drugs. Including etoricoxib, cilostro, diclofenac, ibuprofen, etc., the acute phase of the drug of choice. When using drugs need to pay attention to the gastrointestinal side effects of drugs, if Ben is a history of gastric ulcer, duodenal ulcer, use with caution. At the same time also need to consider cardiovascular risk, hypertension, took the drug need to monitor whether the blood pressure is stable. 2) Colchicine. Low-dose colchicine (1.5-1.8mg/d, 3-4 tablets/day) is very effective. However, since the therapeutic dose and side effect dose of colchicine are very close to each other, it is very susceptible to toxic side effects. A common side effect of colchicine is diarrhea, which must be stopped when diarrhea occurs.3) Hormones; people are afraid of hormones when they hear about them, but this is a very good and fast pain medication, and the pain relieving effect will be very good. We can rest assured that short-term use, side effects are not big. Hormone use also need to pay attention to gastrointestinal, cardiovascular risk. At the same time, hormones have the effect of elevating blood sugar, diabetic patients need to pay attention to monitoring blood sugar.

Supporting Programs

1) External pain relieving creams are also a good solution, with some efficacy and few side effects, such as Flurbiprofen Babu Cream, etc. 2) Reduce joint activities and ice packs to assist in the treatment; when gout attacks, the joints are red, swollen, hot and painful, and ice packs can lower the temperature, reduce the oozing, and relieve the redness, swelling, and pain; remember that you should not apply hot packs, which will only aggravate the pain and swelling of the joints.

The Ultimate Solution

After the acute phase of pain relief, if you do not lower uric acid regularly, there is the next pain, and the consequences are endless. So to never have pain, then only regular uric acid lowering treatment.

Dr. Tian Tian: Associate Chief Physician, Department of Rheumatology and Immunology, Southern Medical University, Ph.

You are welcome to follow my headline to learn more about gout, ankylosing spondylitis, rheumatoid arthritis, lupus erythematosus and other related rheumatologic and immunologic diseases.

When gout doesn't strike, many people ignore it, but once gout recurs gout patients are very uncomfortable. Usually, when gout attacks, taking painkillers is one of the most common methods used by patients. There are several specific types of painkillers:

First, glucocorticoid. Patients with gout disease have kidney dysfunction, and can take glucocorticoids for pain relief during gout attacks.

Second, non-steroidal anti-inflammatory drugs. This type of drug gout patients in the gout attack preferred a painkiller, however, it should be noted that gout patients in the process of taking this kind of drug, pay attention to the changes in blood creatinine levels, once the gout symptoms have been controlled, it should be discontinued immediately. In addition, gout patients taking non-steroidal anti-inflammatory drugs will have gastrointestinal symptoms, so gout patients with stomach ulcers should be careful to take.

Third, colchicine. Colchicine has the effect of inhibiting the migration of white blood cells to the affected area, taking colchicine can help gout patients reduce the symptoms of inflammation such as redness, swelling and pain in the joints. Colchicine can be taken by gout patients when they have taken non-steroidal anti-inflammatory painkillers that do not work. Colchicine should be taken within a few hours of a gout attack, and should be started in small oral doses and stopped as soon as the gout is relieved or other side effects occur.

In addition to taking painkillers, gout patients can drink plenty of warm boiled water, preferably weakly alkaline natural mineral water, during a gout attack, as this allows gout sufferers to urinate more, thus lowering uric acid levels and can provide relief from gout.

Instructor: Jingjing Ren, Attending Physician, Department of Rheumatology and Nephrology, Rizhao Hospital of Traditional Chinese Medicine.

She specializes in the diagnosis and treatment of rheumatoid arthritis, gout, systemic lupus erythematosus, spondyloarthropathies, dry syndrome, and systemic sclerosis.

If you find this article useful, please feel free to like or recommend it to your friends and follow [Medlink Media].

A way to stop gout pain quickly:

1. Apply ice, lie still, and elevate leg 30°!

2. Prohibit movement, much less walking!

3. Colchicine, this is a good medicine, take two tablets, then another one after two hours! Take another tablet the next day.

4, patients who cannot tolerate colchicine can take oral dexamethasone for two days, three times a day, fast in and fast out.

5. Drink a lot of water at the same time. More than 2,000 milliliters per day.

6, at the same time oral baking soda tablets, alkalizing the urine to protect kidney function.

For the full version of gout diagnosis, prevention, treatment, and principles, you can follow @Children's Orthopedic Surgeon Qiu Xiaofeng's article! There is a comprehensive introduction oh!

Gout sufferers are in excruciating pain once they have an attack! It may hurt so much that they can't sleep, or even be woken up by the pain while they are sleeping, so how to stop the pain quickly when gout sufferers have an attack has become the most important concern for the majority of pain sufferers.

The pathogenesis of gout:

In the human body intake of purine is too high and excretion is not out of the time, indicating that the patient metabolism problems, purine in the human body after metabolism will form uric acid, at this time the patient's blood contains a large amount of uric acid, the formation of hyperuricemia, the deposition of uric acid will be attached to the joints, cartilage, thereby triggering inflammatory reaction, which is called gout.

The vast majority of patients are not suddenly in pain. Generally speaking, at the onset of the disease, there will be a buffering process, about 24 hours or so, before reaching the peak of the pain, so the pain relief measures carried out by the patient must be completed within 24 hours in order to have a significant effect:

1. The most direct method

Drugs is of course the most direct method, first of all, "colchicine tablets", when the pain is taken, in accordance with the prescribed dose can be taken, the patient may have diarrhea after taking the drug, do not worry, this is a normal reaction, the intensity of diarrhea is proportional to the effect of pain relief.

2. Stop all activities in the affected area

The onset of gout indicates that the affected area is in a state of inflammation, so any activity that promotes the metabolism of the affected area will make the patient's condition worse. The correct approach is: let the patient lie flat on the bed, the affected area is elevated, as little as possible to reserve blood, and drink a lot of water, because uric acid is soluble in water, the patient should consume at least 2L of water every day.

3. Proprietary Chinese medicines

Proprietary Chinese medicines are generally liver protection and kidney protection, at this time the patient can use Chinese medicine diuretic, without harming the kidneys as much as possible to eliminate uric acid in the body, and then through a large number of drinking water, dissolve uric acid crystals, so that the body's normal circulation.

Gout is a chronic disease, it is best to use long-term stable conditioning, regardless of whether or not to take medication, whether or not the condition is stable, healthy eating habits are a must, this is not really difficult, as long as you have enough self-control.