! Try to answer this question from the "Golden Chamber Essentials Fang Lun" ("Miscellaneous Diseases" in the "Treatise on Typhoid and Miscellaneous Diseases", which is praised as the ancestor of the prescription book, the scripture of the medical prescription, and the model for the treatment of miscellaneous diseases by ancient and modern medical practitioners), written by the Eastern Han Dynasty Chinese medicine practitioner and the saint of traditional Chinese medicine, Zhang Zhongjing. In the "Treatise on Miscellaneous Diseases of Typhoid" (伤寒杂病論), the disease of the calendar joints (i.e. gout, as mentioned in today's first-to-date medicine) is discussed to answer this question. Because Western medicine for the interpretation of the cause of gout has been a lot of very in place, and you think the stomach cold, can only be said from the perspective of Chinese medicine has a little bit of truth, but not yet accurate, not in place and systematic, which is the driving force of my answer to this question.

Gout - purine-urate precipitation

I'll start by paraphrasing the concepts of gout and hyperuricemia above the lower department as I understand them, it may not be precise, but that's what it should mean, and it's perfectly fine to understand it that way as a member of the civilian public, if not a professional.

Gout is a crystal-associated arthropathy caused by deposition of monosodium urate.

And why does the body have monosodium urate deposits?

This brings us to hyperuricemia.

Hyperuricemia is a metabolic disorder in which abnormalities in purine metabolism lead to increased production and/or decreased excretion of uric acid, resulting in blood uric acid concentrations above the normal range.

Hyperuricemia can be clinically manifested as asymptomatic hyperuricemia because of the duration of the disease, and symptomatic hyperuricemia is caused by uric acid salt deposition resulting in corresponding tissue lesions, such as urolithiasis, gouty arthritis, uric acid nephropathy, gout and so on.

Like other metabolic diseases, such as hypertension, hyperlipidemia, and hyperglycemia, hyperuricemia is a disease whose pathogenesis is still unclear in modern medicine.

For diseases whose causes are not yet clear, Western medicine generally has many approaches, but lacks a definitive or radical cure.

Pain is characterized by shortness of breath and sweating, and the limbs cannot be flexed - referred to as the "calendar joints".

There is no name for hyperuricemia in Chinese medicine, because some patients with high uric acid can be transformed into gout, so the early Chinese medicine literature will be categorized as "paralysis", "calendar section", "gout" and other categories.

The earliest systematic discussion of gout or calendar joint disease in Chinese medicine (as far as I can remember) is found in the Golden Chamber Essentials - Pulse Evidence and Treatment of Stroke and Calendar Joint Disease, which is one of the reasons why I'm answering this question with a reference to Zhang Zhongjing's Golden Chamber Essentials.

It was in the "Jin Gui Yao Lue - Zhong Zhong Shi Li Jie Disease Pulse Evidence and Treatment" that this disease was named Bai Hu Feng, Gout.

Sheng Ji General Records, Volume 10: "The calendar section of the wind, by the weak blood, for the invasion of wind and cold, blood and gas condensation, not the flow of joints, the tendons are not nourished, the true and evil wrestling, the section of the calendar, all the pain, so the calendar section of the wind also. The pain is so severe that it makes one short of breath and sweaty, and the limbs cannot be flexed or extended." The abbreviation "Lijie" is characterized by redness and swelling of the joints, severe pain, and inability to flex or extend. It is mostly caused by insufficiency of the liver and kidney, wind, cold and dampness, invasion of the joints, accumulation of heat, and stagnation of qi and blood. Because of its main lesion is severe pain in the joints, which develops very quickly, it is also called "White Tiger Calendar Section".

Gout this mostly stomach cold? -The Chinese medicine etiology and pathogenesis of gout interpretation

After clarifying the concept of gout in Chinese and Western medicine, let's go back to the question asking stem - do most people with gout have stomach cold, if yes, where is the other reason; if not, what is it.

On the basis of the theory of paralysis in the "Neijing", Zhang Zhongjing uniquely put forward the "Golden Chamber Essentials", which provided a reliable theoretical basis for clinical diagnosis and treatment, in which "internal dampness stays, and dampness and turbidity are embedded within" put forward an important link in the production of hyperuricemia. The "dampness" referred to in Chinese medicine also includes the "uric acid" referred to in Western medicine, so it is believed that the onset of the calendar section is not only through the wind, cold, dampness, heat, fatigue, tears and other evils that are intertwined with each other, there may be another internal cause of the deficiency of positive qi.

According to Chinese medicine, hyperuricemia belongs to the evidence of deficiency, and its occurrence is mainly due to the lack of innate endowment, or excessive fatigue, cold and heat disorders, dietary disorders (alcoholism, food injuries, etc.) and so on, resulting in dysfunction of the qi function of the liver, spleen, kidneys and the triple jiao, disorders in the metabolism of water and liquid, and the gathering of phlegm and dampness, phlegm and dampness stagnation in the blood, difficult to drain and transform, and the combination of the blood as phlegm and phlegm, and phlegm and dampness stasis and obstruction of the disease.

Through the above discussion, it can be seen that the occurrence of hyperuricemia (gout) is not only due to stomach cold (there can be congenital stomach cold or acquired stomach cold caused by dietary indiscretions, etc.), but also due to the dysfunctions of the liver, spleen, kidney, and the triple jiao qi and chemical functions, which result in phlegm-dampness, obstruction, and stagnation after the occurrence of the disease.

According to TCM, the cause of hyperuricemia (gout) can not only be due to insufficiency of the liver and kidneys/impregnation by water-dampness, but also due to deficiency of qi and blood/external invasion of wind-dampness, internal dampness, internal dampness and turbidity, and so on.

And most of what the subject is talking about is gastric cold, which is only one of the triggers for hyperuricemia or gout, not necessarily all of them, and not necessarily the main cause...

The content of this answer is referred to (erasure): the article "Discussing the Chinese medicine treatment of hyperuricemia based on the cause and mechanism of disease evidence in the calendar section of the Jin Gui" by Cui Shumei et al. in the 2nd issue of 2018 of Shizhen Guojian Guojian Guojian (时珍国医国药).

Finally, thanks to the subject for the invitation.

The incidence of gout disease, is increasing, why is that?

It is because living conditions are better, beer and seafood, etc., can be eaten anytime and anywhere, and there are even learn the western diet, drink some ice spleen wine before meals and so on. Gout is purely a disease of the rich.

Now many diseases have a direct relationship with the diet, such as diabetes, hypertension, cardiovascular disease, hyperlipidemia, etc., so although we live in good conditions, we should pay more attention to the diet, if you eat and drink recklessly, soon you will pay to the bitter fruit, when sick, in the treatment can be like a silk.

Any food has its bias, for example, chili pepper is hot, watermelon is cold, cold food is easy to hurt yang qi.

Ginger is warm, its role is to warm the spleen to disperse cold, sweating to relieve the table, solve the fish and crab poison. Did not see it wrong, the crab is also toxic ah, you did not see wrong, the crab is poisonous, is too cold, so the formation of cold poison, we have not noticed, eat seafood, cooking seafood must be put ginger ah, is in order to use the ginger to solve the seafood cold poison, otherwise people are very easy to suffer from the disease.

Diet enters the body and breaks down and refines the food, consuming energy in the body, which we call yang qi, and the yang qi consumed varies with the characteristics of the food.

Assuming that millet, refining millet basically does not consume much yang qi, it can be refined, millet color yellow into the spleen and stomach, sexual temperature, refining millet we assume that for the use of a yang qi, and get five nutritional essence.

Refining pork, pork is cold in nature, but its not too cold yet, so three yang qi were used while ten nutritional essences were obtained.

Refining seafood, the seafood was so cold that it could be said to have formed a cold poison, so ten yang qi was used while thirty nutrient essences were obtained.

When Yang Qi is sufficient, evil cannot interfere.

But as we grow older, the yang energy in our bodies gradually weakens, and the function of our internal organs declines.At this point, we still use almost one Yang Qi to refine millet, whereas to refine seafood, we need to use twenty Yang Qi to get fifteen nutrient essences.

But because of the decline in visceral function, and can not completely refine these essences, these things can not be completely refined, deposited in the body, at any time and place to consume the body's yang, and along the foot Taiyin Spleen meridian, and downward precipitation, and finally deposited in the foot Taiyin Spleen meridian, the metropolis of the acupuncture point, Taibai acupuncture point, Gongsun acupuncture point near the final formation of crystals, and become gout.

Because it is cold food, into the body slowly depleted the spleen and stomach Yang Qi, so that the spleen and stomach Yang deficiency, spleen and stomach Yang deficiency can not play its normal function, and finally the formation of gout disease, so gout disease must be accompanied by stomach cold.

Because yang deficiency is cold, gouty disease will not form if there is no deficiency of yang in the spleen and stomach.

Therefore, while treating gout disease, it is important to avoid food, mainly cold foods, such as seafood, cold beer, fresh milk and other high-energy cold foods.

Do not use the level of purine in the food to determine whether it can trigger gout, but the sex of the food, the degree of cold to determine whether it can trigger gout.

Now people are aware of gout disease, a say this thing contains high purine can not eat, that contains low purine can eat, food containing purine high and low whether it can aggravate uric acid triggers gout, I feel that this statement is not correct.

For example, I just checked, milk contains purine is very low, only 1.4, which is to say that consumption of milk will not trigger gout, but this statement is wrong, because milk is cold high-energy food, if you do not believe that you can drink a few more generations of fresh milk a day to try to know.

Don't determine by the purine content high or low, whether this food can aggravate uric acid and trigger gout.

Rather, it is the degree to which the food is cold in nature that determines whether it can aggravate and trigger gout.

It is possible that you see foods that are high in purines, but their nature is hot, and this can be eaten without problems, such as lamb and venison.

It is possible that you see foods that are very low in purines, but their nature is cold, and this is not allowed, for example, milk is only 1.4.

Ginger is warm, containing purine is 5.3, higher than the milk containing purine, but this we can rest assured how to eat will not cause gout. Why is it, is because of its warmth. But don't eat ginger at night.

Okay no more vernacular, feel free to like and follow.

High purine foods are mostly cold, such as seafood, so there is a correlation.

It could be a side effect of a previous gout attack and taking western medicine.

A strong heart is important.