Summary Of Professor Jiang’s Academic Thoughts And Clinical Studies Of Treatment On Gout Arthritis

Purpose:To sum up professor Jiang Xiaomin’s academic thoughts and clinical experience, to observe the clinical effect of the treatment on acute gout arthritis, and to explore the possible mechanism.Method:Theoretical research:by following mentor’s clinical studies, notes, literature, clinical notes and records, consulting relevant literature and writings way, summed up the academic thoughts of Professor Jiang’s differentiation of metabolic disease of clinical experience was summarized, analysis its rule.Clinical research:in accordance with the principle of simple random, control, blind clinical test, selected 80 cases with Western gout arthritis inflammation diagnostic criteria and TCM syndrome differentiation in line with the accumulation of damp heat syndrome patients. All patients were divided into treatment group and control group with 40 cases in each, treatment group daily to pain relieve decoction treatment, while control group were treated with diclofenac sodium tablets 75mg/day, the course of treatment in the two groups are 2 weeks, the joint function, joint pain index, TCM Syndrome integral, and inflammatory markers and blood uric acid were compared and analyzed before and after the treatment. the evaluation of the safety, brief analysis of mentor’s treatment of gout arthritis characteristics, and further explore the treatment of gouty arthritis related mechanism with pain relieve Decoction.Result:Miscellaneous diseases and puts forward from the spleen and kidney on governance, emphasize the effect of the theory of spleen and kidney gasification of the disease and in the differentiation process should pay attention to the "triple", namely the weight of spleen and kidney, dense gas, heavy emotion, clinical attention diagnostic method, emphasizing the gasification, medication and system and introduced mentor on common clinical metabolic syndrome theory knowledge and pro card experience and herbal prescription characteristics.Clinical research:the clinical results of the 80 patients after the test showed that the total effective rate of the experimental group was 92.5%, the total effective rate was 80% in the control group, the efficacy was better than that of the control group, the statistical significance.TCM syndromes curative effect:the total effective rate of the treatment group is 92.5%, the total effective rate of the control group is 77.5%, the curative effect of the treatment group is significantly better than that of the control group, and the statistical significance is statistically significant.Comparison of the main symptoms of the patients of the two groups after treatment, joint pain and swelling index comparison, joint function comparison of treatment group was significantly better than the control group, the statistics have statistical significance.Laboratory indicators:two groups of patients before and after treatment were significantly lower than before treatment, the treatment group was significantly better than the control group, the statistical significance.Conclusion:Damp-heat Accumulation is the basic pathogenesis of TCM to gouty arthritis and the treatment of heat clearing and detoxifying, dehumidification with Dredging Collaterals has curative effect truly, it is safe and no obvious toxic side effects. The treatment of the dampness and heat in gout patients group with Pain relieve Decoction have better effect than that of western medicine in control group; its effect is superior to that of control group in the control of disease activity in the laboratory indexes of WBC, UA, ESR, CRP.