Observation Of The Therapeutic Effect Of Warm Yang Dehumidi Fication And Activating Blood Circulation And Collaterals In The Treatment Of Acute Gouty Arthritis

ObjectiveThis study was based on"deficiency caused by evil spirits"^[1],and adopted Wenyang dehumidification and activating blood and dredging collaterals method to observe and evaluate the clinical efficacy and safety of combination of western medicine and ropasterin for acute gouty arthritis?AGA?,and to verify that it was caused by vomiting.To explore the clinical practicability of the recurrence mechanism of acute gouty arthritis,and to provide new ideas and prevention strategies for the treatment of acute gouty arthritis.MethodsCollect 68 cases that meet the inclusion criteria of acute gouty arthritis damp-heat accumulation certificate.According to the sequence number method of case visit,34 cases were randomly divided into control group?Western medicine group?and experimental group?western medicine+Chinese medicine group?.Both groups took 2weeks as a course of treatment.After 1 course of treatment,the two groups were observed before and after treatment in patients with joint swelling and thermal pain,joint dysfunction,TCM syndromes,and auxiliary examination indicators of TCM kidney-yang deficiency?complement C3,C4,IgM,IgG,IgA?,complication-related indicators?TC,TG,GLU?,ESR,CRP,and sUA were evaluated by scores and statistical methods,and the efficacy was evaluated comprehensively.Safety,evaluation of recurrence rate after 3months follow-up.ResultsAfter 2 weeks of treatment,the total effective rates of the experimental group and the control group were 94.12%and 88.24%,respectively;the difference was not statistically significant?P>0.05?;and the overall efficacy of TCM syndrome was on the trial group?the total effective rate was 91.18%?.)significantly better than the control group?total effective rate of 67.65%?,P<0.05;in the improvement of joint swelling and pain and joint function on the experimental group and the control group no difference?P>0.05?,in the improvement of the primary and secondary symptoms of traditional Chinese medicine test group Better than the control group?P<0.05?;ESR,CRP group in the control group there is a difference?P<0.01?,sUA no difference?P>0.05?,the experimental group within the three groups were significant differences?P<0.05?After treatment,sUA,ESR and CRP groups were all different?P<0.05?,indicating that both groups of treatment drugs can reduce ESR and CRP levels,and the effect of the test group is more obvious and has the effect of lowering uric acid;Drugs can reduce TC and TG levels?difference between groups,between groups are significant,P<0.05?,no significant effect on blood glucose?intragroup,between groups P>0.05?,the control group of TC,TG,GLU are No significant effect?internal and intergroup comparison P>0.05?;treatment group C3 was significantly elevated?intragroup Between groups,P<0.05?,C4,IgA,IgG,IgM had no difference among the groups?P>0.05?,indicating that the experimental group had certain advantages in improving the kidney deficiency of TCM;after 3 months of follow-up,the recurrence rate of the experimental group was 32.35.%,the control group was 61.76%,indicating that Chinese medicine has potential advantages in reducing the recurrence rate;the rate of side effects in the test group and the control group was 5.88%and 38.24%,respectively,the control group,the rate of side effects was higher than the test group?P<0.05?.Conclusion?1?The methods of warming yang and eliminating dampness,and promoting blood circulation for removing obstruction in collaterals has an exact effect on patients with acute gouty arthritis of"accumulated damp-heat type",which can effectively reduce joint symptoms and improve symptoms of traditional Chinese medicine,with fewer side effects and low recurrence rate.Clinical application.?2?Blood uric acid in the experimental group was significantly lower,C3 levels were elevated,clinical symptoms were significantly improved,and the recurrence rate was significantly lower than that in the control group,indicating to a certain extent that the�Warming yang for tonifying kidney�method played an important role in preventing gout recurrence.The clinical significance of treating acute gouty arthritis from the perspective of"the arthromyodynia caused by latent psthogen"has its potential clinical significance.