Most Common Diseases of Ages of 50 Plus - Musculoskeletal disorders (MSDs): Gout Treatment In Traditional Chinese Medicine Perspective

Kyle J. Norton(Scholar)
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
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Musculoskeletal disorders (MSDs) is medical condition mostly caused by work related occupations and working environment, affecting patients’ muscles, joints, tendons, ligaments and nerves and developing over time. A community sample of 73 females and 32 males aged 85 and over underwent a standardised examination at home. Musculoskeletal pain was reported by 57% of those interviewed(1).

                               Gout


Gout mostly effected one joint is defined as a acute and recurrent condition of arthritis as a result of uric acid builds up in blood cause of joint inflammation.

VI. Treatments
C. In Traditional Chinese medicine perspective
According to TCM asssistant in the article of "Chinese herbal formula(s) can treat or relief Gout"(27), in Chinese medicine, gout is a condition of a joint painful wind syndrome caused by
1. Damp-Heat

1.1. Painful obstruction due to the containment of Damp-Heat in the channels of that can lead to acute articular rheumatism, acute attack of gout, arthritis, hot joints, joint pain, tremors, dark urine, etc.
1.2. Chinese Herbal Formula Xuan Bi Tang used to clear and damp-Heat, unblock the Channels, eliminate painful obstruction, etc. Ingredients include
a. Guang Fang Ji (Radix Aristolochiae Fangchi, Aristolochia Root, Stephania) – 15g. -expels damp heat in upper jiao, expels superficial swellings, induces urination
b. Xing Ren (Semen Pruni Armeniacae, Apricot Seed) – 15g. -regulates lung Qi and water metabolism
c. Yi Yi Ren (Semen Coicis Lachryma Jobi) – 15g. -tonify spleen, clear dampness, relieve painful obstructions
d. Can Sha (Excrementum Bombycis Mori, Silkworm Feces) – 9g. -tonify spleen, clear dampness, relieve painful obstructions
e. Ban Xia (Rhizoma Pinelliae Tematae, Pinellia Rhizome) – 9g. -dries dampness, transforms tubidity
f. Lian Qiao (Fructus Forsythiae Suspensae, Forsythia Fruit) – 9g. -clears superficial heat
g. Zhi Zi (Fructus Gardeniae Jasminoidis, Cape Jasmine Fruit, Gardenia) – 9g. -clear heat, drains dampness, induces urination
h. Hua Shi (Talcum, Talcum) – 15g. -clear heat, drains dampness, induces urination
i. Chi Xiao Dou (Semen Phaseoli Calcarati) – 9g. -clears heat, drains dampness, induces urination(28)

2. Recurrent Wind-Cold-Damp
2.1. Recurrent Wind-Cold-Damp painful obstruction in which localized constraint generates Heat of that can lead to acute attack of gout, arthritis, difficulty in movement, joint pain, edema of lower extremities, painful lower limbs, rheumatism;, swelling of joints, etc.
2.2. Chinese herbal formula Gui Zhi Shao Yao Zhi Mu Tang used to disperses Damp and Wind, unblocks the Channels. moves Yang, etc.
a. Gui Zhi (Ramulus Cinnamomi Cassiae, Cinnamon, Cassia Twig) – 12g. -warms and unblocks channels
b. Ma Huang (Herba Ephedrae, Ephedra Stem, ma-huang) – 6g. -unblocks channels, relieves superficial swellings
c. Fu Zi (Radix lateralis Aconiti Carmichaeli, Szechuan Aconite Root, Aconite) – 6g. -warms channels, relieves pain
d. Zhi Mu (Rhizoma Anemarrhenae Asphodeloidis, Anemarrhena Rhizome) – 12g. -clear heat from the joints, nourish yin
e. Shaoyao (Radix Paeoniae , Peony Root) – 9g. -clear heat, nourish yin
f. Bai Zhu (Rhizoma Atractyloids Macrocephaelae, Atractylodes White Rhizome) – 15g. -harmonizes ying and wei Qi levels (Bai Shao)
g. Fang Feng (Radix ledebouriellae, Ledebouriella Root, Siler) – 12g. -expels wind and dampness
h. Sheng Jiang (Rhizoma Zingiberis officinalis Recens, Fresh Ginger Rhizome) – 15g. -promotes Qi circulation
i. Gan Cao (Radix Glycyrrhizae uralensis, Licorice Root) – 6g. -harmonizes other herbs within formula, regulates middle jiao(29).

3. Wind-Damp, Phlegm and Blood stasis
3.1. Wind-Damp, Phlegm and Blood stasis lead to acute attack of gout. arthritis, difficulty in movement, joint pain, edema of lower extremities, swelling of joints;, chills, etc.
3.2. Chinese herbal formula Shu Feng Huo Xue Tang used to disperses Damp and Wind, eliminates Blood stasis
a. Gui Zhi (Cinnamon twig, cassia twig) 2.5g
b. Qiang Huo (Notopterygium root, chiang-huo) 2.5g
c. Bai Zhi (Angelica root) 2.5g
d. Huang Bai (amur cork tree bark, phellodendron bark) 2.5g
e. Wei Ling Xian (Chinese clematis root, clematis) 2.5g
f. Cang Zhu (Atractylodes rhizome) 2.5g
g. Chuan Xiong (Sichuan lovage root, cnidium, Chuanxiong root) 2.5g
h. Hong Hua (Safflower flower, Carthamus) 1g
i. Gan Jiang (Dried ginger rhizome) 1g
j. Dang Gui (Chinese angelica root) 2.5g
k. Dan Nan Xing (P Arisaematis cum Fel Bovis) 2.5g
l. Han Fang Ji (Stephania root) 2.5g(30)


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Sources
(27) http://www.tcmassistant.com/symptoms/gout.html
(28) http://www.chinesemedicinetools.com/theory/herbal-medicine/chinese-herbal-formulas-general/xuan-bi-tang
(29) http://www.chinesemedicinetools.com/theory/herbal-medicine/chinese-herbal-formulas-general/gui-zhi-shao-yao-zhi-mu-tang
(30) http://www.rootdown.us/Shu-Feng-Huo-Xue-Tang