This article is intended to introduce Professor Zhang Xikui's experience in diagnosing and treating gout. In the acute stage of gout, Baihu and Guizhi decoction is prescribed, supplemented with herbs that clear heat and eliminate dampness, cool blood and detoxify, and promote joint circulation. In the remission stage of gout, the formula for tonifying qi and unblocking collaterals is prescribed, supplemented with herbs that reduce phlegm and remove blood stasis, promote yang and cool the blood, resolve nodules and open collaterals, and invigorate the spleen and kidneys. According to the severity of pain and the course of the disease, the Shaoyao Gancao decoction is flexibly combined. Based on the severity of heat, dampness, phlegm, blood stasis, and deficiency, the treatment methods and medications are adjusted. It is also emphasized that the medication should be consistent and attention should be paid to lifestyle regulation.

Gout  /  Syndrome differentiation and treatment  /  Methods of formula modification