Pain · Gout · Clinical Monograph
How Does Chinese Medicine Help with Gout?
A TCM Perspective on Hyperuricaemia
§ Abstract
Gout is a type of inflammatory arthritis caused by the buildup of uric acid crystals in the joints. It is characterised by sudden, severe attacks of pain, swelling, redness, and tenderness in the affected joints — often in the big toe but also in the ankles, knees, wrists, and fingers. The excessive accumulation of uric acid in the blood, known as hyperuricaemia, leads to crystal formation, triggering inflammation and pain.
I.
Who Is Most at Risk
Men
About 95% of gout patients are male. Women’s risk increases after menopause, when uric acid levels tend to rise.
Older Adults
Most commonly observed in people between the ages of 30 and 40 for men, and after menopause for women.
Family History
Genetics can play a role in susceptibility — those with a family history of gout are at higher risk.
Obesity or Overweight
Excess weight contributes to higher uric acid levels in the blood.
Medical Conditions
Hypertension, diabetes, kidney disease, and metabolic syndrome can increase the risk of gout.
High-Purine Diet
A diet rich in purines (red meat, seafood, organ meats) elevates uric acid levels.
High Alcohol Consumption
Particularly beer and spirits, which raise uric acid levels.
Certain Medications
Diuretics and low-dose aspirin can affect uric acid levels in the blood.
Not everyone with these risk factors will develop gout, but being aware of them can help in the prevention and management of the condition.
II.
Conventional Treatment
Treatment for gout typically involves medications to manage acute attacks and reduce inflammation, as well as long-term medications to lower uric acid levels and prevent future episodes. Lifestyle modifications — such as dietary changes, weight management, and reducing alcohol intake — are also important in managing and preventing gout.
III.
The TCM Approach to Gout
In Traditional Chinese Medicine, gout is often associated with an imbalance in the body — specifically dampness, heat, and stagnation of Qi and blood. TCM aims to restore balance and alleviate symptoms through various treatment methods:
Herbal Medicine
Practitioners may prescribe herbal formulas to reduce inflammation, alleviate pain, and promote the excretion of uric acid.
Acupuncture
The insertion of thin needles into specific points to stimulate the flow of Qi and restore balance. Acupuncture can reduce pain and inflammation by improving blood circulation and promoting the body’s natural healing processes.
Moxibustion
Burning dried mugwort near the skin to stimulate acupuncture points and promote the flow of Qi, helping to relieve pain and reduce inflammation.
Tui Na Massage
A therapeutic technique using acupressure and manipulation to stimulate energy channels and promote healing.
Cupping Therapy
The use of suction cups on the skin to increase blood flow and stimulate Qi, alleviating pain and reducing inflammation.
Dietary Recommendations
Reducing purine-rich foods, promoting uric acid excretion, and supporting kidney function. May include more plant-based proteins, whole grains, and vegetables.
Lifestyle Modifications
Regular exercise, stress management, and maintaining a healthy weight to help prevent gout flare-ups.
IV.
Common Chinese Herbs for Gout
Smilax glabra (Tu Fu Ling)
Used to clear heat, eliminate dampness, and reduce inflammation.
Clematis chinensis (Wei Ling Xian)
Helps dispel wind-dampness and alleviate pain.
Aconitum carmichaelii (Fu Zi)
Used to warm and tonify the kidneys, expel cold, and alleviate pain.
Achyranthes bidentata (Niu Xi)
Invigorates blood circulation, strengthens the kidneys, and reduces swelling.
Coix seed (Yi Yi Ren)
Known for its diuretic properties, helping to eliminate dampness and reduce inflammation.
These herbs are usually used in combination with other herbs in a formula. It is important to consult a qualified TCM practitioner to ensure safety and efficacy.
V.
Common Acupuncture Points
Spleen 9 (Yinlingquan)
Used to help eliminate dampness and reduce inflammation.
Liver 3 (Taichong)
Used to soothe the liver, regulate Qi, and relieve pain.
Kidney 3 (Taixi)
Helps to tonify the kidneys and expel dampness.
Stomach 36 (Zusanli)
Strengthens the spleen and stomach, and promotes the overall health of the body.
Spleen 6 (Sanyinjiao)
Strengthens the spleen, eliminates dampness, and improves blood circulation.
Acupuncture and herbal medicine should be administered by a qualified TCM practitioner. These treatments can be integrated with conventional medical care to provide a comprehensive approach to managing gout.
Begin Your Care
Each patient’s gout journey is unique. Our experienced practitioners will assess your specific symptoms, underlying imbalances, and overall health to develop a personalised TCM treatment plan integrated with your existing medical care.