Acute gouty arthritis. A disturbance of protein metabolism in which production of uric acid is increased, resulting in deposits of uric acid crystals around joints, especially fingers and toes. Uric acid is a breakdown product of nucleic acid and found in all living tissue. Excess amounts are usually excreted in the urine but any hold-up may cause crystals to be formed. Untreated, it affects the arterial system. Male preponderance 20-1.
Etiology. May be hereditary. Excess alcohol, meat or starchy foods without adequate fresh vegetables and fruit. Alcohol increases synthesis of urates and inhibits secretion. High beer intake. There is a link between gout and the good life.
Symptoms. Joints hot, painful, inflamed, shiny and swollen. Temperature rises in acute cases. Urine strong-smelling, but little passed. Urate deposits (tophi) present a ready diagnostic sign on elbows or lobes of ears. Swollen big toe common. Joints normal between attacks.
Autumn Crocus (Colchicum) is the oldest and still one of the most effective plant medicines for relief and appears to act by inhibiting prostaglandin activity.
The symptoms of pseudo-gout are similar, focus of pain mostly in the knee. Instead of uric acid, pyrophosphoric acid crystals are laid down and calcium salts deposited in cartilages. For this, Colchicum is of little value, though reportedly good results follow use of White Willow.
Influenza vaccination injections may trigger acute gout in some patients.
Alternatives. Autumn Crocus (Colchicum), Black Cohosh, Boldo, Burdock root, Celery seeds, Gravel root, Guaiacum, Meadowsweet, Sarsaparilla, Valerian, White Willow, Wild Lettuce, Yarrow, Devil’s Claw.
Alternatives for acute conditions:– Tea. Equal parts: Boldo, Celery seeds, Meadowsweet. Mix. 1-2 teaspoons to each cup boiling water; infuse 15 minutes. 1 cup every 2 hours.
Decoction. Black Cohosh 1; Gravel root 1; White Willow 2. Mix. 1-2 teaspoons in 2 cupfuls water gently simmered 20 minutes. Half a cup every 2 hours.
Tablets/capsules. Boldo, Black Cohosh, Celery, Garlic, White Willow, Devil’s Claw, Prickly Ash. Colchicine USP, one 0.5mg tablet every 2 hours.
Powders. Formula. Black Cohosh 1; White Willow 3. Guaiacum quarter. Dose: 500mg (two 00 capsules or one-third teaspoon) every 2 hours.
Tinctures. Formula. White Willow 2; Celery 1; Black Cohosh quarter; Guaiacum quarter; Liquorice quarter. Dose: 1-2 teaspoons every 2 hours in water.
Cider vinegar. Traditional. (Vermont, USA)
Colchicum. Extract Colchici Liquid, dose: 2-5 drops. Tincture Colchici; 5-15 drops. In water as prescribed by a practitioner.
Topical. Cider vinegar as a lotion. Warm potato poultice for pain. Lotion: 1 part Oil of Sassafras to 20 parts Safflower seed oil. Slippery Elm poultice: mix well 2-3 teaspoons powdered Slippery Elm into 1 pint (500ml) equal parts Cider vinegar and water. Epsom salts bath. Comfrey ointment. Chamomile soaks. Aromatherapy. Wipe affected parts with any one diluted oil: Sage, Burdock, Bryony, Rosemary, St John’s Wort.
Diet. Low protein, fat, salt. Nettle tea. Plenty of water. No tea, coffee or alcohol. Reject: purine foods – organ meats, kidney, liver, brain, sweet-bread, red meat, meat extracts. Accept: bananas for potassium – 3 daily, and oily fish. For gout, a vegetarian diet has much to commend it.
Supplements. Daily. Bromelain 200mg. Folic acid 30mg. Vitamin C 3g. Vitamin E 200iu. Iron – Floradix. Magnesium.
General. Reduce acidity. Gout is a rewarding condition for the phytotherapist. Rest affected parts. Good responses with Guaiacum. For kidney involvement add Wild Carrot. For prevention, an older generation of physicians advised quarter to half a teaspoon Glauber Salts in breakfast tea, or cup of Nettle tea. Cradle affected joint against pressure from shoes or bedclothes. ... gout