Managing High Uric Acid Levels: Insights on Traditional Chinese Medicine

What are the issues related to traditional Chinese medicine treatment for high uric acid levels?

Hello Dr.
Lin: Due to elevated uric acid levels observed during three consecutive annual check-ups, which have been gradually increasing, I have recently started taking traditional Chinese medicine for treatment.
I have been on the medication for two weeks now, and I have noticed that my urination frequency has increased to about three times that of before starting the medication.
I would like to know if this is normal.
The prescription from the doctor includes: 1.
Dang Gui Nian Tong Decoction, 3g daily 2.
Shao Yao Gan Cao Decoction, 3g daily 3.
Xiao Huo Dan, 3g daily 4.
Yin Chen Wu Ling San, 3g daily 5.
Bai Zhi, 1g daily 6.
Wei Ling Xian, 1g daily.
I have checked online, and most of these have diuretic effects...
Could this be the reason for the increased urination frequency? Thank you.

A Feng, 30~39 year old female. Ask Date: 2007/08/23

Dr. Lin Huanquan reply Traditional Chinese Medicine

Yinchen Wuling San may indeed cause excessive urination, as it primarily acts as a diuretic to eliminate uric acid.
Weilingxian, Baizhi, and Shaoyao Decoction has analgesic properties, while Danggui Nian Tong Decoction is effective for reducing swelling and alleviating pain.
The medication regimen is generally appropriate; however, due to the excessive diuretic effect, it may be advisable to replace Yinchen Wuling San with Jisheng Shenqi Wan to enhance renal protection.
If swelling is severe, acupuncture and bloodletting therapy can be very effective.

Reply Date: 2007/08/23

More Info

Managing high uric acid levels is a significant concern, particularly for individuals who have experienced elevated levels over an extended period. In Traditional Chinese Medicine (TCM), the approach to managing high uric acid often involves a combination of herbal remedies, dietary adjustments, and lifestyle changes.
From the information provided, it appears that you have been undergoing TCM treatment for high uric acid levels and have noticed an increase in urination frequency since starting the herbal regimen. This is not uncommon, especially with certain herbal formulas that have diuretic properties. For instance, the inclusion of 茵陳五苓散 (Yin Chen Wu Ling San) in your prescription is known for its ability to promote urination and help eliminate excess fluids and toxins, including uric acid, from the body.
In TCM, high uric acid levels are often associated with "dampness" and "heat" in the body. The goal of treatment is to clear these excesses and restore balance. The herbs you are taking, such as 當歸 (Dang Gui) and 芍藥 (Shao Yao), are traditionally used to nourish the blood and alleviate pain, while 威靈仙 (Wei Ling Xian) is known for its ability to dispel wind-dampness, which can contribute to joint pain and discomfort.

The increase in urination you are experiencing could indeed be a result of the diuretic effects of the herbs. While frequent urination can be a nuisance, it is often a sign that the body is effectively eliminating excess uric acid. However, if the frequency becomes excessive or is accompanied by discomfort, it may be worth discussing with your TCM practitioner. They might consider adjusting your herbal formula to balance the diuretic effects with the need for hydration and kidney function support.

In addition to herbal treatment, dietary modifications play a crucial role in managing uric acid levels. It is advisable to avoid high-purine foods, which can exacerbate uric acid levels. Foods such as red meats, organ meats, certain seafood, and alcohol should be limited. Instead, focus on a diet rich in fruits, vegetables, whole grains, and low-fat dairy products, which can help manage uric acid levels effectively.

Regular monitoring of uric acid levels through blood tests is also essential. This will help you and your healthcare provider assess the effectiveness of your treatment plan and make necessary adjustments. If you are experiencing any side effects from the herbal treatment or if your uric acid levels do not improve, it may be beneficial to consult both your TCM practitioner and a Western medicine doctor for a comprehensive approach.

In summary, managing high uric acid levels through TCM involves a holistic approach that includes herbal remedies, dietary changes, and lifestyle modifications. While an increase in urination can be a normal response to diuretic herbs, it is essential to monitor your symptoms and maintain open communication with your healthcare providers to ensure optimal management of your condition.

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