Hi Dupuis and other freinds,
I have a 64 YO patient with severe gout confirmed.
He complaint so much about his multiple joint pain particularly the distal joints of his hands and feet. His uric acid has been not too high and his wrists, metacarpal ad finger joints started deformed. No s/s of RA or OA found.
His tongue is buffy, very thin clear coating, no teethmark and several mutidirectional cracks, his pulse is wide, strong but little forceless in all positions spe. kidney and spleen positions.
I've been using SP3, SP4, SP6, and ST 40 all reduced try to eliminate dampheat although there is no sign of heat at all and it partially works (4 treatments so far).
If you know some herbs or formulas or other acutechniques which can be used in this presenting case, please let me know.