The spleen governing transportation and transformation is closely related to the digestion system and metabolism. The onset of gout is overwhelmingly the result of constitutional spleen-stomach deficiency and preference for greasy and rich foods

alcohol and seafood

because these always injure the spleen and stomach

causing internal phlegm and dampness

and when this condition is further complicated by contraction external evils such as wind

coldness and dampness

the dampness turbidity and phlegm stasis will pour into joints

muscles

tendons and vessels.Therefore

the disorder of the spleen governing transportation and transformation may incur the combination of internal dampness and external dampness. Internally obstructed dampness is the basic pathological mechanism of gout in intermittent and chronic stages. Dampness

turbidity

phlegm and stasis are important pathological factors

while spleen deficiency is what influence through the course of the disease. Therefore

in clinical practice

fortifying the spleen and transforming dampness is the main therapeutic method. To treat gout in intermittent stage and chronic stage based on the theory of"spleen governing transformation and transportation"has important significance to reduce uric acid level

improve the curative effect and decrease possibility of disease recurrence.