Sudden severe pain and swelling in the big toe may be a symptom of a gout attack. Though modern medicine has no cure for gout, many patients find treatment with traditional Chinese medicine (TCM) to be effective.
Yuen Oi-lin, a registered TCM practitioner in Hong Kong, said in the program “The 100 Doctors, The 100 Treatments” that acupuncture and moxibustion (the burning of moxa on the skin) can usually relieve gout in one session. In addition, drinking Sishen (four combinations) Decoction to nourish the spleen and stomach can help you recover.
In addition to pain, symptoms of gout also include a red, hot, and swollen appearance. Though modern medicine has no cure for gout, it can provide some medicines to reduce the uric acid content in the blood, prevent the formation of uric acid stones, and suppress inflammation and pain through anti-inflamatory drugs.
Yuen said that gout is sometimes called the “disease of the rich,” because it occurs by consuming rich foods and drinks such as red meat and wine, as well as overeating. Excess alcohol, in particular, causes damage to the digestive system.
Gout is classified as a metabolic disease. From the perspective of TCM, gout patients usually suffer from spleen deficiency. Therefore, the core treatment adopted by TCM focuses primarily on strengthening the spleen and removing “dampness,” as well as tonifying the kidneys to restore the metabolic function of the body back to normal.
In TCM the spleen is not thought of as merely an organ—but more of a functional framework. In addition to its immune function, the spleen is also responsible for the digestive system, which functions to convert food and water into finer substances, absorb them, and transport them to other organs in the body.
If the function of the spleen is weak and the body’s water metabolism cannot proceed normally, “dampness” will occur, which, according to TCM, is a pathological product of abnormal water metabolism.
Yuen pointed out that TCM usually applies acupuncture to treat gout, which can regulate the functions of the spleen, stomach, and kidneys together. Most patients feel pain and swelling are relieved after a single acupuncture session, and for some patients, the pain is completely alleviated after five sessions.
Attention to Avoiding Certain Food, Plus Dietary Therapy
Yuen pointed out that while receiving TCM treatment, patients must abstain from drinking alcohol, otherwise gout is likely to return.According to data from the CDC, people with gout should eat fewer foods rich in purines, which are broken down into uric acid. Purine-rich foods include red meat, organ meats, and some types of seafood like tuna, sardines, and scallops.
Sishen Decoction Regulates the Spleen and Stomach, Removes Uric Acid
Yuen suggested that gout patients can eat Sishen (Four Combinations) Decoction for dietary therapy. Sishen soup is composed of four ingredients, including Gorgon euryale seeds, lotus seeds, yam, and Poria cocos—all known to be effective in strengthening the spleen and kidneys.Hu Naiwen, a TCM physician at Taiwan’s Shanghai Tongdetang Chinese Medicine in Taipei, and his wife introduced a way to prepare Sishen Decoction in the online program “Hu Naiwen’s Lecture.”
- Gorgon euryale seeds 60g (2 ounces)
- Chinese yam 30g (1 ounce)
- Lotus seed 60g (2 ounces)
- Poria cocos 25g (0.9 ounce)
- Barley 30g (1 ounce)
- Water (3.2 pints).


Hu Naiwen pointed out that you can add meat to the Sishen soup to enhance the flavor. Favorites of the Taiwanese include pork intestines or pork belly and pork ribs, while chicken breast and chicken bones can also be added to provide another mix of tastes.
Hu once treated a gout patient—a 78-year-old woman who also suffered from high blood pressure, high blood sugar, and other symptoms in addition to high uric acid. According to his suggestion, she ate Sishen soup in addition to other foods during all three meals each day. Two years later, at a follow-up appointment, and reported that her gout was cured, her blood pressure was not high anymore, and her blood sugar had returned to normal.
In addition to Sishen soup, Hu said that one can make porridge with barley and rice because barley has a diuretic effect and can remove uric acid. However, he cautioned that pregnant women should avoid eating barley because it can cause uterine contraction and miscarriage.
*Some herbs mentioned in this article may be unfamiliar, but they are generally available in Asian supermarkets.