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Does Pulsatilla (Baitouweng) flower treat gout?

Apr 22, 2025 Source: Cainiu Health
Dr. Zhang Xiuhong
Introduction
Under normal circumstances, "Baitouweng Huagutou" refers to the flower of Pulsatilla chinensis. The flower of Pulsatilla chinensis may have certain adjunctive therapeutic effects on gout under specific conditions, but it is not a primary treatment medication. Gout often occurs due to the accumulation of damp-heat and phlegm-turbidity blockage, especially during acute episodes, which commonly present with joint redness, swelling, heat, pain, fever, dry mouth, and bitter taste—symptoms indicative of damp-heat.

Generally speaking, "Baitouweng Hua" refers to the flower of Pulsatilla chinensis. Under certain circumstances, Pulsatilla flower may have an auxiliary therapeutic effect on gout, but it is not a primary treatment medication. A detailed analysis is as follows:

Gout often occurs due to the accumulation of damp-heat and phlegm-blood stasis. Particularly during the acute phase, patients commonly exhibit symptoms such as redness, swelling, heat, and pain in the joints, fever, dry mouth, and bitterness—manifestations of damp-heat. Pulsatilla flower has the effects of clearing heat, detoxifying, reducing inflammation, and relieving pain. It can alleviate inflammatory responses caused by damp-heat pathogens, thereby reducing pain and swelling in patients with gout.

Gout is a metabolic disorder primarily caused by disturbances in uric acid metabolism. Sole reliance on Pulsatilla flower cannot resolve the issue of excessive uric acid production or insufficient excretion. Therefore, Pulsatilla flower can only serve as an adjunctive treatment and cannot replace standard medications for gout. If gout is caused by cold-damp obstruction or deficiency of spleen-kidney yang, the use of Pulsatilla flower might further impair yang energy due to its cold nature, worsening symptoms of cold-damp and potentially aggravating the condition. Thus, when using Pulsatilla flower to treat gout, treatment must be based on a syndrome differentiation according to the patient's specific condition and constitution.

Patients with gout should follow medical advice to use standard medications such as benzbromarone tablets, colchicine tablets, allopurinol tablets, etc., and also pay attention to dietary control and lifestyle adjustments to achieve therapeutic effectiveness. At the same time, maintaining good living and eating habits is also a method to prevent gout attacks. If you have any questions regarding gout treatment, it is recommended to consult a qualified physician or rheumatology specialist.

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