Efficacy of Traditional Mongolian Therapeutic Approaches in the Acute Phase of Chronic Tophaceous Gout
- VernacularTitle:Хар тулай өвчний мах, бүлх, шөрмөс, ясанд шунасан хурц үеийн уламжлалт эмчилгээний үр дүн
- Author:
Tserentogtokh B
1
;
Odmaa G
2
;
Enkhbileg E
2
;
Punsalmaa D
2
;
Khishigjargal S
1
,
2
;
Seesregdorj S
1
,
2
Author Information
1. International School of Mongolian Medicine, MNUMS
2. Central Hospital of Mongolian Medicine, MNUMS
- Publication Type:Journal Article
- Keywords:
Gout, traditional Mongolian medicine, bloodletting therapy, soaking therapy, thopus
- From:
Mongolian Journal of Health Sciences
2025;87(3):65-68
- CountryMongolia
- Language:Mongolian
-
Abstract:
Background:Gout is a chronic inflammatory disorder stemming from metabolic
dysfunction, characterized by the accumulation of monosodium urate
crystals in joints and soft tissues due to prolonged hyperuricemia. Clinically,
it often manifests with abrupt onset of intense joint pain, erythema, swelling,
and tenderness, particularly in the small joints of the lower extremities such
as the first metatarsophalangeal joint, ankles, and knees. In its chronic form,
gout can lead to the development of tophi—firm nodular deposits of urate crystals—
resulting in joint deformities, limited mobility, and systemic complications
affecting the renal and cardiovascular systems.
This case report describes the integrative management of a 68-year-old male
patient with a long-standing history of chronic tophaceous gout, presenting
with acute exacerbation involving multiple joints and extensive tophaceous deposits.
The patient underwent a course of traditional Mongolian medical treatment,
incorporating bloodletting therapy (hanuur), soaking therapy (devteeleg
zasal), and phytotherapeutic remedies.
Conclusion:The treatment yielded notable clinical improvements: cupping
therapy facilitated the reduction of joint inflammation and edema, alleviated
pain, and enhanced peripheral circulation during the acute phase. Soaking
therapy using medicated decoctions was effective in softening and reducing
the size of tophi, promoting wound drying, restoring joint mobility, and improving
overall functional capacity. The patient reported a marked enhancement in
quality of life following the integrative treatment course.
This case highlights the potential of traditional Mongolian medical interventions
as adjunctive or alternative therapeutic strategies for managing severe
gout, particularly in cases refractory to conventional pharmacological treatment.
Further clinical research and controlled studies are warranted to validate
these findings and to explore the broader application of traditional therapies
in gout management.
- Full text:202505232243363099065-68.pdf
