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- Appendix 2 Food Choices for Adults with Hyperuricemia and Gout
- Food Selection
- Recommended Food List for Adults with Hyperuricemia and Gout
[td]Food Category | Preferred Foods | Unsuitable Foods | Cereals and Tubers | Brown rice, whole wheat flour, corn, highland barley, buckwheat, yellow millet, oats, millet, sorghum, quinoa, sweet potato, purple sweet potato, etc. | High - energy processed foods such as buttered bread and pastries, as well as deep - fried foods like fritters and oil cakes, and processed foods with high sugar content like biscuits, cakes, and doughnuts | Meats | Lean meat, skinless poultry, etc. in moderation | Fatty meat, animal offal, processed meat products such as bacon and cured meat, and seafood such as fish roe, crab roe, squid, oysters, and clams | Eggs | Eggs, duck eggs, etc. | Salted eggs, etc. | Dairy Products | Skim milk, low - fat milk, fresh milk, pure milk, low - sugar yogurt, etc. | Cream, butter, etc. | Soybean and Its Products | Tofu, dried tofu, etc. | Deep - fried soybean products such as oil - soaked bean curd skin and fried tofu puffs | Vegetables | Fresh vegetables | Pickled vegetables | Fruits | Fresh fruits such as cherries, strawberries, pineapples, peaches, etc. | Fruit products with high added sugar content, such as fruit juices and canned fruits | Edible Oils | Perilla oil, flaxseed oil, walnut oil, olive oil, tea seed oil, rapeseed oil, sunflower seed oil, corn oil, sesame oil, soybean oil, peanut oil, germ oil, etc. | Palm oil, lard, beef tallow, mutton tallow, and other animal fats | Condiments | Low - sodium salt (no more than 5g per day) | High - salt condiments such as sauces and fermented bean curd; brown sugar, white sugar, syrup, etc. |
- Recommended Dietary Substances and New Food Ingredients for Different Syndromes of Hyperuricemia and Gout
[td]Syndrome Type | Recommended Dietary Substances and New Food Ingredients | Remarks | Damp - turbidity Syndrome | Dried tangerine peel, ginger, adzuki bean, Chinese bushcherry seed, poria cocos, kudzu root, chicory, lily, villous amomum fruit, papaya, astragalus membranaceus | 1. Used as dietary substances within the specified usage range and dosage;
2. Please consult professionals such as doctors and nutrition instructors for the consumption method;
3. New food ingredients are marked with #. The daily consumption amount of each ingredient should not exceed the usage amount specified in relevant regulations. When multiple ingredients are consumed together, the consumption amount should be adjusted appropriately;
4. Only used as spices and seasonings, marked with ※. | Damp - heat Syndrome | Coix seed, adzuki bean, honeysuckle flower, poria cocos, mulberry leaf, kudzu root, Chinese yam, purslane, chicory, lotus leaf, Cape jasmine fruit, cassia seed, white hyacinth bean, emblic leafflower fruit, lily, fresh imperata cylindrica root, chrysanthemum, five - finger peach #, corn silk # | - | Phlegm - stasis Syndrome | Dried tangerine peel, platycodon grandiflorum, kelp, ginger, fingered citron, agaric, hawthorn, peach kernel, turmeric ※, angelica sinensis ※, Chinese yam, coix seed, poria cocos, white hyacinth bean, adzuki bean, lotus leaf, kudzu root, chicory, radish seed, perilla seed, lotus seed, Momordica grosvenori, heartleaf houttuynia herb, double - petaled rose # | - | Spleen - kidney Deficiency Syndrome | Chinese yam, Gordon euryale seed, lotus seed, poria cocos, white hyacinth bean, adzuki bean, coix seed, kudzu root, chicory, villous amomum fruit, Chinese date, longan pulp, five - finger peach #, ginseng (artificially cultivated for ≤ 5 years) #, codonopsis pilosula, astragalus membranaceus | - |
Appendix 3 Sample Recipes for Different Stages, Regions, and Seasons
[color=var(--md-box-samantha-normal-text-color) !important]Patients with hyperuricemia and gout can be divided into different disease stages or syndrome types according to diagnosis and symptoms. In Western medicine, they are divided into asymptomatic hyperuricemia stage, acute gouty arthritis stage, gout intermittent stage, and chronic gouty arthritis stage. In traditional Chinese medicine, they are divided into syndrome types such as damp - turbidity syndrome, damp - heat syndrome, phlegm - stasis syndrome, and spleen - kidney deficiency syndrome. Among them, the acute gouty arthritis stage is more common in the damp - heat syndrome, and the asymptomatic hyperuricemia stage, gout intermittent stage, and chronic gouty arthritis stage are more common in the damp - turbidity syndrome, phlegm - stasis syndrome, and spleen - kidney deficiency syndrome, respectively. People with hyperuricemia and gout in different regions and seasons can be given corresponding dietary regimens according to different syndrome types to achieve the purpose of precise dietary therapy.
[color=var(--md-box-samantha-normal-text-color) !important]The recipes in these guidelines are formulated in accordance with the basic principles of the dietary guidelines for people with hyperuricemia and gout. Based on the food resources and dietary characteristics of different regions, they recommend all - day dietary recipes suitable for people with hyperuricemia and gout of different syndrome types. The recipe preparation adheres to the principles of food variety, appropriate energy, fixed staple food amount, appropriate protein amount, and rich vegetables. The dietary tea recipes and medicated diet recipes not only can promote the reduction of uric acid but also reflect the characteristics of nourishing the liver in spring, expelling summer heat in summer, nourishing yin and moistening the lungs in autumn, and warming and tonifying in winter.
[color=var(--md-box-samantha-normal-text-color) !important]Users can refer to the dietary principles and recommendations, combine with the food exchange table, and make reasonable adjustments to the recipes according to specific situations.
Asymptomatic Hyperuricemia Stage and Gout Intermittent Stage
[color=var(--md-box-samantha-normal-text-color) !important]This part of the recipes is suitable for normal - weight adults with asymptomatic hyperuricemia and gout intermittent stage who engage in light physical activities. The energy range of the one - day recipe is 1600 - 1800kcal, and the overall recipe conforms to the principles of appropriate energy, reasonable combination, fixed staple food amount, and appropriate amount of vegetables and meat. When the weight is too heavy or too light, the amount of ingredients can be adjusted appropriately according to the ideal weight and the energy coefficient of 20 - 25kcal/(kg·d). The food weights in the recipe are all the raw weights of the edible parts.
Inland Areas
[color=var(--md-box-samantha-normal-text-color) !important]The diet of residents in inland areas is mainly based on rice and flour and livestock and poultry meat, with strong flavors and dark colors. Steamed buns, rice, pancakes, noodles, dumplings, etc. are their daily staple foods. This series of recipes follows the dietary characteristics of the asymptomatic hyperuricemia stage and gout intermittent stage, reasonably combines the seasonal and characteristic ingredients in inland areas, respects the traditional dietary cultures of different regions, and retains the characteristic diets. See Table 3.1 for examples of seasonal recipes in inland areas.
Appendix 4 Common Food Exchange Table
[color=var(--md-box-samantha-normal-text-color) !important]According to the "Food Exchange Portion" (T/CNSS 020 - 2023) released by the Chinese Nutrition Society, Tables 4.1 - 4.7 list the conversion amounts of 7 types of foods. Users can refer to the food exchange table and recipe examples and make exchanges and reasonable combinations according to the characteristics of different stages of hyperuricemia and gout.
Appendix 5 Examples of Dietary Recipes for Hyperuricemia and Gout
- Empirical Dietary Tea Recipes
- Damp - turbidity Syndrome
- Dried Tangerine Peel Tea: 3g of dried tangerine peel, 9g of poria cocos, 6g of chicory, 6g of kudzu root. Add an appropriate amount of water, soak for 30 minutes first, then decoct and drink in multiple times instead of tea.
- Villous Amomum Fruit and Dried Tangerine Peel Tea: 6g of villous amomum fruit, 3g of dried tangerine peel, 6g of ginger, 6g of chicory. Add an appropriate amount of water, soak for 30 minutes first, then decoct and drink in multiple times instead of tea.
- Chicory and Coix Seed Tea: 6g of chicory, 9g of coix seed, 3g of chrysanthemum. Add an appropriate amount of water, soak for 30 minutes first, then decoct and drink in multiple times instead of tea. Pregnant women should use it with caution.
- Damp - heat Syndrome
- Honeysuckle Flower and Lotus Leaf Tea: 6g of honeysuckle flower, 6g of lotus leaf, 6g of chicory, 9g of coix seed, 3g of licorice root. Add an appropriate amount of water, soak for 30 minutes first, then decoct and drink in multiple times instead of tea. Pregnant women should use it with caution.
- Corn Silk and Fresh Imperata Cylindrica Root Tea: 30g of corn silk, 30g of fresh imperata cylindrica root, 9g of honeysuckle flower, 3g of Cape jasmine fruit. Add an appropriate amount of water, soak for 30 minutes first, then decoct and drink in multiple times instead of tea.
- Phlegm - stasis Syndrome
- Dried Tangerine Peel and Radish Seed Tea: 6g of dried tangerine peel, 6g of radish seed, 12g of hawthorn, 10g of chicory. Add an appropriate amount of water, soak for 30 minutes first, then decoct and drink in multiple times instead of tea. Pregnant women should use it with caution.
- Platycodon Grandiflorum and Dried Tangerine Peel Tea: 6g of platycodon grandiflorum, 6g of dried tangerine peel, 6g of peach kernel, 9g of coix seed, 10g of chicory. Add an appropriate amount of water, soak for 30 minutes first, then decoct and drink in multiple times instead of tea. Pregnant women should use it with caution.
- Spleen - kidney Deficiency Syndrome
- Chinese Yam and Poria Cocos Tea: 9g of Chinese yam, 9g of poria cocos, 9g of coix seed, 6g of lily, 3g of Chinese date. Add an appropriate amount of water, soak for 30 minutes first, then decoct and drink in multiple times instead of tea. Pregnant women should use it with caution.
- Ginseng and Astragalus Membranaceus Tea: 3g of ginseng (artificially cultivated for ≤ 5 years), 9g of astragalus membranaceus, 6g of lily, 6g of chicory, 6g of kudzu root. Add an appropriate amount of water, soak for 30 minutes first, then decoct and drink in multiple times instead of tea. Pregnant women and lactating women should not consume it.
- Medicated Diet Recipes
- Damp - turbidity Syndrome
- Poria Cocos and Dried Tangerine Peel Porridge: Main ingredients: 9g of poria cocos, 2g of dried tangerine peel, 50g of rice. Preparation method: Soak poria cocos for 1 hour, and then cook porridge with the washed rice and dried tangerine peel with an appropriate amount of water. Usage and dosage: Eat as breakfast or as a side dish, one person's one - time amount, can be eaten for 7 - 10 days.
- Chinese Yam and Poria Cocos Porridge: Main ingredients: 50g of fresh Chinese yam, 9g of poria cocos, 40g of rice, 2g of Chinese date, 2g of dried tangerine peel. Preparation method: Soak poria cocos for 1 hour, cut Chinese yam into thin strips, remove the core of the Chinese date, wash the dried tangerine peel, and then cook porridge with the rice. Usage and dosage: Eat as breakfast or as a side dish, one person's one - time amount, can be eaten for 7 - 10 days.
- Chinese Yam, Dried Tangerine Peel, and Millet Porridge: Main ingredients: 60g of fresh Chinese yam, 9g of kudzu root, 60g of millet, 2g of dried tangerine peel, 2g of Chinese date. Preparation method: Rinse and soak kudzu root for 1 hour, peel and cut Chinese yam into pieces, and then cook porridge with the washed millet and an appropriate amount of water. Usage and dosage: Eat as a side dish, one person's one - time amount, can be eaten for 7 - 10 days.
- Damp - heat Syndrome
- Winter Melon, Coix Seed, and Tofu Soup: Main ingredients: 50g of tofu, 100g of winter melon, 10g of coriander, 9g of coix seed. Preparation method: Wash and cut winter melon into pieces, cut tofu into pieces, soak coix seed for 1 hour, chop coriander, set aside. Boil coix seed for 20 minutes, then add winter melon and tofu and boil for another 10 minutes, add an appropriate amount of salt and sprinkle with coriander. Usage and dosage: Eat as a side dish, one person's one - time amount, can be eaten for 7 - 10 days. Pregnant women should use it with caution.
- Purslane, Honeysuckle Flower, and Coix Seed Porridge: Main ingredients: 15g of purslane, 9g of coix seed, 6g of honeysuckle flower, 60g of rice. Preparation method: Boil honeysuckle flower with water and set aside. Soak coix seed for 1 hour, and then cook porridge with the washed rice, purslane, and honeysuckle flower water. Usage and dosage: Eat as breakfast or as a side dish, one person's one - time amount, can be eaten for 7 - 10 days. Pregnant women should use it with caution.
- Purslane and Egg Stir - fry: Main ingredients: 60g of fresh purslane, 30g of egg. Preparation method: Wash purslane clean, beat the egg and mix it with purslane, add salt and cooking wine for seasoning. Heat oil in a pan, add purslane and egg and stir - fry quickly until cooked. Usage and dosage: Eat as a side dish, one person's one - time amount, can be eaten for 7 - 10 days.
- Kelp and Winter Melon Coix Seed Soup: Main ingredients: 30g of kelp, 100g of winter melon, 9g of coix seed. Preparation method: Wash and soak coix seed for 1 hour, wash and cut winter melon into pieces, and then cook soup with kelp for 20 minutes. Usage and dosage: Eat as a side dish, one person's one - time amount, can be eaten for 7 - 10 days. Pregnant women should use it with caution.
- Chicory Vegetable Cake: Main ingredients: 60g of flour, 15g of chicory powder, 20g of carrot. Preparation method: Add an appropriate amount of water to carrot and make juice, add flour and chicory powder to the carrot juice and knead into a dough, knead evenly and then roll it into long strips, divide it into sections and press it into cakes, steam for 30 minutes and then take out. Usage and dosage: Eat as breakfast or as a side dish, one person's one - time amount, can be eaten for 7 - 10 days.
- Phlegm - stasis Syndrome
- Peach Kernel and Dried Tangerine Peel Porridge: Main ingredients: 6g of peach kernel, 9g of coix seed, 3g of dried tangerine peel, 30g of rice. Preparation method: Soak coix seed for 1 hour, remove the skin and tip of the peach kernel and mash it, and then cook porridge with the washed rice, dried tangerine peel, and an appropriate amount of water. Usage and dosage: Eat as a side dish, one person's one - time amount, can be eaten for 7 - 10 days. Pregnant women should use it with caution.
- Angelica Sinensis and Platycodon Grandiflorum Boiled Egg: Main ingredients: 6g of angelica sinensis, 10g of platycodon grandiflorum, 1 egg. Preparation method: Boil the egg until cooked, remove the shell and make small holes; wash angelica sinensis and platycodon grandiflorum, boil twice, combine the two soup liquids, and then put the egg in and boil for another 10 minutes. Usage and dosage: Eat as a side dish, one person's one - time amount, can be eaten for 7 - 10 days.
- Winter Melon, Coix Seed, and Hawthorn Porridge: Main ingredients: 100g of winter melon, 9g of coix seed, 6g of hawthorn, 3g of dried tangerine peel, 40g of rice. Preparation method: Soak coix seed for 1 hour, remove the core of the hawthorn and mash it, wash the winter melon, and then cook porridge with the washed rice and an appropriate amount of water. Usage and dosage: Eat as a side dish, one person's
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