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Adult Hyperuricemia and Gout Dietary Guidelines (2024 Edition)

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发表于 2024-12-23 08:49:21 | 显示全部楼层 |阅读模式
Adult Hyperuricemia and Gout Dietary Guidelines (2024 Edition)Table of Contents
  • Foreword
  • Disease Characteristics and Classification
    • Definition and Stages of Hyperuricemia and Gout
    • Traditional Chinese Medicine Understanding and Classification of Hyperuricemia and Gout
  • Dietary Principles and Recommendations
    • Eat a Variety of Foods and Limit Purines
    • Ensure Sufficient Vegetables and Milk, Limit Fructose
    • Drink Plenty of Water and Limit Alcohol Consumption
    • Cook Scientifically and Eat Less Raw and Cold Foods
    • Balance Diet and Exercise for a Healthy Weight
    • Differentiate Syndromes and Bodies, Provide Dietary Therapy According to Individual Conditions
    • Adapt to Local Conditions and Seasons, Choose Appropriate Diets
  • Appendix 1: Purine Content in Common Foods
  • Appendix 2: Food Choices for Adults with Hyperuricemia and Gout
  • Appendix 3: Sample Recipes for Different Stages, Regions, and Seasons
    • Asymptomatic Hyperuricemia and Gout Intermittent Period
    • Acute Gouty Arthritis and Chronic Gouty Arthritis Periods
  • Appendix 4: Common Food Exchange Table
  • Appendix 5: Examples of Dietary Recipes for Hyperuricemia and Gout
Foreword
[color=var(--md-box-samantha-normal-text-color) !important]Uric acid is one of the metabolic products in the human body, mainly produced by the liver metabolism of purine compounds from dietary intake and internal decomposition, and excreted through the kidneys and digestive tract. Under normal circumstances, the production and excretion of uric acid in the body are in a balanced state. When purine metabolism is impaired, hyperuricemia occurs. Hyperuricemia is the pathological basis of gout. Data from the 2018 - 2019 China Chronic Disease and Risk Factor Surveillance show that the prevalence of hyperuricemia among adult residents in China is 14%, and the prevalence of gout is 0.86% - 2.20%, with a higher prevalence in men than in women, in urban areas than in rural areas, and in coastal areas than in inland areas. The prevalence of gout is increasing year by year, and the onset age is tending to be younger.

[color=var(--md-box-samantha-normal-text-color) !important]The occurrence of hyperuricemia and gout is closely related to diet and lifestyle, especially the long - term intake of high - energy foods, large amounts of alcohol, and/or high - fructose beverages. Obesity is an independent risk factor for hyperuricemia and gout. A reasonable diet, reducing the intake of high - purine foods, and maintaining a healthy weight can help control blood uric acid levels, reduce gout attacks, and improve the quality of life. Traditional Chinese medicine dietary therapy is a non - pharmacological conditioning method under the guidance of syndrome differentiation and dietary prescription in traditional Chinese medicine, emphasizing the provision of different dietary regimens based on causes, syndromes, and constitutions to gradually improve the constitution and assist in controlling the occurrence and development of diseases.

[color=var(--md-box-samantha-normal-text-color) !important]To prevent and control the occurrence of hyperuricemia and gout in the Chinese population, guide the daily diet of people with hyperuricemia and gout, improve the health level of residents, and develop traditional dietary services, these guidelines are formulated in accordance with the relevant requirements of the "Healthy China Initiative (2019 - 2030)" and the "National Nutrition Plan (2017 - 2030)". Based on the concept of dietary therapy, these guidelines propose the basic dietary principles and sample recipes for adults with hyperuricemia and gout by integrating modern nutritional theories and relevant evidence, as well as traditional Chinese medicine theories and conditioning regimens, aiming to provide multidisciplinary complementary dietary guidance.

[color=var(--md-box-samantha-normal-text-color) !important]These guidelines are mainly for adults with hyperuricemia and gout without complications such as renal insufficiency, as well as primary health workers (including nutrition instructors), providing dietary guidance for the prevention and improvement of hyperuricemia and gout. They cannot replace drug treatment. For people with hyperuricemia and gout with other complications, they can refer to these guidelines to formulate dietary regimens. At the same time, under the guidance of professionals such as doctors or nutrition instructors, personalized dietary regimens should be designed according to the specific conditions of the patients.
Disease Characteristics and Classification
  • Definition and Stages of Hyperuricemia and Gout
    Hyperuricemia is a metabolic disease caused by purine metabolism disorders. Under normal dietary conditions, a fasting blood uric acid level > 420μmol/L detected on two separate occasions can be diagnosed as hyperuricemia. Gout is a metabolic disease characterized by hyperuricemia and the precipitation and tissue deposition of urate crystals, leading to inflammation and tissue damage. Urate crystals deposited in joints, soft tissues, and kidneys can cause arthritis, kidney damage, etc., and the main clinical manifestation is recurrent acute arthritis. Hyperuricemia and gout are independent risk factors for chronic kidney disease, hypertension, cardiovascular and cerebrovascular diseases, and diabetes. Long - term hyperuricemia can also lead to atherosclerosis and increase the risk of cardiovascular diseases.

[color=var(--md-box-samantha-normal-text-color) !important]According to the blood uric acid level of hyperuricemia and the severity of gout, hyperuricemia and gout can be specifically divided into the following stages: asymptomatic hyperuricemia stage (asymptomatic hyperuricemia and asymptomatic monosodium urate crystal deposition), acute gouty arthritis stage (the stage of sudden onset of arthritis, with redness, swelling, heat, and severe pain in the joints), gout intermittent stage (the stage between two acute gouty arthritis attacks), and chronic gouty arthritis stage (continuous joint pain, fluctuating blood uric acid level, and possible appearance of tophi).
2. Traditional Chinese Medicine Understanding and Classification of Hyperuricemia and Gout
Hyperuricemia is the precursor state of most gout patients. In traditional Chinese medicine, gout is considered a disease with deficiency in origin and excess in manifestation. It may be caused by congenital deficiency or acquired malnutrition, combined with excessive consumption of greasy and sweet foods, which over time leads to the production of phlegm - turbidity, damp - heat, and blood stasis, blocking the tendons and joints and resulting in the disease. The common syndrome differentiation types and clinical manifestations are as follows:


  • Damp - turbidity Syndrome: Commonly seen in people with asymptomatic hyperuricemia and gout intermittent stage, mainly manifested as heavy and tired limbs, obesity, preference for greasy and sweet foods, sticky mouth without thirst, and sticky stools. The tongue is pale, swollen, or with tooth marks, and the coating is white and greasy, with a slippery pulse.
  • Damp - heat Syndrome: Commonly seen in people with acute gouty arthritis stage, mainly manifested as red, swollen, hot, and severely painful joints, frequent attacks, or accompanied by fever, restlessness, bitter taste in the mouth, bad breath, sticky or foul stools, or dry stools. The tongue is red, with a yellow and greasy or thick yellow coating, and the pulse is wiry, slippery, or rapid.
  • Phlegm - stasis Syndrome: Commonly seen in people with gout intermittent stage and chronic gouty arthritis stage, mainly manifested as swollen and painful joints, recurrent attacks, local hard nodules or dark red skin color in the joints, or joint stabbing pain, inflexible flexion and extension, and joint deformation. The tongue is dark purple, with a white and greasy coating, and the pulse is wiry or wiry and slippery.
  • Spleen - kidney Deficiency Syndrome: Commonly seen in people with chronic gouty arthritis stage, mainly manifested as recurrent joint pain, inflexible movement, stiffness or deformation, weakness and soreness in the waist and knees, obvious fatigue, heavy and tired limbs, abdominal distension, and sticky or loose stools. The tongue is pale, swollen, or with tooth marks, with a white and greasy coating, and the pulse is deep and slow or deep and thin.
Dietary Principles and Recommendations
[color=var(--md-box-samantha-normal-text-color) !important]Based on nutritional science theories, traditional Chinese medicine dietary therapy theories, and relevant scientific research literature on chronic diseases, and through the joint discussion and consensus of the expert group, the following seven principles and recommendations are proposed for the daily dietary therapy of adults with hyperuricemia and gout: 1. Eat a variety of foods and limit purines. 2. Ensure sufficient vegetables and milk, limit fructose. 3. Drink plenty of water and limit alcohol consumption. 4. Cook scientifically and eat less raw and cold foods. 5. Balance diet and exercise for a healthy weight. 6. Differentiate syndromes and bodies, provide dietary therapy according to individual conditions. 7. Adapt to local conditions and seasons, choose appropriate diets.
Eat a Variety of Foods and Limit Purines
[color=var(--md-box-samantha-normal-text-color) !important]Both people with hyperuricemia and gout should make reasonable dietary adjustments on the basis of a diverse and balanced diet. Ensure the intake of grains and tubers, vegetables and fruits, livestock, poultry, fish, eggs, milk, soybeans, and nuts every day. The variety of foods should be no less than 12 per day and 25 per week. Reasonably adjust the proportion of energy provided by carbohydrates, proteins, and fats in the diet.

[color=var(--md-box-samantha-normal-text-color) !important]Purines in foods can be metabolized by the human body to produce uric acid. Excessive purine intake increases uric acid production and is prone to causing hyperuricemia. Limiting the intake of high - purine foods helps control blood uric acid levels and reduce the occurrence of gout. The purine content and absorption and utilization rates of different food ingredients vary. People with hyperuricemia and gout should choose food ingredients scientifically and mainly consume a low - purine diet, strictly controlling the purine content in the diet. For the purine content of common foods, see Appendix 1 for details.

[color=var(--md-box-samantha-normal-text-color) !important]Animal offal such as liver, kidney, and heart generally has a higher purine content than ordinary meat and should be avoided as much as possible. The purine content of egg white and milk is low and can be consumed safely. Although the purine content of soybeans is slightly higher than that of lean meat and fish, the purine in plant - based foods has a low utilization rate by the human body. After processing, the purine content of soy products such as tofu and dried tofu is reduced and can be consumed in moderation. It is advisable to choose carbohydrate foods with a low glycemic index. The daily intake of whole - grain foods should be no less than 30% of the staple food amount, and the dietary fiber intake should reach 25 - 30g. In addition, each individual has a different response to foods. People with a history of gout attacks should try to avoid foods that have previously induced gout attacks while following the above principles.
Ensure Sufficient Vegetables and Milk, Limit Fructose
[color=var(--md-box-samantha-normal-text-color) !important]Nutrients such as vitamins and phytochemicals can promote the excretion of uric acid by the kidneys and play a role in reducing uric acid. Fresh vegetables (such as chicory and fresh lily), fruits (such as vitamin C - rich cherries and strawberries), plant - based beverages (such as sugar - free coffee and tea), and herbal plants (such as coix seed and 益智仁) usually contain rich phytochemicals, such as alkaloids, phenolic acids, flavonoids, stilbenes, and glycosides, which have a certain effect in reducing blood uric acid levels and help improve hyperuricemia and reduce the risk of gout attacks. It is recommended to eat more fresh vegetables every day, with a recommended intake of no less than 500g per day, and dark - colored vegetables (such as purple cabbage and carrots) should account for more than half. Milk protein is an important source of high - quality protein and can promote uric acid excretion. It is encouraged to consume 300mL or more of milk and dairy products per day or an equivalent amount.

[color=var(--md-box-samantha-normal-text-color) !important]Fructose can induce metabolic abnormalities and cause insulin resistance, with a potential effect of increasing uric acid levels and should be limited in foods with a high fructose content, such as sugary drinks, freshly squeezed juices, high - fructose corn syrup, and candied fruits. Although fruits contain fructose, the nutritional components such as vitamin C, flavonoids, polyphenols, potassium, and dietary fiber in fruits can change the effect of fructose on uric acid. Therefore, there is no significant correlation between fruit intake and gout. It is recommended to consume 200 - 350g of fruit per day.
Drink Plenty of Water and Limit Alcohol Consumption
[color=var(--md-box-samantha-normal-text-color) !important]Regular and timely drinking of water can promote the excretion of uric acid. People with hyperuricemia and gout should drink an adequate amount of water when their heart and kidney functions are normal. It is recommended to drink 2000 - 3000mL of water per day and try to maintain a daily urine output of more than 2000mL. Plain boiled water is preferred, and lemon water, light tea, sugar - free coffee, and soda water can also be consumed. However, excessive consumption of strong tea and coffee should be avoided, and cold drinks should be avoided.

[color=var(--md-box-samantha-normal-text-color) !important]Alcohol consumption increases the risk of hyperuricemia and gout. The metabolism of alcohol affects the release of purines and promotes the increase in uric acid production. Alcohol also leads to an increase in serum lactic acid, thereby reducing the excretion of uric acid. Some alcoholic beverages also contain purines. Generally, the purine content of yellow rice wine is relatively high, followed by beer. Although the purine content of white wine is low, its high alcohol content easily causes the accumulation of lactic acid in the body and inhibits the excretion of uric acid. Therefore, alcohol consumption should be limited, and patients with acute gout attacks, poorly controlled by drugs, or chronic gouty arthritis should avoid alcohol.
Cook Scientifically and Eat Less Raw and Cold Foods
[color=var(--md-box-samantha-normal-text-color) !important]Reasonable food cooking and processing methods are of great significance for the prevention and control of hyperuricemia and gout. A diet with less salt, less oil, reduced seasonings, and light flavor helps control or reduce blood uric acid levels. It is recommended to limit the daily salt intake to no more than 5g and the daily cooking oil to 25 - 30g. Reduce cooking methods such as frying, pan - frying, and stewing in brine, and advocate boiling meat before eating and 尽量不喝汤. Cured, pickled, or smoked meats have high purine and salt contents and are not suitable for people with hyperuricemia and gout.

[color=var(--md-box-samantha-normal-text-color) !important]For people with hyperuricemia and gout, frequent consumption of raw and cold foods such as ice cream and raw seafood easily damages the spleen and stomach function and can also lead to an increase in the precipitation of urate crystals, inducing gout attacks. Therefore, gout patients should eat less raw and cold foods.
Balance Diet and Exercise for a Healthy Weight
[color=var(--md-box-samantha-normal-text-color) !important]Overweight and obesity increase the risk of gout in people with hyperuricemia. Losing weight can significantly reduce blood uric acid levels. Overweight and obese people with hyperuricemia and gout should, on the basis of meeting the daily essential nutritional needs, achieve a negative energy balance by improving the diet structure and increasing regular exercise. At the same time, avoid excessive dieting and too rapid weight loss, with a weekly weight loss of 0.5 - 1.0kg being appropriate, and finally control the weight within a healthy range. For overweight and obese people, a daily reduction of 250 - 500kcal in energy intake and consumption of 250 - 500kcal of energy through exercise can be achieved. The appropriate body mass index (BMI) range for healthy weight in adults aged 18 - 64 is 18.5 - 23.9kg/m², and for those aged 65 and above, it is 20.0 - 26.9kg/m².

[color=var(--md-box-samantha-normal-text-color) !important]Developing regular and moderate exercise habits is an effective measure for the prevention and treatment of hyperuricemia and gout. Under the principle of ensuring safety, people with hyperuricemia and gout should choose suitable exercise items and gradually increase the intensity of exercise to improve cardiopulmonary function, muscle endurance, strength, and flexibility, and enhance metabolism and immune function. The exercise intensity should mainly be low - to - moderate aerobic exercise, starting from a low intensity and gradually transitioning to a moderate intensity, avoiding excessive exercise. Aerobic exercise is preferably carried out 4 - 5 times a week, 30 - 60 minutes each time. Jogging, walking, cycling, Tai Chi, Baduanjin, swimming, and other exercise items with little or no impact on joints can be chosen, and appropriate strength and flexibility exercises should also be carried out. During or after exercise, water should be replenished in a timely manner. During the gouty arthritis stage, exercise should be reduced or avoided.

[color=var(--md-box-samantha-normal-text-color) !important]In addition, good living habits are necessary conditions for gout patients to control the disease. People with hyperuricemia and gout should develop regular work and rest habits and combine work and rest. Irregular work and rest can lead to further aggravation of fatigue, resulting in the accumulation of metabolic products in the body and changes in the internal environment, thereby increasing the risk of gout.
Differentiate Syndromes and Bodies, Provide Dietary Therapy According to Individual Conditions
[color=var(--md-box-samantha-normal-text-color) !important]From the perspective of changes in dietary structure, eating habits, and living conditions, congenital weakness of the spleen and stomach or acquired dietary malnutrition that damages the spleen and stomach is the key factor in the occurrence of gout. Imbalance of the spleen and stomach and endogenous damp - turbidity are the cruxes of the recurrence and non - healing of gout. The key to dietary therapy for gout lies in regulating the spleen and stomach. It is recommended to consume white lentils, corn silk, malt, Chinese yam, Gordon euryale seed, Chinese date, dried tangerine peel, hawthorn, five - finger peach, and poria cocos. The spleen governs the muscles. Choosing gentle, small - amount, and continuous exercise methods can stretch the tendons and bones and improve the function of the spleen and stomach. Combine the patient's physical characteristics and clinical symptoms and provide a reasonable diet according to the common traditional Chinese medicine syndromes.

[color=var(--md-box-samantha-normal-text-color) !important]For the damp - turbidity syndrome, commonly seen in the asymptomatic hyperuricemia stage and gout intermittent stage, people with this syndrome are mostly of phlegm - dampness constitution. They should avoid cold to prevent the acute attack of gout, strictly control greasy and sweet foods, that is, limit the total intake of purines and proteins, and have a low - salt diet, especially avoiding sweet, greasy, sour, and astringent foods. Coix seed, dried tangerine peel, and poria cocos can be used for making tea.

[color=var(--md-box-samantha-normal-text-color) !important]For the damp - heat syndrome, commonly seen in the acute gouty arthritis stage, people with this syndrome are mostly of damp - heat constitution. In addition to strictly limiting the intake of purines and proteins, they should especially limit salt, tobacco, and alcohol, avoid exogenous wind - cold and wind - heat to prevent the acute attack of gout, and it is recommended to consume mangosteen, watermelon, and water chestnut. Red bean, papaya, and coix seed can be used for making soup.

[color=var(--md-box-samantha-normal-text-color) !important]For the phlegm - stasis syndrome, commonly seen in the gout intermittent stage and chronic gouty arthritis stage, people with this syndrome are mostly of blood stasis and phlegm - dampness constitutions. Patients should drink plenty of

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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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