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Hippocrates (460-370 BC), the ancient Greek physician considered the father of Western medicine, was the first to describe gout, calling it "the disease that makes one unable to walk." He also argued that gout was the arthritis of the rich, while rheumatism was the arthritis of the poor. In his Aphorisms, he explained gout as follows: eunuchs are immune to gout, women only develop it after menopause, gout inflammation subsides within 40 days, gout is more common in spring and autumn, and rich food and wine are associated with its onset. He also proposed the "humoral theory," which laid the early theoretical foundation for the later exploration of hyperuricemia.
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Why is gout considered an ancient human disease?
In Traditional Chinese Medicine, gout is referred to as "bi syndrome," meaning "pain or numbness in the limbs caused by wind, cold, dampness, and other factors." The Yellow Emperor's Classic of Internal Medicine, written during the Warring States Period before the Common Era, states that "overuse of the five internal organs, resulting in imbalance of qi and blood, leads to endogenous bi syndrome (gout)." The term "gout" in Traditional Chinese Medicine first appeared in the Liang Dynasty's "Ming Yi Bie Lu" by Tao Hongjing during the Southern and Northern Dynasties. After the Jin and Yuan Dynasties, monographs by Zhu Danxi and Gong Tingshen provided detailed descriptions of gout.
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