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Wet wrapping medicine of descending turbid and clearing heat is a topical Traditional Chinese Medicine (TCM) herbal preparation developed by the Beijing University of Chinese Medicine for the treatment of acute gouty arthritis. Originating from the Endocrinology department of Dongzhimen Hospital, the medicine is applied externally via soaking or wet wrapping to the affected joints. Its therapeutic rationale is based on the TCM principles of clearing heat and descending turbid to address the local accumulation of damp-heat and toxins that characterize gout flares. In clinical trials, it is typically evaluated as part of an internal-external combined therapy regimen alongside an oral TCM decoction (tonifying spleen and descending the turbid decoction) to reduce pain, swelling, and inflammation while improving joint function.
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