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In Gout with structural change (Contracture), give Sul , if on heeling then Calc or Lyc are useful
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- In toes gout esp big toe, first give Apis and Ars, If does not respond, then give Colch.
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- Acute gouty pain in knees with marked swelling and heat.
- Knee is very sensitive to touch and the slightest touch causes unbearable pain.
- Movement of the knee worsens the pain in such cases.
- Big toe gout
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- Knee gout when painful gouty nodes are formed
- Pain and cracking sound in knee joint on movement.
- Tearing /Stitching / Drawing pain is felt in the knees along with swelling.
- Night agg
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