Rheumatoid arthritis
[Overview]
Referred to as rheumatoid arthritis, synovitis as a pathological basis for chronic systemic autoimmune disease. Morning stiffness in joints, symmetric joint swelling, pain, flexion and extension negative, and even deformity, disuse as the main clinical features. Age of onset of rheumatoid mostly in the 20 to 45 years old, to young adults as more women than men. Cold, wet, fatigue, malnutrition, trauma, mental factors, often induced causes. Persistence of the disease recurring, easily lead to joint bone destruction, dysfunction and disability, the prognosis is poor with age (30 years of age of onset), the typical lesions, persistent disease for more than a year and other factors. Rheumatoid Chinese medicine is “Bi Syndrome”, “calendar section of the wind”, “Crane knee Wind” and other areas.
[Etiology and pathology]
The etiology of rheumatoid both internal and external causes: weak period for Congenital or acquired lack of physical recuperation; feel the cold outside because the heat of the evil, depression in the meridian, negative blood, weakness and disease.
Pathological changes of the wind cold dampness evil, Cheng Xu into the human body, Note on the meridian, stay in the joints, so that blood Bizu, and for the wind musculoskeletal. Feel the heat of the evil wind, and with the wet phase, the combined evil infestation of rheumatic fever; or ferrite yang or yin deficiency with heat, feelings of evils, and easy from the heat; or falling due to wind musculoskeletal diseases, and evil to stay meridian joints, Yu and the heat, rheumatic fever can cause paralysis. Arthralgia delayed healing, phlegm and blood stasis resistance, blood gradually consumption, less refined bad blood, liver and kidney and two losses, muscles, joints, meridians dystrophy, such as wind cold dampness evil for a long time Love is not cured, often caused by joint pain, stiffness deformity, and even then the deficiency of kidney yang, cold sore swollen joints, urine long.
[Diagnostic points
1 in the morning joint stiffness, joint swelling was fluid symmetry, lesions involving the small joints easily.
(2) rheumatoid factor (RF) positive, X-ray examination showed osteoporosis and destruction, bone protrusion at the extensor surface of joints and subcutaneous nodules, joint space narrowing.
[Type] dialectical
1 wind musculoskeletal symptoms: joint Leng Tong, more drama pain, swelling, Nan Xiao. Pale tongue white, pulse tension.
Syndromes: folder alpine wind resistance in the meridians, Blockage of the blood, so the joint Leng Tong; cold stagnant, cold-sheng qi and blood stagnation collaterals, it is severe pain; wet viscous, cold dampness, leaving joint injection , the swelling Nanxiao; pale tongue, white, pulse tension, both the wind cold dampness Piansheng of the levy.
2 Bi rheumatic fever symptoms: joint swelling and pain, the pain can not be stretched very, very cold a little discomfort, and fever or evil wind. Red tongue, yellow, slippery pulse string.
Syndromes: rheumatic fever evil, stop at the meridian joints, blood stagnation barrier, so the joint swelling and pain, and even then the pain can not be; and evil in the muscular form, the body heat evil wind; red tongue, yellow, slippery pulse number of rheumatic fever are evil Piansheng of the levy.
3 Bi contact PSS symptoms: joint swelling and pain are run, is now becoming stiff deformity, flexion and extension negative, and with subcutaneous nodules, muscle cut Xingshou, Shenpi surface dry, waist and knee pain, dizziness, head flowers. Tongue bleak.Moss thin, thin veins or astringent.
Syndromes: Arthralgia persistent, is virtual evil love, stasis in the network, Tianjin and condensate for the sputum, phlegm and blood stasis Blockage, joint swelling and falling blood barrier test, is now becoming stiff deformity, flexion and extension negative; phlegm and blood stasis within the knot , showing that subcutaneous nodules; stasis due to context, gradually consuming blood, bad blood, less fine, nothing to keep shape, the muscle cut Xingshou, Shenpi surface dry; liver and kidney of two losses measured lumbar pain, dizziness, head flower ; fragrant dark, thin, small or thin veins are astringent liver and kidney deficiency, phlegm and blood stasis Bi contact of the levy.
4 Kidney deficiency symptoms: joint swelling, stiffness Leng Tong, aversion to cold, limbs Jueleng, backache petrified, urine long. Pale tongue white, pulse delay.
Syndromes: evil love falling, hurt yang, deficiency loss, Vital Huoshuai, yang not very inviting, not to warm the cold dampness of the evil of stranded gas joint Blockage of blood, the joint swelling, stiff cold sore; Yang and blood loss of temperature, then chill, limbs Jueleng; Lumbar kidney organs, kidney bone, kidney backache petrified; deficiency decline, not steaming water solution, the urine long; pale tongue white, pulse delay, loss of both deficiency symptoms.
[Type] treatment
1 wind musculoskeletal rule is: expelling wind and cold wet Chu meridians.
Recipe: Decoction Juanbi.
Independent living Notopterygium 9 g 9 g 9 g Gui Radix Gentiana 9 g 9 g 15 g Angelica Chuanxiong 9 9 restraint restraint frankincense myrrh 9 grams subtraction with the disease: the wind wins and migratory joint pain, plus wind 9 grams, Angelica 9 grams to control pathogenic wind; cold wins and severe joint pain, plus tuber 9 g, the system Chuanwu 9 grams Asarum 3 grams, to warm through the cold pain;
Wet win and joint pain worse, plus Menispermaceae 12 grams, castor seed corn 12 grams, 30 grams Yiyiren to rheumatism.
2 Bi treatment of rheumatic fever are: expelling wind and dampness, heat meridians.
Recipe: Decoction Guizhishaoyaozhimu.
Guizhi 6 g 15 g Anemarrhena 10 grams peony wind 9 g anti-skin 12 has 12 Ridge Tong Chi Sanger Caulis Lonicerae 20 grams 20 grams plus or minus with the disease: joint swelling, severe pain, particularly at night, plus 15 habitat grams, red peony 15 grams, antelope powder 0.6 g (versus service), to heat and cooling blood, sedation and pain; Heat disability allowance, Fanre thirst, red tongue, little-chun, pulse a few strings, plus 30 grams of gypsum ( Xian Jian), Scrophulariaceae 10 grams, in order to heat fluid.
3 Phlegm Bi network rule is: nourishing liver and kidney, dispelling evil meridians.
Recipe: DUHUOJISHENG subtraction.
Codonopsis, Poria 12 grams 15 grams 10 grams 10 grams Chuanxiong angelica peony root 12 g Rehmannia 12 Sanger parasite sec 12 Kedu Achyranthes 10 grams 10 grams live alone 9 g 12 g Gentiana wind 9 grams Asarum 3 grams 3 grams of cinnamon (after below) subtraction with the disease: Yin and hot, dry mouth and constipation see to Asarum, cinnamon, plus 15 g habitat, Scrophulariaceae 9 grams, Anemarrhena 12 grams to heat Yin; limb Spasm, Pain pumping valves , plus earthworm 12 g, Scorpion, 5 grams, to found the wind Tongluozhitong.
4 deficiency loss rule is: Warming yang, cold meridians.
Recipe: Pill addition and subtraction.
Monkshood 9 g Gui 9 grams 12 grams yam dogwood 9 g Epimedium 15 Keba halberd days Woodwardia 12 g 12 g 12 g Achyranthes Poria 12 grams, 15 grams Atractylodes find wind 15 grams of bone disease with 15 g of Clematis Modified: Shenpi fatigue, joint swelling, plus 30 grams of astragalus, anti had 12 grams, 30 grams Yiyiren to Spleen Qi, expelling wind and dampness; joint Tong Shen who, soda wood 9 grams of safflower9 grams, the system Chuanwu 9 grams (fry), Scorpio 5 grams to Huoxuetongluo pain; joint stiffness and deformity, plus Dragon of 9 grams, Scorpio 5 grams, pangolin 9 grams, Mustard Seed 6 grams, to through the meridians, circulation software firm.
[Chinese medicine]
1? Ape Liu Dong Li; 1 bag each time, 2 times a day.
2 KMSHT piece every 1 to 2 (0.25 g / piece), 2 or 3 times a day.
[Simple] side
Gui, Radix system (fry), angelica, black snake, 10 grams, Epimedium, Rehmannia 15 grams, deer grass title 30 grams. 5 grams of licorice decoction, one dose per day. For rheumatoid is wind musculoskeletal, persistent course of unhealed.
[Other therapies]
Acupuncture: Take the affected area and adjacent hole, deep puncture needle or moxa moxibustion, once a day for 10 days a course of treatment.
External: Mustard Seed 60 grams Wei Chao broken, and green onions, ginger, 30 grams total of pound dried, external surface of the skin caused by foam for the degree. Attention to prevent infection.
Bee therapy: bee sting lesion, 7 days a course of treatment.
Liquor Act: Astragalus, Angelica, safflower, Clematis, habitat, Agkistrodon, 10 grams, white wine, 500 ml, soaked in January after drinking, twice daily, each 5 ml.
[Note]
1 is a difficult chronic rheumatoid arthritis, active treatment, control progression of the disease, is a prerequisite for the prevention of teratogenic disability.
(2) to avoid long-term living in damp and cold environment.
3 Spirit of view, better nutrition, and exercise, enhance physical fitness.