【 Syndrome 】 Generally, it is more common in teenagers. They are in good health, and suddenly have lumbosacral pain, sometimes the pain is more serious, sometimes it goes up to the chest and neck, sometimes it goes down to the thighs and heels, and even their activities are limited, so they can't take care of themselves. At the same time, depression, restlessness, dry mouth, or fever, aversion to cold, or low fever, thin white or yellow tongue coating, rapid pulse.
[Treatment] Clearing away heat and toxic materials and eliminating dampness.
[Prescription] Chu Shi Decoction for Clearing Heat and Detoxifying (self-made).
Hedyotis diffusa 30g, Scutellaria barbata 15g, Polygonum cuspidatum 15g, Flos Lonicerae 15g, Fructus Forsythiae 15S, Rhizoma Smilacis Glabrae 20g, Cortex Dictamni Radicis 10g, Cortex Moutan 10g, Caulis Spatholobi/. Decoct with water.
2. Residual heat damages yin:
【 Symptoms 】 Slight tightness and dull pain in the neck, neck and back, soreness in the waist and weakness in the legs, or dull pain in the lower limbs, dry mouth, irritability, night fever and low fever (body temperature around 37.5℃), red tongue with thin white or no fur, and rapid pulse. ,
【 Pathogenesis 】 Eight evils have been eliminated and residual heat has accumulated. Long-term illness injures yin, and yin fluid can't nourish bones and muscles, showing acute dull pain in neck, neck and back, backache and leg weakness, or dull pain in lower limbs, and yin blood can't nourish heart and pulse, showing upset and dry mouth, night fever and low fever, red tongue and thready pulse.
(Physical and chemical examination is the same as acute attack)
[Treatment] It is proud to clear away heat and nourish yin and strengthen bones.
[Prescription 1 Yangyin Qingre Decoction (self-made).
Herba Hedyotidis Diffusae 15g, Flos Lonicerae 15g, Herba Hedyotidis Diffusae 10g, raw and cooked Radix Polygoni Multiflori 20g, Cortex Lycii 10g, Carapax et Plastrum Testudinis 20g, Fructus Ligustri Lucidi 20g, Rhizoma Cibotii 10g and Radix Dipsaci/kloc. Decoct with water.
3. The residual heat of yang deficiency remains unsolved:
Symptoms: dull pain in the back and spine, sometimes pain, tepid lower limbs, aversion to cold, aversion to cold in the back, dry mouth, pale tongue, thin and white tongue coating and weak pulse.
[Pathogenesis] There is residual heat in memory, and phlegm and dampness are abundant inside, so the lumbar spine is dull, sometimes sore, and yang deficiency cannot warm, so the limbs are cold and cold, and the tongue is pale and the pulse is weak, all of which belong to yang deficiency.
Certificate.
[Treatment] Warming yang to detoxify, supplemented by joint pain.
Wenyang Jiedu Decoction (self-made prescription).
Morinda officinalis meat 15g, Psoralea corylifolia 15g, raw antlers 20g, Cistanche deserticola 20g, Epimedium 10g, Astragalus membranaceus 10g, fried Eucommia ulmoides Oliv. 10g, Cuscuta chinensis 10g, Radix Rehmanniae 20g, Hedyotis diffusa. Decoct with water.
4. Deficiency of kidney yin and yang, stagnation of du meridian:
Symptoms: dull pain, swelling pain, asthenic pain, burning pain, cold pain or pain in lumbosacral region, back, hip bone, knee joint and ankle joint.
Pain, or dull pain, or tingling, or wandering pain, or calm pain, or intermittent pain, or back connection and headache. All ankylosing spondylitis often has pain in these parts in the early and middle stages, which depends on it. However, as long as there are hidden pioneer symptoms, such as morning stiffness and low back pain, the biting force of ankylosing spondylitis should be considered.
Accompanied by weakness of knees, drowsiness, tinnitus and deafness, vexation and insomnia, and tepid limbs, but fever in hands and feet, frequent urination, spontaneous sweating, night sweats, nocturnal emission, impotence, pale tongue, thin and white fur, and deep and thin pulse.
[Treatment] Tonifying kidney and essence, regulating meridians, strengthening tendons and bones.
[Prescription] Yishen Tongdu Decoction (self-made prescription).
Antler glue 10g, tortoise plastron glue 10g, German shepherd's bone glue 10g (all three medicines are melted and taken together), epimedium 10g, Morinda officinalis 10g, Psoralea corylifolia 10g, and dodder. Ligustrum lucidum10g, Angelica sinensis10g, Paeonia lactiflora10g, parched mustard seed10g, leech10g, 2 centipedes (ground into flour and taken orally), 5g of asarum, 6g of Dalbergia odorifera, and Radix Aconiti.
Yishen Tongdu tablets
The prescription of Yishen Tongdu tablets is not completely open. At present, it is only an in-hospital preparation of Beijing Hospital of Traditional Chinese Medicine, not a quasi-brand medicine of Chinese medicine. The public prescription is Yishen Tongdu tablets (Rhizoma Cibotii, Semen Cuscutae, Rhizoma Drynariae, Fructus Lycii, raw and cooked land, pig spinal cord, bovine spine, cornu Cervi degelatinatum, leech, and parched white mustard seed). It is certain that its prescription is incomplete and it definitely contains tripterygium wilfordii.
Teacher Wang also commonly uses Tongdu decoction (pill) antler glue 10g, tortoise plastron 10g, German shepherd's bone glue 10g (all three medicines are dissolved and taken together), Epimedium 10g, Morinda officinalis meat 10g, and Psoralea corylifolia/kloc. Lycium barbarum10g, Cornus officinalis10g, Ligustrum lucidum10g, Angelica sinensis10g, Paeonia lactiflora10g, parched mustard seed10g, leech10g. (or making pills)
Zhang's treatment of ankylosing spondylitis
1. Yin deficiency and blood heat type
In the early stage, hyperactivity of yang due to yin deficiency caused by exogenous wind, cold and dampness turns to heat, with the symptoms of low fever, night sweats, thirst, fever, dry and secret stool, burning pain in the back and joints of limbs, red tongue, little or no fur, and rapid pulse.
Qiangji 1 Formula: Radix Rehmanniae 30, Radix Puerariae 30, Flos Lonicerae 30, Herba Taraxaci 18, Radix Cyathulae 20, Radix Paeoniae Rubra 20, Semen Vaccariae 20 15, Radix Angelicae Pubescentis 20
Chuanxiong rhizome 12 Eupolyphaga seu steleophaga 10 safflower 15 dipsacus root 15 decoction, one dose per day.
2. Damp heat accumulation type
It is more common in the early stage of damp-heat accumulation and body fluid injection into the joints of lower limbs. The symptoms are hot pain in both hip joints, pain in both groins or swelling and pain in both knee joints, joint effusion or edema in both lower limbs. The tongue is red, the fur is thin and yellow, and the pulse is slippery.
Qiangji No.2 prescription: honeysuckle 24 dandelion 24 Smilax glabra 30 Hedyotis diffusa 24 Atractylodes lancea/KOOC-0/0 Cortex Phellodendri/KOOC-0/2 Coicis Semen 30 Radix Cyathulae 24
Eupolyphaga Seu Steleophaga 10 Carthamus tinctorius 10 Radix Angelicae Pubescentis is decocted with 20 water, daily 1 dose.
3. Liver and kidney deficiency type
It can be seen in patients with joint pain, stiffness, contracture and deformation, difficulty in flexion and extension, difficulty in movement, muscle emaciation, weakness of waist and knees, fear of wind and cold, and pale tongue with white fur. Pulse is very thin.
Qiangji No.3 prescription: Radix Astragali 30, Radix Cyathulae 24, Radix Dipsaci 15, Fructus Psoraleae 18, Radix Angelicae Pubescentis 20, Radix Paeoniae Rubra 20, Radix Paeoniae Alba 20, Ramulus Cinnamomi 10, Fructus Zanthoxyli 10.
Rhizoma Cibotii 30 Eupolyphaga Seu Steleophaga 12 leech 6 safflower 12 Eucommia ulmoides Oliv. 15 tortoise plastron glue 10 deer glue 10 decoction, one dose per day.
Like the treatment plan of western medicine, it is generally such a combination:
Non-steroidal anti-inflammatory and analgesic drugs 1 class (voltarin, celebrex, indomethacin, Le Song, minophene, Mobike, etc. )+slow-acting anti-rheumatic drugs 1-2 kinds (sulfasalazine, methotrexate, thalidomide, leflunomide, etc. )+adjuvant drugs 1-2 (wind-induced pain).