Category: Medical/Disease
Problem description:
I have rheumatism in my knees and will suffer from pain. {I am still young}
< p> Analysis:The unilateral and prescribed prescriptions for the treatment of acute rheumatoid arthritis are:
(1) 30-60g of willow branch, decoction in water and taken.
(2) 30-60g of old mulberry branch, 10g of Phellodendron cypress, decoct in water and take.
(3) 9g each of Atractylodes rhizome and Phellodendron cypress, 30g Lonicera vine, decoct in water and take.
(4) 30g of young mulberry branches, 10g of Achyranthes bidentata, 10g of Fangji, and 30g of Luffa, decoct in water and take.
(5) 15g of Qingfengteng and 10g of Fangji, decocted in water and taken.
(6) Decoction 30g of rhizome, 30g of mulberry branch, 15g of young willow branch, and 15g of young sophora twig in water and take it three times.
(7) 30g Polygonum cuspidatum, 1 spoonful of white wine, decoct with wine and water, 1 dose per day.
(8) 90g of fresh honeysuckle vine, roots and leaves, decoct in water and take 3 times.
(9) Fry 60g of lychee with half and half of water and sweet wine, remove the residue and add 30g of brown sugar, and mix it up.
The unilateral and proven prescriptions for treating chronic rheumatoid arthritis are:
(1) 9g each of Millet Spatholobus, Sea Breeze Vine and Guizhi, decoction in water and take.
(2) 30g each of Polygonum cuspidatum root and mulberry root, 10 jujubes, decoct in water and take.
(3) 15g each of Xichuancao and Wutong, decoct in water and take it.
(4) 12g each of Trachelospermia, Rhizoma Chinensis, Shenjincao and Passepartout, decoct in water and take.
(5) 12g each of Qingfengteng, Qingenzi, Xugufeng, and Polygonum multiflorum, decoct in water and take.
(6) 90g of rhubarb, 60g each of Atractylodes rhizome and coix seed, decoct in water and take.
What are the fumigation therapies for the treatment of rheumatoid arthritis?
Fumigation therapy involves boiling Chinese medicine and then fumigating or soaking the affected area with heat, so that the medicinal properties can enter directly from the pores into the diseased area. . It has the effect of dispelling wind and cold, relaxing muscles and activating collaterals. Mainly used to treat wind-cold-dampness. Here are some commonly used formulas. ( "Practical Traditional Chinese Medicine Internal Medicine" prescription).
② 20g each of Chuanxiong and Caowu, 50g of Angelica dahurica, 50g each of Qianghuo and Duhuo, 10g Asarum, 30g each of Ligusticum chuanxiong and Guizhi, 60g each of Clematis, Shenjincao and Tougucao, water Decoction, 2 to 3 times a day, 15 minutes each time, 5 to 10 days as a course of treatment (prescribed by the Affiliated Hospital of Guizhou Medical College).
③ 9g each of mugwort leaves and safflower, 30g of Cortex chinensis, 6g of Zanthoxylum bungeanum, boiled in water. 1 to 2 times a day.
④ 12g of soil beetle, 30g of hematoxylin, 6g of Euphorbia, 20g of Xugufeng, decocted in water. 1 to 2 times a day.
⑤ Take 70cm each of mulberry branches, willow branches, elm branches and peach branches. Boil water and fumigate the affected area 2 to 3 times a day.
⑥ Take 30g each of Togucao, Zhuidifeng and Qianqianjian. Boil water to fumigate and wash the affected area, twice a day.
What are the commonly used external plasters for the treatment of rheumatoid arthritis?
Rheumatoid arthritis affects muscles, joints, and meridians. Applying plasters externally can make the medicinal properties penetrate from the skin into the interstitium. It dredges the menstrual flow and activates the meridians, which is more beneficial than taking medicine. Commonly used plasters and their usage are introduced as follows:
(1) Shangshi analgesic ointment (rubber plaster): functions to dispel wind and cold, dehumidify and unblock meridians, activate blood circulation and relieve pain. When using, first wash and dry the skin with warm water, apply it to the affected area, and massage the plaster with the palm of your hand to make it stick to the skin. Those who are allergic to adhesive plaster, have skin erosions with exudate, or suffer from trauma combined with suppuration should not use it.
Similar functions include musk tiger bone ointment, Qinghai musk ointment, joint analgesic ointment, etc. Either one can be used clinically.
(2) Dog skin ointment (patch): functions to dispel wind, dissipate cold and dehumidify, relax muscles and activate collaterals to relieve pain. During use, warm the plaster to soften it and apply it to the affected area.
Similar functions include Wanling Jingu Ointment, Zhuifeng Ointment, Geranium Ointment, etc., which can also be used.
(3) Wuwubahansan (powder): functions to dispel wind and remove dampness, stimulate yang and activate blood circulation, relieve pain and reduce swelling. When using, take an appropriate amount of medicine, mix egg white with slightly warm water or human milk and medicine into a paste, spread it on wax paper, and stick it on acupuncture points or affected areas. When using it, be careful not to eat it raw or cold, and do not take it internally. The skin patch should not be washed with water within 10 days. It cannot be applied to the navel chakra, soles of the feet, etc. It should not be used by children, those who are weak and edematous.
(4) Wuhu Powder (powder): The function is the same as Wuhu Bhan Powder. When used, mix it with white wine and apply it to the affected area. In addition to external application, this powder can also be taken internally. 6g each time, take with warm rice wine or warm water.
What are the medicinal treatments for rheumatoid arthritis?
External application therapy: This method is to apply medicine locally or on acupoints. It has the functions of promoting local blood circulation, dispersing cold and dampness, reducing swelling and relieving pain.
(1) 60g each of calamus and fennel, 500g of salt, stir-fry together, wrap with cloth, and scald the affected area. It is suitable for people with cold pain in limb joints, which increases when encountering cold and decreases when encountering heat.
(2) Mash appropriate amounts of amaryllis, ginger and green onions and apply externally to the affected area. Suitable for those with joint pain and those who are afraid of wind and cold.
(3) Mash 3 to 5 roots of fresh Drynariae and apply to the affected area. Suitable for those with cold and painful joints. It takes 5 to 10 minutes each time to take effect.
(4) Grind 6g each of peach kernels and white mustard seeds into fine powder, mix it into a paste with an appropriate amount of egg white, and apply it externally to joint pain. It can relieve pain in 3 to 4 hours. Be careful not to leave it on for a long time.
(5) Apply Ruyi Golden Ointment to the affected area, cover it with gauze, and change it once a day. Suitable for those with red and swollen joints.
(6) Pound an appropriate amount of cactus into mud and apply it to the affected area.
(7) Appropriate amount of fresh purple flower root, mash it and apply it to the affected area.
(8) Add 120g of dandelion to water and boil it into a medicinal solution. Soak it with a towel and apply it to the affected area wetly.
(9) Mix equal parts of Shanzhi powder and Feilao noodles into a paste with boiling water or vinegar, rice wine and egg white, and apply it to the sore area. The area where it was applied appears blue, which is fine and will subside in a few days.
(10) Apply mung bean powder and egg white to the affected area.
The above 6 to 10 therapies are all suitable for those with red, swollen and hot joints, severe pain, relief from cold, and difficulty in flexion and extension. It has good heat-clearing, swelling and analgesic effects.
(11) Kanlisha (ironing agent): Mix iron filings and vinegar to produce a warming effect and directly iron the area. It has been made into a medicine for external use. It is suitable for those who have cold pain, severe pain in limb joints, or swelling in the painful area.
Can acupuncture treat rheumatoid arthritis?
Acupuncture has certain effects in treating rheumatoid arthritis. During treatment, select corresponding acupoints according to different pain areas. For example, for shoulder joint pain, choose shoulder anterior and deltoid muscles; for elbow joint pain, choose Quchi, Chize, and Handanli; for wrist joint pain, choose Yangchi, Waiguan, and Hegu; for hip joint pain, choose Zhinbian, Huantiao, and Yinmen; for knee joint pain, Yanglingquan, Dubi, Futu, and Zusanli are treated; for ankle joint pain, Qiuxu, Kunlun, Jiexi, Taixi, and Chengshan are treated. Acupuncture techniques include catharsis, strong stimulation in the acute stage, or even pricking with a three-edged needle for bleeding. The bleeding volume is 0.5 to 1.0 ml. In the chronic stage, flat tonic and diarrhea are used, and for moderate pain, warming acupuncture or moxibustion can be used. In addition to manipulation, electroacupuncture can also be used to strengthen the blood circulation and improve the curative effect.
What are the new acupuncture therapies commonly used in the treatment of rheumatoid arthritis?
Therapy 1
(1) Point selection: Waiguan, Quchi, Shousanli , Zusanli, outer knee eye, Yanglingquan, Xuehai, Fengshi, Huantiao, Tiaokou, Juegu, Kunlun, Shenshu, Mingmen, Zhiyin, Ashi points.
(2) Drugs and methods: Use compound Nux vomica injection, select 2 to 3 acupoints each time according to the affected area, and inject 0.5 to 1ml of medicinal solution each time, once a day, 7 Each treatment is one course, with an interval of 4 to 7 days.
Therapy 2
(1) Acupoint selection: Waiguan is the main acupoint on the upper limbs, with Quchi and Hegu; Yanglingquan is the main acupoint on the lower limbs, with Juegu and Jie Xi; take Dazhu as the main point on the lower back, with Dazhui, Body Pillar, Zhiyang, Yangguan and Mingmen.
(2) Drugs and methods: Use Impatiens and Drynariae injection, select 3 to 6 acupoints each time, and inject 0.5 to 0.8ml of medicine into each acupoint. 10 times constitute a course of treatment, once every other day, and rest for 2 to 4 weeks after 3 courses of treatment.
Therapy 3
(1) Point selection: ① Knee Eye, Heding, Yangguan, Ququan, Weizhong. ②Liangqiu, Sea of ??Blood, Yinling Spring, Yangling Spring. ③ Zusanli, Sanyinjiao, Kunlun and Zhaohai.
(2) Method: Select 1 to 3 acupoints in each group each time, once every other day, and select acupoints alternately. Use a 28-gauge millimeter needle 5 to 6 inches and an electro-acupuncture machine. Use the twisting and purging method, repeat the massage, leave the needle for 20 to 30 minutes, and perform the needle once every 5 to 10 minutes. Electroacupuncture uses sparse and dense waves for 20 to 30 minutes, and the intensity should be as tolerated, and 10 times is a course of treatment.
What are the methods of massage to treat rheumatoid arthritis?
Massage method (1)
(1) Point selection; choose Hegu and Houxi at the finger-metacarpal joints , Erjian, Zhongzhu, Laogong, Sishao; the wrist joints are taken from Quchi, Tianjing, Xiaohai, Shousanli, etc.; the shoulder joints are taken from Jianzhen, Tianzong, Jianjing, Ji?; the ankle joints are taken from Kunlun and Qiuxu. , Xuanzhong, Jiexi, Shangqiu, Taixi, and Shenmai; for knee joints, choose Knee Eye, Yanglingquan, Yinlingquan, Weizhong, Liangqiu, Fenglong, and Zusanli; for hip joints, choose Huantiao, Zhibian, Biguan and Chengfu; mandibular joints are removed from Guan, Hegu, Yifeng, Jieche, and Neiting; spinal joints are removed from the acupoints related to the Du meridian and bladder meridian corresponding to the diseased area.
(2) Operating techniques
① Upper limbs: a. The patient lies on his back or sitting position, first use the pushing method and the one-finger meditation method, and then use the rolling method and kneading method, along the The surgery is performed repeatedly on the fingers, wrists, and elbows, with focused treatment on the affected joints. b. Twist the interfinger joints; press and pinch the four seams and Laogong; point Yangxi, Daling, Quze, and take Hegu, Quchi, and Jianjing. c. Flex, extend, shake, rub, pull and extend the affected joints. d. Rub the affected area to heat it and then perform various tapping methods to make the heat penetrate into the joints.
② Lower limbs: a. The patient takes a lying position, and first uses the pushing method and the one-finger meditation method to push, roll, knead, and move along the Taiyang Meridian of the Foot. b. Take Taixi, Kunlun, Weizhong; point Chengfu, Huantiao, Zhibian; rub the hot affected area and then use Paida techniques to let the heat penetrate into the joints.
③Mandibular joint: Those who are affected by the mandibular joint can push Xiaguan and Jieche; press Taiyang, Yifeng, Waiguan; hold Hegu and Neiting.
The above massage is performed once every other day, and 30 times is a course of treatment. During the rest period between treatments, the patient is instructed to perform joint functional exercises. The next course of treatment will be carried out one month later.
Massage method (2)
(1) The disease is in the limbs
①Acupoint selection: Focus on the diseased joints. Often take Baxie, Yangxi, Yangchi, Yanggu, Neiguan, Waiguan, Houxi, Xiaohai, Tianjing, Quchi, Quze, Jianzhen, Tianzong, Bafeng, Shangqiu, Jiexi, Qiuxu, Zhaohai, Kunlun, Taixi, Shenmai, Feiyang, Chengshan, Xuanzhong, Yinlingquan, Yanglingquan, Knee Eye, Heding, Blood Sea, Liangqiu, Zhipian, Huantiao, Chengfu.
② Operating techniques: a. The patient is in a sitting position, and the surgeon uses the rolling method to treat the inner and outer sides of the affected limb according to the conventional method. From shoulders to wrists, go up and down 3 to 4 times. b. Continuing with the previous posture, the surgeon uses the manipulation method along the meridians up and down the affected arm, while focusing on the shoulders, elbows, and wrists with pressure and kneading of Quchi, Quze, Shousanli, Hegu and other points. Perform twisting on the interphalangeal joints, and then massage local acupoints on the diseased joints to relieve pain. Finally, kneading is applied to the affected limb, and the upper limb treatment is completed by passively moving the relevant joints. It takes about 10 minutes. c. The patient is lying on his back. The surgeon holds the patient's ankle joint with one hand, and uses the rolling method with the other hand to perform the surgery from the front and inner and outer sides of the thigh to the outer side of the calf. At the same time, he passively stretches and moves the lower limbs. Then the ankle joint was treated with rolling method, while stretching the joint inward and outward. Then massage Futu, Liangqiu, Qiuxu, Bafeng and other points along the hip, knee and ankle joints up and down. It takes about 10 minutes. d. The patient lies prone, and the surgeon applies the rolling method from the buttocks to the back of the calf, focusing on the hip and knee joints, and then massages the ring jump, zhibian, chengfu, chengshan, weizhong, flying, and hanging Zhong, Taixi, Shenmai, Kunlun and other points. It takes about 5 minutes.
(2) Those with lesions in the spine
①Acupoint selection: Focus on the muscles on both sides of the spine. Jiaji, Dazhui, Dazhu, Fengmen, Feishu, Xinshu, Geshu, Ganshu, Pishu, Shenshu, Mingmen, Zhishi and Yaoyangguan points are often used.
②Operating technique: a. The patient lies prone, and the rolling method is used on the patient's lower back along the spine and both sides, and the operation is coordinated with the back leg movement for about 5 minutes. b. The patient is in a sitting position. The surgeon applies rolling and holding methods on both sides of the neck and shoulders alternately from behind. At the same time, he rotates the neck left and right and moves prone, and then holds the shoulder well for about 2 minutes. c. Continuing the previous posture, use massage and kneading methods to apply to the above acupoints along the meridians from the neck to the waist and buttocks. First take the Jiaji, then take the other acupoints, and finally push the spine horizontally to measure the heat (the patient can be in a sitting or prone position during this process). Press Jianjing again to end the treatment. It takes about 10 minutes.
The above treatment lasts for 10 consecutive days as a course of treatment, with treatment once a day and a rest of about 3 to 6 days between courses.
Can medicated wine treat rheumatoid arthritis?
The wine is pungent and warm, and has the effects of dispelling wind and cold, relaxing muscles and activating blood circulation. The effective traditional Chinese medicine for treating wind-cold-dampness paralysis is prepared with wine, and the medicinal power reaches the limbs and joints with the help of wine, causing Qi and blood to flow and rheumatism to be eliminated, muscles and bones to be strong, and paralysis to be cured. Long-term drinking has a good effect on the treatment of chronic rheumatoid arthritis.
Commonly used tiger bone wine and Shi Guogong medicinal wine are used to treat rheumatic paralysis and liver and kidney deficiency; Feng Liaoxing medicinal wine is used to treat patients with severe cold and dampness syndrome; Sanshe medicinal wine is used to treat wind-induced paralysis and skin indifference; Dinggong Teng Rheumatism medicinal wine can be used to treat blood stasis and paralysis; Acanthopanax bark wine can be used to treat patients with paralysis syndrome and insufficient Qi. In addition, there are tiger bone papaya wine, tiger bone Zhui Feng wine, leopard bone papaya wine, ginseng and tiger bone wine, adder bone medicinal wine and so on. You can also use 1 to 3 flavors of traditional Chinese medicine such as clematis, achyranthes root, eucommia, papaya, mulberry branch, dangshen, astragalus, angelica, white peony root, etc., add them to wine and soak them to make your own medicinal wine. 10~15ml each time, 2 times a day.
When taking medicated wine, attention should be paid to those with heat caused by yin deficiency, exogenous wind-heat or rheumatic heat paralysis, high blood pressure, and pregnant women. You should also be careful not to mix other alcoholic drinks into the medicinal wine or drink it with fruits and vegetables.
In addition to oral administration, Shi Guogong medicinal wine, tiger bone wine, papaya wine, etc. can also be rubbed on the affected area, or added to acupuncture points, or tapped with a small wooden stick, which also has certain curative effects.
What medicinal wines are commonly used to treat rheumatoid arthritis?
(1) Three snake wine
Drug composition: 1500g of black snake, 200g of white snake, and viper. 100g snake, 500g raw land, 5000g rock sugar, 100kg liquor.
Cut off the heads of the three kinds of snakes, wash them with wine, cut them into short sections and dry them. Heat the rock sugar and melt it for later use. Put the white wine into the wine jar. Pour Sanshe and Shengdi directly into the wine, cover and seal, stir once a day, filter in the jar after 10 to 15 days, and add rock sugar.
Effects: remove wind and dampness, warm meridians and dispel cold, unblock meridians and relieve pain.
Indications: wind-cold-dampness.
Usage: 5ml each time, 3 times a day.
(2) Feng Liao Xing Liquor
Drug composition: Qianghuo, Clematis, Acanthopanax bark, Dinggongteng, Guizhi, Duhuo, Artemisia annua, Ephedra, Angelica dahurica, Cumin , Angelica sinensis, Ligusticum chuanxiong, gardenia, fangji, white wine.
Efficacy: dispelling wind and cold, activating blood circulation and unblocking meridians.
Indications: Suitable for arthralgia and rheumatism syndrome.
Usage: 10ml each time, once a day.
(3) Dehumidification wine
Drug composition: 12g each of tiger bone (leopard bone), fangji, Yunling, Eucommia ulmoides, pine joint, rhizome, dog spine, and eggplant root, 9g each of Dipsacus Dipsacus and Rhizoma Dioscorea, 6g each of Sophora solani and Silkworm Arrow, 12g each of papaya, wolfberry, Xanthium fructus and Trichosanthes japonica, 15g of mulberry branch, and 12g of Achyranthes bidentata.
Soak the medicine in 2500g of grain and wine, and it will be ready after 5 days.
Efficacy: Remove wind and cold, remove dampness and unblock meridians.
Indications: wind-cold-dampness syndrome.
Usage: Take orally, 10ml each time, once a day.
(4) Tiger bone papaya wine
Drug composition: prepared tiger bone (leopard bone substitute), angelica root, Chuanxiong root, Dipsacus bark, Acanthopanax bark, Achyranthes bidentata, Gastrodia elata, 50g each of safflower and white eggplant roots, 200g mulberry branches, 25g each rhizome and saposhnikovia, and 150g papaya.
Grind the medicine to a coarse powder, hold it in silk, soak it in 10kg of good sorghum wine, soak it for 7 days, filter out the residue, add 1kg of rock sugar after clarification.
Efficacy: dispel cold and remove wind, remove dampness and unblock meridians, activate blood stasis and relieve pain.
Indications: wind-cold-dampness syndrome.
Usage: Drink as needed.
(5) Papaya and Achyranthes Root Wine
Drug composition: 120g of papaya, 60g of Achyranthes bidentata, and 60g of Lobra. Soak the medicine in 500ml of Daqu wine for 7 days.
Effects: Promoting blood circulation and removing blood stasis, unblocking collaterals and relieving pain.
Indications: Rheumatoid arthritis is caused by blood stasis and obstruction.
Usage: Take 10ml each time, 2 times a day.
What physical therapies are available to treat rheumatoid arthritis?
Physical therapy can promote the circulation of qi and blood, relax muscles and unblock meridians, and reduce pain. Commonly used physical therapies are:
(1) Iontophoresis: 2g each of dried ginger, cinnamon twig, red peony root, and angelica root, 1g each of Qianghuo, kudzu root, Chuanxiong, pittosporum bark, turmeric, and frankincense. Place the suture in a 25cm x 15cm bag and heat it in a steamer until the air comes out of the bag. Take it out and cool it slightly to 40℃~42℃. Apply hot compress to the affected area and introduce direct current.
(2) Infrared irradiation: irradiate the swollen and painful areas once a day for 15 to 20 minutes each time.
(3) Wax therapy: After heating and softening the wax bag, place it on the affected area, once a day for 15 to 20 minutes each time.
(4) *** Therapy: You can first use pushing, regulating, and kneading techniques, and gently massage to relax the muscles in the affected area and allow Qi and blood to flow smoothly; then use point, press, pinch, and hold techniques. , to achieve the purpose of relaxing the muscles, activating the collaterals and relieving pain; finally, use rocking, rolling and kneading techniques for aftercare. 30 to 50 minutes each time, once every 2 to 3 days.
The above therapies can be implemented individually or combined with each other. Such as fumigation followed by massage or physiotherapy, infrared irradiation followed by external application, etc. Care should be taken when carrying out various auxiliary therapies. When using heat therapy, such as fumigation and wax therapy, do not burn the skin; many external medicines are very harmful to the skin, so they should be replaced daily or in time, and should not be applied for a long time; avoid using force or violence when applying heat. , to avoid causing fractures, etc.
What are the dietary therapies for the treatment of rheumatoid arthritis?
Patients with rheumatoid arthritis can complement each other with medication and dietary therapy. Several therapeutic recipes are now introduced as follows:
(1) Ginger Chicken: Use 1 rooster that has just crowed, 100-250g of ginger, cut into small pieces, stir-fry in a pot and simmer until cooked. Add oil and salt. Those who drink can drink a small amount of wine and eat it within one day, or once every one week or half a month. It is used for those who suffer from cold pain in joints and those who like warmth and are afraid of cold.
(2) Deer antler chicken: Use 1 rooster from that year and 3 to 6 grams of velvet antler, simmer it in a pot without adding oil or salt. Eat meat and drink soup, finish it in two days. It can be taken once every one week or half a month according to the situation. Do not use it in summer or if you have red, swollen and painful joints.
(3) Adzuki bean porridge: 30g adzuki bean, 15g white rice, appropriate amount of sugar. Boil adzuki beans until cooked, then add white rice to make porridge with sugar, which can remove dampness and heat.
(4) Barley rice porridge: 30g barley rice, a little starch, appropriate amount of sugar and sweet-scented osmanthus. Boil the glutinous rice first. When the rice is cooked, add a little starch, then add sugar and sweet-scented osmanthus. Used for breakfast, it can clear away dampness and heat, strengthen the spleen and remove paralysis.
(5) Fangfeng and glutinous rice porridge: 10g of Fangfeng and 30g of glutinous rice. Boil it in water, take it once a day, and take it for 1 week. It can clear away heat and relieve paralysis.
(6) Papaya soup: 4 papayas, steamed and peeled, ground into mud, and refined with 1kg of white honey. Mix the two ingredients thoroughly and put them into a clean porcelain vessel. Dissolve 1 to 2 spoons with boiled water every morning and drink it. It can relieve numbness and relieve pain.
(7) Green onion porridge: Boil rice to make porridge, add green onion when it is cooked, eat at any time, and make people sweat slightly after eating, which can relieve the symptoms and dispel cold.
(8) Ginger porridge: 50g of japonica rice, 5 slices of ginger, a few green onions and an appropriate amount of rice vinegar. Use a casserole to cook the rice to make porridge. Mash the ginger and cook it with the rice. When the porridge is cooked, add green onions and vinegar. Sweating after eating can relieve the symptoms and dispel cold.
(9) Sichuan Aconitum porridge: 3 to 5g of raw Sichuan Aconitum, 30g of japonica rice, 10 drops of ginger juice, and appropriate amount of honey.
Crush the aconite and grind it into very fine powder. Cook the porridge with japonica rice. When it boils, add the Sichuan aconite powder and fry it slowly over low heat. When it is cooked, add ginger juice and honey and mix well. Boil for a while or two. It should be taken warmly. Patients with thermal pain should not take it during fever and pregnant women. This prescription cannot be taken together with Chinese medicines such as pinellia, trichosanthes, fritillary, white root, and white root. This porridge can dispel cold and relieve pain.
(10) Laosangzhi Claypot Chicken: 60g of Laosangzhi, 1 hen about 500g, add an appropriate amount of water to make soup, season with a little salt, drink the soup and eat the meat. It can warm the meridians and dispel cold, clear away heat and remove dampness.
(11) Pig's trotters soup: 60g each of barley, papaya, musk grass and Qianqianjian, wrap them in gauze, put 1 to 2 pig's trotters in the pot, and simmer over low heat Rotten, remove the dregs, and do not add salt. Drink soup and eat meat, divided into two meals. It can dispel rheumatism and nourish the liver and kidneys.
What are the commonly used Chinese herbal medicines for the treatment of rheumatoid arthritis?
Chinese herbal medicines for the treatment of rheumatoid arthritis are divided into the following categories according to their main functions:
(1) Evacuate wind evil: Duhuo, Qianghuo, Fangfeng, and Ephedra.
(2) Warm the meridians and dispel cold: cooked aconite root, Aconite root, Aconite root, Guizhi, Asarum.
(3) Dehumidification and paralysis: Yiren, Fangji, Atractylodes, Pseudomonas aeruginosa, silkworm excrement, papaya, Poria, Polyporus, Alisma, Talc.
(4) Clear away heat and relieve numbness: Anemarrhena, Cortex Phellodendri, Gypsum, Silver Flower, Forsythia suspensa, Isatis root, Daqingye, Lonicera vine, Radix Rehmanniae, Radix Paeoniae Alba, Radix Paeoniae Alba.
(5) To stimulate the menstrual flow and activate meridians: Urumae, Trachelospermia, Honeysuckle, Rhizoma rhizome, Trichoderma striata, Herba sibiricum, Papaya, Sea maple vine, Millennium Jian, Penguin grass, Milletia sinensis , Pangolin, Turmeric.
(6) Search for wind and remove collaterals: whole scorpion, centipede, earth dragon, adder, black snake, pangolin, earth element, zombie silkworm, hive.
(7) Promoting blood circulation and removing blood stasis: peach kernel, safflower, angelica tail, red peony root, frankincense, myrrh, and Wulingzhi.
(8) Resolving phlegm and dispersing stagnation: pinellia, tuckahoe, tangerine peel, nanxing, white mustard seed, and elephant shell.
(9) Replenishing qi and nourishing blood: Astragalus, Codonopsis pilosula, Angelica sinensis, white peony root, Rehmannia glutinosa, Millet Spatholobus.
(10) Tonify the kidneys and strengthen the bones: Rehmannia glutinosa, psoralen, drynaria, epimedium, dog's spine, Dipsacus, eucommia, loranth, achyranthes, fairy spleen, velvet antler, cornus Meat, Ligustrum lucidum, Eclipta grass.
What are the commonly used ancient and empirical prescriptions for treating rheumatoid arthritis?
(1) Ancient prescriptions:
①Chaige Jieji Decoction ("Six Books on Febrile Diseases") 》): Bupleurum, Pueraria lobata, licorice, skullcap, Qianghuo, Angelica dahurica, peony, Platycodon, gypsum. It is suitable for those with rheumatoid arthritis who have aversion to cold, fever, joint pain, muscle aches and pain, and who are diagnosed with wind-heat on the surface according to traditional Chinese medicine.
② Qianghuo Shengshi Decoction ("Treatise on Differentiating Internal and External Injuries"): Qianghuo, Duhuo, Ligusticum, Fangfeng, Chuanxiong, Zhigancao, and Vitex. It is suitable for patients with rheumatoid arthritis who have heavy headaches, severe back pain, aversion to cold and mild fever, and whose syndrome according to traditional Chinese medicine is rheumatism on the surface.
③Sanbi Decoction ("A Good Prescription for Women"): Duhuo, Gentian, Fangfeng, Asarum, Angelicae Sinensis, Paeoniae, Ligusticum Chuanxiong, Rehmannia glutinosa, Eucommia ulmoides, Achyranthes bidentata, Codonopsis pilosula, Poria cocos, licorice, cinnamon Heart, astragalus, Dipsacus, ginger. It is suitable for patients with rheumatoid arthritis that does not heal over time, cold pain in the waist and knees, and spasm in the hands and feet. TCM syndrome diagnosis is wind-cold-dampness paralysis, which is due to liver and kidney deficiency and insufficient qi and blood.
④Bianbi Decoction ("One Hundred and One Prescriptions"): Qianghuo, turmeric, angelica (soaked in wine), astragalus (honey roasted), red peony root, saposhnikovia, licorice root, and ginger. It is suitable for patients with rheumatoid arthritis who suffer from wandering joint pain, especially pain in the neck, back, shoulders and elbows, and who are diagnosed with wind paralysis according to traditional Chinese medicine.
⑤Xuanbi Decoction ("Febrile Disease Treatise"): Fangji, almond, forsythia, talc, Yiren, pinellia, silkworm excrement, adzuki bean skin, gardenia. It is suitable for people with rheumatoid arthritis who have painful joints, difficulty in moving, chills and heat, and damp-heat syndrome according to traditional Chinese medicine.
⑥ Add and subtract Mu Fangji Decoction ("Tiao Bian of Febrile Diseases"): Mu Fangji, gypsum, cassia twig, Yiren, talc, Tongcao, almond. It is suitable for those with red, swollen, hot and painful joints in the acute stage of rheumatoid arthritis.
⑦Aconitum decoction ("Synopsis of the Golden Chamber"): Aconitum, ephedra, astragalus, peony, licorice, honey. It is suitable for those with severe joint pain due to rheumatoid arthritis, who like warmth and abhor cold.
⑧ Guizhi, Peony and Anemarrhena Decoction ("Synopsis of the Golden Chamber"): Guizhi, peony, licorice, ephedra, Atractylodes, Anemarrhena, Fangfeng, Pao Fuzi, ginger. It is suitable for patients with rheumatoid arthritis who have cold joint pain that feels hot when pressed, or joints that are red and swollen but not hot to touch, and have severe pain when cold.
⑨ Taohong drink ("Syndrome-like Treatment"): peach kernel, safflower, Ligusticum chuanxiong, Guiwei, Clematis. It is suitable for those with rheumatoid arthritis joint pain, localized pain, difficult swelling, and difficulty in moving.
?10?Shentong Zhuyu Decoction ("Yi Lin Gai Cuo"): Genie, Chuanxiong, peach kernel, safflower, licorice, Qiang Huo, myrrh, Cyperus rotunda, Wulingzhi, Achyranthes root, Earthworm, angelica. It is suitable for patients with rheumatoid arthritis who have localized pain such as acupuncture, bluish skin, purple tongue and astringent pulse.
(2) Experienced prescription:
① Zhang Wenzhi’s experienced prescription: Shuanghua, dandelion, gypsum, gentian, smilax, Polygonum cuspidatum, raw land, Akebia, red peony root, peach kernel , cicada clothes, leeches, black plums, licorice, young mulberry branches or fresh reed roots can be boiled into soup instead of water. It is suitable for patients with acute rheumatic fever, joint swelling and pain, aversion to cold and fever, and skin nodules and erythema.
Boil an appropriate amount of Phellodendron cypress, Polygonatum sibiricum, Turtle shell, Radix Genchi, Papaya, Fangji, Luffa, Clematis, Artemisia annua, Honeysuckle, Millaplasia, Nocturna, Earthworm, Schisandra, young mulberry branches or fresh reed root and replace the water with it. It is suitable for patients with acute rheumatic fever whose high fever has subsided and joint redness and swelling have gradually subsided, but still have low-grade fever, dry mouth and joint pain. Astragalus, Polygonatum, Millet Spatholobus, Salvia, Artemisia annua, Millennium Jian, Tortoiseshell Gum, Dilong, Guizhi, White Knot, Gallus gallus gallus L, Tu Yuan, Lycium barbarum, Longan, Jasmine, Prunella vulgaris. Suitable for the recovery period of acute rheumatic fever.
② Lei Zaibiao’s prescription: Fangfeng, Guizhi, White Peony Root, Angelica Sinensis, Qianghuo, Duhuo, Atractylodes, Yiren, Asarum, and Astragalus. It is suitable for people with chronic rheumatoid arthritis and wind-cold-dampness syndrome.
③ Yao Qingyun’s prescription: Cinnamomum twig, Millaplasma spathula, Sichuan grass root, white peony root, angelica root, astragalus root, saposhnikovia root, and licorice root. To treat chronic rheumatoid arthritis, the prescription should be added or subtracted based on the severity of wind, cold and dampness and the location of joint pain.
④ Zhu Sichun’s empirical prescription ("Bi Tong Ling"): Yiren, Achyranthes bidentata, Atractylodes, papaya, Cyperus rotunda, Fangji, Angelica sinensis, frankincense, myrrh, peach kernel, safflower, earthworm, cinnamon twig , Scutellaria baicalensis, Wuyao, Gengenium, Chuanxiong, Licorice. Decoct in water and drink with wine. Treat rheumatoid arthritis joint pain that persists for a long time.
How do patients with rheumatoid arthritis adjust their daily lives?
In order to promote recovery from the disease, patients with rheumatoid arthritis should pay attention to the following points in their daily lives:
(1) The house you live in should be ventilated and facing the sun to keep the air fresh. Bedding should be dry and light and warm. The bed should be flat. Never sleep in a draft area.
(2) It is advisable to use warm water for washing, and wash your feet at night. The hot water should be immersed above the ankle joint for about 15 minutes to promote smooth blood flow in the lower limbs.
(3) Those who sweat a lot should be wiped dry with a dry towel in time. Clothes should be changed in time when they become sweaty to avoid being exposed to wind.
(4) Pay attention to climate changes. When the weather changes drastically and becomes cold, add clothes in time. Keep warm and prevent colds.
(5) Maintain a good mental state and treat the disease correctly. Do not be impatient, anxious, indifferent, or depressed. Be good at self-control, study hard, work actively, be broad-minded, and live happily.
(6) Insist on physical exercise to enhance physical fitness and improve disease resistance.
What should patients with rheumatoid arthritis pay attention to in their diet?
Patients with rheumatoid arthritis are generally advised to eat high-protein, high-calorie, easy-to-digest foods, and eat less spicy *** and Raw, cold and greasy things. The following points should be noted in diet:
(1) Diet should be moderate. Eating should be regular and quantitative, and the soft, hard, cold, and hot food should be appropriate. Don't overeat because you are worried about your weak constitution or insufficient nutrition, which will increase the burden on your spleen and stomach and damage your digestive function.
(2) The diet should be light. Rheumatoid arthritis patients often suffer from pain and take medication for a long time. When the disease attacks, the food and tea are not fragrant, so the food should be light. On the one hand, it can maintain a better appetite, and on the other hand, it can maintain better transportation and transformation functions of the spleen and stomach to enhance disease resistance.
(3) Don’t be partial to food. Chicken, duck, fish, whole grains, vegetables and fruits cannot be ignored and should be combined in a reasonable manner.
(4) Treat dietary supplements and medicinal supplements correctly. Whether dietary supplements or medicinal supplements are beneficial to patients with rheumatoid arthritis, they must be taken according to the condition and the strength of the spleen and stomach's transportation and transformation functions. For example, although milk, soy milk, malted milk, and chocolate are good nutritional products, if you have dampness and heat in the body or sticky tongue coating, eating too much will cause abdominal distension and discomfort, and you will not feel like eating; although ginseng, white fungus, and donkey-hide gelatin can nourish qi and blood, they will not affect the spleen and stomach. If it is harmonious or has internal dampness and heat, taking it will block the qi and help the dampness. Not only will the disease not be cured, but the pain will be aggravated.