Traditional Chinese Medicine Surgery for Rheumatoid Arthritis

Rheumatoid arthritis: it can be divided into wind-cold-dampness type and rheumatic fever type.

First, the key points of syndrome differentiation:

1, wind-cold-dampness type: joint swelling, no redness, no heat, more acidity and less pain, less heat and pain, low fever, long urine, floating or tight pulse, thin white or greasy fur.

2. Rheumatic fever type: local burning sensation, redness, swelling and heat pain, cold and comfortable, accompanied by high fever, thirst, restlessness, Huang Chi in urine, slippery pulse and yellow and dry fur.

Second, the internal processing method:

1, wind-cold-dampness type:

"Treatment ideas": dispel wind, cold and dampness.

Prescription:

4.5g of Radix Aconiti Preparata (fried first), 4.5g of Radix Angelicae Pubescentis each,

4.5g of cassia twig, 3g of raw licorice and 9g of divaricate Saposhnikovia root.

9 grams of turmeric, 0/2 grams of Pinus tabulaeformis/kloc-,6 grams of Maoshu,

Raw rice 12g, Poria cocos 12g, Clematis chinensis 12g,

Addition and subtraction: For patients with long illness, pale complexion and deficiency of qi and blood, Danggui Buxue Decoction is the main ingredient, and 9 grams of Radix Astragali preparata, 9 grams of Radix Angelicae Sinensis and 9 grams of Radix Paeoniae Alba are added. (that is, Danggui Buxue Decoction with both qi and blood plus Radix Paeoniae Alba with nourishing blood, regulating menstruation, softening liver and relieving pain, astringing yin and stopping sweating).

2, rheumatic fever type:

Prescription:

Ramulus Cinnamomi 3g, Gypsum Fibrosum (crushed) 18g, Radix Paeoniae Rubra 4.5g, Caulis Lonicerae 15g, Cortex Phellodendri 9g, Rhizoma Anemarrhenae 12g, and Radix Glycyrrhizae 3g. Fermented grains 12g, raw rice grains 12g, silkworm excrement 12g (fried).

"addition and subtraction": for patients with epistaxis, remove warm cassia twig, add 9 grams of rhinoceros horn (stir-fry first, large amount), 0/5 gram of Radix Rehmanniae/KLOC-,and 4.5 grams of Cortex Moutan. Dendrobium nobile 12g (decocted first), Ophiopogon japonicus 9g and Trichosanthes root 9g are added for patients with excessive sweating and yin.

Applications of Chinese patent medicines: Jinwu Gutong Capsule, Tongbi Capsule, Bitongning Capsule, etc.

Fourth, the external treatment method:

1, wind-cold-dampness type:

1) Huiyang Yulong ointment is applied externally.

2) External application of Kurenai Rin wine, 4-5 times a day.

3) Hot wind will disperse and hot. (Just bake it with a magic lamp.)

4) External application of Tiger Claw and grass seeds. If you apply it to a sore spot, it will hurt. If it bubbles, take it out immediately and cover it with sterile gauze.

Note: Chinese materia medica: Tiger Claw grass seed: has the functions of stopping malaria, relieving pain, relieving jaundice, relieving asthma and eliminating phlegm. Treat migraine; Toothache; Crane knee wind; Rheumatoid joint pain; Laplace operator; Carbuncle, sore, swelling and poison all have good effects. Because it is toxic, be careful when using it, and it is easy to cause enteritis by oral administration.

2, rheumatic fever type:

1) Taiyi ointment is applied externally.

2) External application of golden paste mixed with Hongshen Pill.

Verb (abbreviation of verb) acupuncture

Upper limbs: acromion, Quchi, Chise, Waiguan, Hegu, etc.

Lower limbs: Shi Feng, Knee Eye, Yanglingquan, Zusanli, Shenmai, Kunlun, etc. , should adopt the method of purging, and keep the needle 65438 05 minutes.

Above the notes are the main acupoints. On this basis, appropriate acupoints can be added with symptoms to enhance the therapeutic effect.

External prescription of intransitive verbs

1, Huiyang Yulong ointment "authentic operation"

Grinding 90g of Radix Aconiti Kusnezoffii (parched) and Rhizoma Zingiberis Recens (simmered), 30g of Radix Paeoniae Rubra (parched), Radix Angelicae Dahuricae and Rhizoma Arisaematis (simmered), and 0/5g of Cinnamomum cassia/kloc-into fine powder.

Function: Warming channels and activating blood, dispelling cold and resolving phlegm.

Usage: Hot wine can also be mixed with plaster.

Huiyang Yulong ointment: that is, use vaseline 8/ 10 and Huiyang Yulong ointment 2/ 10, and mix them evenly to form ointment.

2. Red wine (experience)

Raw angelica (sliced) 60g, safflower 30g, pepper 30g, cinnamon 60g (sliced), camphor15g, Asari15g (crushed) and dried ginger 30g (sliced). Soak 2 kg (1000ml) in 95% alcohol for seven days.

Function: promoting blood circulation, reducing swelling and relieving pain.

Usage: Dip cotton into the affected area (above the affected area after collapse) and rub it twice, each time 10 minute.

This method has a good curative effect, which may be related to the feasibility of pungent and warm wine, promoting blood circulation and removing blood stasis.

3. Taiyi ointment "authentic surgery"

Functions: detumescence, clearing away fire, detoxicating and promoting granulation.

I am familiar with this medicine because it is produced in the preparation room of our hospital. Used for sprain, contusion, mumps, etc. )

Radix et Rhizoma Rhei, Cortex Phellodendri, Curcuma Rhizome and Radix Angelicae Dahuricae each 5 kg, Rhizoma Arisaematis, Pericarpium Citri Tangerinae, Rhizoma Atractylodis, Radix Glycyrrhizae and Cortex Magnolia Officinalis each 2 kg, and Fructus Trichosanthis 10 kg.

"Method": apply medicine and grind it into fine powder.

Function: clearing away heat and promoting diuresis, removing blood stasis and resolving phlegm, reducing swelling and relieving pain. Treat all yang syndromes.

Yang syndrome: furuncle, carbuncle, erysipelas, abscess, etc. It is characterized by redness, swelling, heat and pain.

Yin syndrome: tumor, tuberculosis infection and so on. Symptoms such as pallor, no fever, no pain or dull pain, flat collapse and numbness are all yin.

Usage: It can be mixed with wine, onion juice, sesame oil, honey, chrysanthemum dew, luffa leaf mashed juice, etc. In fact, in application, what is chosen as the base of dressing mainly depends on what purpose it is used for. If you promote blood circulation, dredge collaterals and remove blood stasis, choose to apply wine; If it is used to reduce swelling and inflammation, honey should be used.

Note: golden paste: 8/ 10 vaseline and 2/ 10 gold powder are mixed into paste.

Vaseline is dry and irritates the skin. If the skin is wet and rotten, the sore is rotten, so as to avoid the skin being soaked by pus and not easy to dry.

5, Tiefeng San "The Essence of Traumatology"

Prescription: 3 grams of Notopterygium, 3 grams of Saposhnikovia divaricata, 3 grams of Angelica dahurica, 3 grams of Chinese angelica, 3 grams of Asarum, 3 grams of Daphne genkwa, 3 grams of Paeonia lactiflora, 3 grams of Evodia rutaecarpa and 3 grams of Cinnamomum cassia are ground into fine powder.

Function: Warming channels and dispelling cold, expelling wind and relieving pain. Treat rheumatoid arthritis, rheumatoid arthritis and wind-cold-dampness.

6) Old vinegar hot compress: I have used this method, which is not ideal and can only be alleviated.

Seven. Nursing and prevention

1, always keep warm to avoid catching a cold and getting wet.

2. After recovery, the activity must be gradually increased, and appropriate medical rehabilitation exercises can be given.

Eight, diet attention

1, the diet should be light, quantitative and digestible.

2. Do not eat irritating food during the attack.

Note is for reference only. Please consult a Chinese medicine practitioner or pharmacist for self-dispensing.