Treatment of rheumatoid arthritis by Chinese medicine and surgery

Rheumatoid arthritis: wind-cold-damp type and wind-damp-heat type.

First, the main points of identification:

1, wind-cold-damp type: swollen joints, not red and not hot, pain and pain, pain and less pain, heat pain, fever is not high, clear urine, floating or tight pulse, thin white moss or white greasy.

2, rheumatic fever type: local burning redness and swelling, pain is intense, cold is comfortable, accompanied by high fever, thirst, boredom, yellow and red urine, pulse slippery, moss yellow dry.

Second, the internal treatment:

1, wind-cold-damp type:

"Treatment Ideas": to dispel wind, cold and dampness.

Prescription:

4.5 grams of Chuanwu (first decocted), 4.5 grams of Qiangduohu,

4.5 grams of cinnamon, 3 grams of licorice, 9 grams of windbreak,

9 grams of turmeric, 12 grams of oil, 6 grams of atractylodes macrocephala,

12 grams of uncooked poppy seed kernel, 12 grams of dicotyledon, 12 grams of wilsonia,

"plus and minus": For those with prolonged illness, pale complexion and insufficient qi and blood, use Dang Gui Tang (当归补血汤) as the mainstay, adding 9 grams of Roasted Astragalus, 9 grams of Radix Angelicae Sinensis, 9 grams of Bai Shao (白芍). (i.e., use the qi and blood double tonic angelica blood tonic soup plus nourishing blood menstruation, soft liver pain, astringent yin stop sweating white peony).

2, rheumatism-heat type:

"Prescription":

Gui Zhi 3 grams, 18 grams of gypsum (broken), 4.5 grams of Atractylodes macrocephala, 15 grams of Lonicera japonica, 9 grams of Phellodendron amurense, 12 grams of Zhimu, 3 grams of Glycyrrhiza Uralensis. Dioscorea villosa 12 grams, raw rice 12 grams, silkworm sand 12 grams (packet decoction). Sweat more yin injury add gold dendrobium 12 grams (first decoction), maitong, smallpox powder 9 grams each.

Third, the application of proprietary Chinese medicines: Golden Crow Bone capsule, through the paralysis capsule, paralysis pain Ning capsule.

Fourth, external treatment:

1, wind-cold dampness type:

1) Huiyang Yulong cream external application.

2) Red spirit wine external rubbing, 4-5 times a day.

3) Ironing Wind Scatter, hot ironing. (Just bake it with a magic lamp)

4) Tiger's Foot Trace Grass Zi external application. Applied to the painful area, there will be pain, blistering immediately withdrawn, covered with sterile gauze.

"Note": "Chinese Materia Medica": tiger's foot traces of grass: with the interception of malaria, analgesic, yellowing, wheezing, cataract efficacy. For the treatment of migraine; toothache; crane's knee wind; rheumatic arthralgia; scrofula; carbuncle sores and poisons have good effect. Because it is toxic, it should be applied with care, and oral intake can easily lead to enteritis.

2, rheumatic fever type:

1) Taiyi cream external paste.

2) Jinhuang paste mixed with red Lingdan external application.

V. Acupuncture

Upper limbs: shoulder, Quchi, Shakuzawa, Waiguan, Hegu, etc.

Lower limbs: Fengshi, knee eye, Yanglingquan, foot, Shenwei, Kunlun, etc., it is appropriate to diarrhea, leave the needle for 15 minutes.

"Note" The above are the main acupuncture points, the clinical symptoms can be in accordance with the symptoms on this basis, add the appropriate points, in order to enhance the therapeutic effect.

Six, "external prescription"

1, Huiyang Yulong cream "Surgical Authenticity"

Cao Wu (fried), ginger (simmering) 90 grams each, red peony (fried), Angelica dahurica, Nanxing (simmering) 30 grams each, cinnamon 15 grams, and research into a fine powder.

Functions: Warming menstruation and activating blood circulation, dispersing cold and resolving phlegm.

Usage: Apply with hot wine, or mixed in plasters.

Huiyang Yulong ointment: that is, with Vaseline 8/10, Hui Long Yulong cream 2/10, mix well into a paste.

2, red spirit wine (empirical formula )

Raw angelica (sliced) 60 grams, 30 grams of saffron, pepper 30 grams of cinnamon (thinly sliced) 60 grams of camphor 15 grams, 15 grams of spicery (research fines), 30 grams of dry ginger (cut pieces). With 95% alcohol 2 city pounds (1000ml), soaked for seven days, standby.

Functions: Promote blood circulation, reduce swelling, relieve pain.

Usage: daily use cotton dipped in medicinal wine in the affected area (after ulceration in the upper part of the affected area), rubbing twice, 10 minutes each time.

This method is more effective, may be related to the wine spicy, can warm, can line, blood circulation and stasis.

3, Taiyi cream "Surgery"

Functions: reduce swelling and clear fire, detoxification and muscle.

4, Jinhuang San "Medical Zong Jinjian" (I am very familiar with this medicine, because our hospital preparation room on the production. For all joint sprains, contusions, mumps, etc.).

The rhubarb, cypress, turmeric, Angelica dahurica 5 pounds each, Tiannanxing, Chenpi, Cangzhu, licorice, thick Park 2 pounds each, 10 pounds of smallpox powder.

"Preparation": the above drugs *** research fine powder.

Functions: Clearing heat and removing dampness, dispersing blood stasis and resolving phlegm, subduing swelling and relieving pain. Treatment of all Yang evidence.

"Yang evidence": boils, carbuncles, dengue, abscesses, etc., manifested as redness, swelling, heat, pain and other symptoms for Yang.

Yin Evidence: Tumors, tuberculous infections, etc., manifesting symptoms such as pallor, no heat, no pain or hidden pain, flat collapse, numbness, etc. are considered Yin.

Usage: can be wine, onion juice, sesame oil, honey, chrysanthemum dew, lucerne leaves pounded juice and other dressing. In fact, in the application, the choice of what is the substrate to adjust the compress, mainly to do what purpose. Such as blood circulation and stasis, choose to use wine dressing; if used to reduce swelling and anti-inflammatory honey and so on.

"Note" gold cream: that is, with Vaseline 8/10, gold powder 2/10, mixed into a paste.

Vaseline with dryness, can also stimulate the skin, such as wet skin, sores decay has been exhausted, the dressing should be thin and to change, so as to avoid pus immersion skin, not easy to collect dry.

5, ironing wind scattered "Selected Injuries"

Prescription: Qiang Wu, wind, Angelica dahurica, Angelica sinensis, fine Xin, coriander, white peony, Cornu Cervi Pantotrichum, cinnamon, each 3 grams, research into a fine powder.

Functions: Warming menstruation, dispersing cold, dispersing wind and relieving pain. Treatment of rheumatic arthritis, rheumatoid arthritis, caused by wind, cold and dampness.

6) hot compresses with vinegar: I have used this method, not ideal, only to relieve.

VII, "care and prevention"

1, usually pay attention to warmth, avoid cold, prevent moisture.

2. After healing, activities must be gradually increased, and appropriate medical rehabilitation exercises can be given.

Eight, dietary attention

1, diet should be light, quantitative, easy to digest food.

2. Do not eat stimulating food during the seizure period.

"Note" is for reference only for study, please consult a Chinese medicine practitioner or Chinese pharmacist for self-medication.