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MaZhiJian rheumatoid arthritis to check

 

 

XiaoLianYu ChenPei Beijing university of Chinese medicine

 

 

China's traditional Chinese medicine reported

 

 

 

        MaZhiJian Shanxi Province is a folk traditional Chinese medicine, medical profession nearly 20 years, have been engaged in treatment of rheumatoid arthritis, rheumatoid arthritis and difficult disease. He used in the syndrome differentiation based on the party, and combined with the modern Chinese medicine pharmacology, immunology relevant knowledge, in rheumatoid arthritis drugs to treat unique aspects. The author will the clinical treatment of rheumatoid arthritis experience was summarized, the reference for the reader.

 

        TCM holds that belongs to "bi card" with the category, the human body deficiency, the wind cold dampness attacks from such as, lead to the meridians closed resistance, blood operation impeded, joint pain. In recent years, with western medicine etiology is the deepening of the research, most scholars think rheumatoid arthritis as autoimmune disease. Accordingly, often used MaZhiJian formulas are as follows:

 

        The party

 

        No matter what type of rheumatoid arthritis, pain in general will be worse because of the cold. According to whether the patient has inner hot like (mainly through the urine color, sore throat, dry throat, thirsty or not, such as tongue to judge pulse), can be the main party rheumatoid treatment respectively as follows:

 

        1. "four inverse soup

 

        For cold dampness heavier rheumatoid patient, often USES four inverse tonga are reduced to by the temperature scattered cold, raise blood unclogged arteries. "Treatise on febrile diseases · cause disease syndrome and pulse train Yin to" : "brothers jue cold, pulse fine desire unique person, angelica four inverse soup of the Lord." Can be used in the treatment of blood deficiency, sun be the spirit is insufficient, cold invasion of meridians rheumatoid arthritis. Symptoms often presents with brothers jue cold, pain, not thirsty mouth, tongue light moss white, pulse heavy fine or fine and desire unique.

 

        2. White tiger add guizhi decoction

 

        For obvious rheumatoid patients like hot, often USES white tiger add guizhi tonga reduced to clear away heat, dredging the pain. Synopsis of · anopheles disease and put to the fourth pulse syndrome ":" warm, their chakras as the anopheles flat, the body has no cold, but hot, and of the joints hurt when vexed, oh, the white tiger add guizhi decoction of the Lord." Can be used for hot there were strong, or cold ShiXie yu and turn heat of rheumatoid arthritis. The patient may be associated with urinate yellow, dry throat, sore throat, thirsty, red tongue moss yellow, pulse string number.

 

        3. Guizhi herbaceous altogether soup

 

        For no obvious cold rheumatoid patient, often USES guizhi herbaceous altogether to reduce tonga (desiccant, scattered by the temperature cold, heat Yin. Synopsis of · stroke calendar quarter pulse license and cure disease fifth ":" all segments pain, swelling of feet from chief body, if take off, the head DuanQi glare, warm spit, cassia twig to the terrace Lord of soup, altogether." Can be used in the treatment of disease long is empty, the wind cold dampness invading bones joints, camp guard adverse, blood clotting acerbity of rheumatoid arthritis. Clinical performance in order to body emaciated, joint swelling transformation, pain, intense and no obvious cold for features, tongue light moss white, pulse heavy.

 

        Drug compatibility

 

        1. The honeysuckle cane, gold finches root, having the root share

 

        Honeysuckle cane: taste Kennedy, sex cold, lung, stomach to the. "Don't record" : "the Lord cold body is swollen." Compendium of materia medica yue "put to all swollen drugs, YongJu scale", it is a mild wind to medicine, dredging and has clear heat efficacy of medicine fights rheumatism, is blindly both fights rheumatism, anti-inflammatory pain, allergy, fight allergy drug immunosuppression. Can be used for the treatment of various clinical arthritis, regardless of heat syndromes, cold syndrome, cold du card can be used.

 

        Gold finches root: taste Kennedy, sex lukewarm. The poems of materia medica ":" put to tumors, injuries, cough, warm, cure gout, bones, and the blood zhuifeng performance away "poison veins,." The open treasure of material medica: "the clear lung benefit spleen. Put to dizziness, cough, asthma, five consumptive disease to seven injury, blood actions." Beneficial qi and activate blood circulation, qufeng painkillers, traditionally is blindly fill qi and activate blood circulation of strong medicine. Modern research has shown, it in mouse T, B lymphocytes are apparent inhibition, clinical treatment can be used as a common rheumatoid of, and there are strong effect.

 

        Having mountain root: and the root of soft, taste Kennedy, sex flat. Wind is dredging, hemostatic, analgesic effect, is the treatment of arthritis to commonly.

 

        Share more than 3 gout drug for the treatment of rheumatoid excellent results. Among them the honeysuckle cane can be used to 30-90 g, gold finches root, having the dosage of the mountain root general for 10 ~ 15 grams.

 

        2. The dandelion: with the sichuan, the grass processing of dandelions, can be used to replace the direct use the grass, the sichuan. Making use of the dandelion greatly reduces the sichuan, the grass of the side effects, and shortened the time of patients tisanes, avoid improper tisanes caused by poisoning, and can also achieve scattered cold wind, by the temperature and the effect of pain, for the treatment of cold evil slant of rheumatism and more pain. Often dosage for 30 to 60 grams.

 

        3. The glycyrrhiza uralensis fisch: good bones can display between rheumatism, opening the meridians, through of joints, the pain of strong power, for the treatment of rheumatism WanBi, body JuLuan pain. Because it has great poison, the dosage in general not more than 3 g, and should be charged with, if after taking the symptom such as dizziness, that is, taking a lot BaiTangShui or stop taking them.

 

        4. White mustard: can WenTong channels, the variable gas sputum, [swelling pain, for the treatment of bones and muscles waist quarter the pain, for not list is effective. Commonly used 10 grams.

 

        5. Insect drugs

 

        (1) the centipede: and as to use drug combination, can strengthen the centipede combination of penetrating, joint, meridian of deep lesions good effect. The combination of often dosage for 6 ~ 10 grams, centipede article 1 to 3.

 

        (2) the ant: can the kidney and fine, activate collaterals, detoxification detumescence. Modern research shows that ants have anti-inflammatory effect, and can adjust the immune function, especially for T cells play a duplex adjust immune function, and a low toxicity. Average amount of 10 to 15 grams, more pain to rheumatism, brothers and sisters and numb to wait to have good curative effect.

 

        (3) JiangCan: can wind, pain, to the wind and the partial and convulsions, pain has good effect. Commonly used 10 grams.

 

        (4) the tip snake: wind, dredging, WanBi to rheumatism, and the deep long illness's good effect, commonly used 20 grams.

 

        According to the patient's specific conditions, rheumatism and the JiaoChongZhe, use WeiLingXian, SangZhi, wind, qiang work (such as desiccant medicine; The liver and kidney deficiency, the use of eucommia, such as beef shanks up, strengthening tendons liver and kidney medicine; Rheumatoid patients generally medication day long, reason and remarkable sprout, malt, etc, the spleen and stomach medicine to protect stomach gas.

 

        Medication method

 

        Internal and outside with wash: medicine after two Fried, morning and evening points two used; Will the third time pseudoginseng var.notoginseng.by Fried, used to bubble wash hands and feet, and half hours sooner or later. According to MaZhiJian doctor years clinical practice, inside and outside of the illness share of great relief effect. In stable condition, can be crushed into slices and the end of the load capsule take, can be made into taking the pills were pleasant.

 

        Disease case

 

        Case 1: QinMou, female, 32 years old, on October 14, 2009 my first time. Most fingers joint swelling and pain, low back pain, knee pain, at the same time with 37.5 ℃ fever. Red tongue moss yellow, pulse string number. Hold on October 12, 2009 paper, test results rheumatoid factor [RFS] 20.6 IU/ML (reference areas: 0 ~ 12 IU/ML, hereinafter the same). Prescription for guizhi herbaceous altogether tonga minus: guizhi 10 grams, root of herbaceous peony 10 grams, 20 g altogether, white atractylodes 15 grams, dry ginger 10 grams, 30 grams of dandelions, wind 10 grams, ephedra 7 g, born licorice 15 g, honeysuckle 30 grams of cane, gold finches root 10 grams, having mountain root 10 grams, the 3 g glycyrrhiza uralensis fisch, sweet 10 grams, centipede two, the ant 10 grams, WeiLingXian 20 grams, kindhearted YiRen 30 grams, sprout 15 grams, ginger, 10 g. 7 uniform, water frying uniform, the morning a take.

 

        October 22, appointment, joint pain have improved, but still hot like obvious, so more party for the white tiger add guizhi tonga decreases. After continuous treatment to November 25, joint swelling and pain symptoms disappeared basically, no distortion, tongue reddish moss thin white, pulse flat. November 29,, the test results rheumatoid factor [RFS] 7.1 IU/ML.

 

        Case 2: a pei, female, 68 years old, 15 December 2009 my first time. Most sidewith severe pain, a finger joints deformation, red tongue moss white greasy, pulse heavy. December 14, 2009 test results rheumatoid factor [RFS] 13.3 IU/ML. Prescription for: qiang work 10 grams, wind 10 grams, gesso 30 grams, altogether 20 grams, born licorice 15 g, centipede two, the ant 10 grams, the dandelion 45 g, 3 g of glycyrrhiza uralensis fisch, honeysuckle cane 50 grams, gold finches root 15 grams, mountain root and having 15 grams, SangZhi 30 grams, kindhearted YiRen 30 grams, white mustard 10 grams, the pine section 15 grams, WeiLingXian 15 grams, QingFengTeng 25 grams, sprout 15 grams, malt 15 grams. 7 uniform, water frying uniform, the morning a take.

 

        December 24, appointment, reducing pain, tongue reddish, i.e., a party for guizhi herbaceous altogether tonga decreases. After taking the white tiger add for alternate guizhi tonga minus and cassia twig herbaceous altogether to tonga on March 16,, test results rheumatoid factor [RFS] 1.2 IU/ML. Joint pain symptoms get great improvement, joint deformation under control.