The prevention and control of combination of traditional Chinese and western medicine rheumatism effect better

YangCangLiang China combine traditional Chinese and western medicine FengShiLei society of professional committee of the secretary-general

China's traditional Chinese medicine to

        Rheumatism is a kind of disease of unknown etiology, and for touching refractory disease, its morbidity in our country 20% ~ 40%, seriously affected our country people's physical and mental health.

        Modern medicine to rheumatism in paying attention to pathogenic factor and pathogenesis, the pursuit of pathological changes, get assay, imaging confirmed, as well as the name of classification, diagnosis, differential diagnosis and so on aspects has the obvious advantage, but in the treatment will be helpless, curative effect is not very ideal, the use of treatments for pain relief, suppresses the immune reaction, etc symptomatic therapy, especially some such as hormone and immune inhibitors, non-steroidal anti-inflammatory drugs after drug application will only relieve symptoms, cannot control illness development, together with medicaments sex side effects of the treatment of the disease brings great trouble.

        This author, based on his clinical 30 years experience think, prevent and cure rheumatism the optimal scheme is combine traditional Chinese and western medicine treatment.

        The author thinks that, should with western medicine disease named criterion for all rheumatism to western medicine named, but at the same time, to all sorts of rheumatism for TCM syndrome differentiation, parting syndrome differentiation, this is western medicine combination of disease and syndrome differentiation of traditional Chinese medicine.

        To rheumatism the etiology and pathogenesis pathology study, should with western medicine as the leadership, the doctor of traditional Chinese medicine for auxiliary the basic train of thought. In treatment, it should adhere to the traditional Chinese medicine, western medicine as the leading factor for auxiliary diagnosis and treatment of the basic train of thought. The doctor of traditional Chinese medicine treatment emphasizing integral concept, adjust the balance of Yin and Yang, in order to get rid of evil, AIDS upright and dredges the channels and collaterals as the basic medical thinking, this is the doctor of traditional Chinese medicine focuses on effect a permanent cure, western medicine focuses on take temporary solution, only for the treatment of this thinking, can we make treatment received good curative effect. Therefore, in clinical diagnosis with western medicine is given priority to, treatment of traditional Chinese medicine is to give priority to, western medicine for added in TCM treatment meet greater resistance, especially intractable rheumatism, more should stick to combine traditional Chinese and western medicine treatment plan to mutual complement each other. In the clinical treatment of many difficult miscellaneous diseases, traditional Chinese and western pharmaceutical and much better than western medicine alone or with traditional Chinese medicine has good curative effect, less side effects, after statistics processing proved to have a significant meaning. Therefore, the author thinks that, adhere to the principle of prevention and control of combination of Chinese and western medicine, is to improve the level of diagnosis and treatment of rheumatism only. Cite a case of that.

        The typical case

        Work his way up patients, male, 53 years old, with fever, sore throat after 15 days appear refers to, wrist, knee joint swelling and pain and accompanied by morning stiffness, via a hospital diagnosed as "rheumatoid arthritis" and give prednisone, dexamethasone treatment more than 20 days, symptoms and released. More than 10 days after repeatedly illness, appear in multi-joints pain, then to the other two hospital treatment for about a year, symptoms when light weight. The and because of cold and cause joint intense pain, trouble sleeping, oral ammonia phenol stay for will not ease the pain. Especially in February 2006 to 9 to ningxia QinYang rheumatism hospital outpatient service QiuZhi, we by "the intractable rheumatoid arthritis" income court.

        Disease see: both hands knuckles enlargement with a spindle shape, elbow, knee, ankle joint swelling and pain, morning stiffness, walking difficulties, shoulders can't service, stiff neck pain, tongue mass red partial fat, moss heavy greasy micro black, vein string number. Laboratory: rheumatoid factor (+), sedimentation 120 mm/h, c-reactive protein (+), blood routine: white blood cell (WBC) 12 x 109 / L, neutrophils (N) 70%. X alignment: both hands knuckles osteoporosis, articular surrounding soft tissue swelling, lumbar osteoporosis.

        Western medicine differentiation of disease as "intractable rheumatoid arthritis (severe)", the doctor of traditional Chinese medicine syndrome differentiation for "hot and humid poison bi syndrome". Give penicillin or cefoperazone sodium and sulbactam sodium tanzi and ribavirin or clear open spirit injection two groups of alternate static drop, and matches indomethacin bolt, 2 times/day (nano anal).

        Traditional Chinese medicine to clearing away heat and toxic material, lishi discharge poison for therapeutic principle. Party selected from fitting when using tripterygium wilfordii compound with this: when using tripterygium wilfordii 18 g, seven leaf a flower 30 grams, shang lu 6 grams, lumbricus 10 grams, han fangji 30 grams, bombyx batryticatus 30 grams, radix gentianae macrophyllae 30 grams, Chinese starjasmine stem 30 grams, YiMi kernel 30 grams, talc 30 grams, Fried 15 g of rhizoma atractylodis macrocephalae, poria cocos 12 grams, red paeony root 10 grams, liquorice 30 grams, a day of a agent, water frying 400 ml, points sooner or later, two temperature suit.

        The feeling of patients is reducing pain has been able to go to sleep at night 1 ~ 2 hours, to 5 days, has been able to sleep 5 ~ 6 hours, the whole body joint pain alleviate, can walk, because go out in the sun sweating wind again after caused by a cold, temperature of 37 ℃ ~ 39 ℃, give radix bupleuri injection plus compound ammonia forest barbital injection intramuscular injection. The Chinese traditional medicine reducing tuckahoe, red paeony root, increase the steamed 30 grams, herba schizonepetae 10 grams, wind 15 grams, 7 days the body temperature to restore normally. And because out activities have a cold again, fever, joint pain, swelling aggravated. Patients can't swallow Chinese native medicine, hence will Chinese native medicine oral to retention enema, twice a day, the treatment more than 10 days, the disease tends to get better, sedimentation reduce to 40 mm/h.

        96 days in hospital, the hospital's progress. To consolidate curative effect will be tried for the honey pill, 6 g/time, 3 times per day. Take medicine 5 months later, assay blood sedimentation 15 mm/h, the disease sita solution. Continue to take medicine two years later disable all kinds of medicine, muscle note benzathine benzylpenicillin sodium 1.2 million IU, once a month. In March 2012, 6 years follow-up forward curative effect, the patient's condition is not repeated, has been insisting to work, independent living as normal person, has reached the clinical cure purpose.

        According to the patients in the diagnosis of modern medicine we according to diagnostic criteria for the diagnosis of disease, according to the laboratory examination sedimentation 65 mm/h above, the two kinds of slow action anti-rheumatism drug therapy illness did not see more than one year relief, the diagnosis of intractable rheumatoid arthritis. With history of upper respiratory tract infection, and a cold repeatedly illness aggravating, and the misuse of hormone of history, so give penicillin, cefoperazone sodium and sulbactam sodium tanzi and antibacterial anti-inflammatory drugs to effect a permanent cure, give ribavirin, more yesterday los wei to antiviral, give clear open spirit injection to clearing away heat and toxic material. Thus a quickly control the bacteria and virus infection, at the same time, Chinese medicine clearing away heat and toxic material, lishi discharge poison of traditional Chinese medicine decoction to effect a permanent cure, so as to make an illness gradually recovered. After given proprietary Chinese medicine pills to consolidate curative effect, give benzathine to prevent hemolytic streptococcus infection again, so as to achieve the consolidate curative effect and prevent the illness relapses purpose.

        Rheumatoid arthritis is recognized difficult-and-rare-case, at present no special effects drug therapy. From the above cases shows that the disease have bacteria and virus infection causes, and repeated infection exacerbate touching refractory, and once the some treatment not only did not use antibacterial, antiviral infection measures, but have used large dose hormone make the body resistance is reduced, thus making illness, to severe and intractable category. In the diagnosis and treatment in western medicine on our diagnosis of disease, the doctor of traditional Chinese medicine syndrome differentiation as the principle, according to the bacterial virus the most basic pathogenesis, antibacterial, antiviral to effect a permanent cure, choose plenty of antibiotic and antiviral drugs used alternately, strengthen the antibacterial antiviral effect of traditional Chinese medicine slow running; At the same time using Chinese medicine to clearing away heat and toxic material, lishi discharge poison, make evil poison a way, and make up for the western medicine anti-rheumatism don't get to the root of the shortage. Using the combination of traditional Chinese and western medicine treatment can achieve supplement each other, complementary length, the purpose of the paper, and forward curative effect is very good.