Cassia twig peony rhizoma anemarrhenae decoction to treat rheumatoid arthritis 
 
 
China's traditional Chinese medicine to 

        Rheumatoid arthritis (RA) is a kind of is characterized by joint synovitis of chronic systemic autoimmune diseases. Synovitis lasting break out repeatedly, can lead to joint cartilage and bone destruction, joint dysfunction, joint deformity, even disability. Main clinical involvement (mostly symmetry) joint pain, swelling, stiff, functional decline, pathological changes in the process of continuous, recurrent. The majority of patients in the activity of serum rheumatoid factor (RF). Modern medicine thinks, at present it is not clear on the cause of the disease, its incidence may be related to infection factors (e.g., viruses, mycoplasma, bacteria) and genetic factors. From the perspective of the clinical manifestations and course of the disease, when belongs to traditional Chinese medicine "calendar quarter wind", "involving the bone" and "the character was shown polioplus partners" category. 
 
        Syndrome differentiation syndromes 
 
        The cause of rheumatoid arthritis complicated, long course of disease, cure is more difficult, therefore, the traditional Chinese medicine syndrome differentiation type points more on the disease. Generally divided into 7 type treatment: 1 the wind cold dampness resistance type, cure to Juan bi tonga subtraction; 2 hot evil bizu type, choose white tiger addition guizhi tonga subtraction; Three junction, phlegm and blood stasis choose small adjustable Dan and subtract; 4 liver and kidney loss type, choose tiger hidden pill and subtract; 5 Yin internal heating type, choose pill and subtract; 6 the kidney Yang deficiency type, choose golden kidney pills and subtract; 7 two virtual model of Yin and Yang, choose to fill big pill, etc. 
 
        The author based on years of clinical experience, form of the disease, mainly for the ferrite is empty, who is not solid, vulnerable to wind, cold, outside assault, the origin of pathogenic lingers, joint of main and collateral channels, qi and blood and not free, collaterals stasis, limb joint swelling and pain; Time passes more affected viscera, qi and blood loss, damage to bones and muscles, causing bone joint deformities and different levels of disability. Therefore, often used for the treatment of the disease of traditional Chinese medicine, to warm the cold, but (lishi, activate blood, relaxes the muscles t2dm, and tonifying qi to vital qi, raise the treatment such as liver and kidney to strong bones and muscles. Just in the different stages of the course, specific treatment, the formulas based on syndrome differentiation, prioritize, sacrifice and focus. 
 
        Calendar quarter, stroke disease on synopsis: "all the segments of the pain, the body character was shown target, swollen feet, such as, head dizzy, shortness of breath, your heart wants to vomit, cassia twig peony rhizoma anemarrhenae decoction of god." Description of the symptoms, and the main performance of the modern so-called rheumatoid arthritis is quite consistent. Through decades of clinical validation, differentiation using cassia twig peony rhizoma anemarrhenae tonga subtraction treatment of the disease, curative effect is satisfied. 
 
        Basic syndromes: astragalus membranaceus 30 grams, cassia twig 10 grams, 10 grams of lateral root, peony 15 g, 12 g angelica, windproof 10 grams, notopterygium 10 grams, 10 grams of anemarrhena asphodeloides bge, wu pin snake 5 grams, 15 grams, orientvine semen coicis 30 grams, 6 grams of ephedra, main licorice root 6 grams. Children (reduction) 
 
        Party, the party is given priority to with cassia twig peony rhizoma anemarrhenae decoction party, warm, cold wind to pain, spleen, with wet heat swelling; Add notopterygium, coix seed, black tip snake, orientvine, more add wet, its functions of main and collateral channels, the effect of the arthrosis, acetanilide detumescence; Add astragalus root, angelica, tomifying qi and blood, in order to enhance the role of supporting the party. 
 
        Clinical and subtract: cold very pain drama, cassia twig, additive to 15 grams, lateral root of aconite or add radix aconiti, asarum, radix aconiti, lateral root all use high heat to boil for 1 hour; Joint swelling, jorge evil lay particular stress on, thermal pain, choose add gypsum, honeysuckle stem, radix rehmanniae, cortex phellodendri, etc; Lay particular stress on upper limb joint stiffness and pain choose add clematis root, zedoary, south star and rhizoma chuanxiong, etc; Lay particular stress on lower limb joint swelling pain, choose add sinomenium acutum yourself, live alone, glandularstalk st.paulswortherb/common st.paulswort grass, achyranthes, etc; Lumbar spinal pain remarkableness, choose add radix dipsaci, eucommia bark, dog ridge, giant knotweed, soil terrapin, etc; Numbness, choose add south star, gastrodia elata, peach kernel, caulis spatholobi, etc; Long illness kidney loss, choose add rehmannia, mulberry parasitism and heather rattan, epimedium, etc; Jiang pain unbearable, long pain into collaterals, plus salvia miltiorrhiza, peach kernel, safflower, frankincense, and myrrh to blood know luo pain, the person that weigh and appropriate chooses insect ant stuck between hydrophobic drugs, 1 ~ 3 as the scorpion, centipede, earthworm, hives, batryticated silkworm, pangolin scales, etc. 
 
        The test case for 
 
        Wang mou, male, 61 years old, was on July 17, 2010. 
 
        Patients complained of pain in the joints, deformation and rigidity for 12 years, increase in February. 
 
        Patients living in the countryside, youth often feel cold wet and wandering joint pain. Began in the spring of 1999, namely, fingers, wrist, ankle, knee and other joints, symmetry, swelling, stiff, and gradually affects shoulder, hip and waist and cervical vertebra bone pain, so that the body size of joint deformation of bitterness, waist bent ridge, limping step difficult. In 1999 in a hospital diagnosis of rheumatoid arthritis, and started taking western medicine fights rheumatism and prednisone for 10 years, hormone can alleviate some of the pain, but the life cannot provide for oneself. In February 2010, the patients because of stomach and appear black stool, defecate occult blood positive, namely stop taking type anti rheumatoid western medicine, and gradually reduce the prednisone dose, to may stop taking. Nearly two months, the limb joint pain, depression, and get out of bed, on July 17, 2010, carried by his family doctor. 
 
        Patients are unable to see a doctor at the diagnosis table, thin body, sand hair lying curled up sitting and pain tired face, complexion dark grey yellow, joint swelling phenomenon as aforesaid, especially in the feet swelling and pain in the knee, wrist, finger joints, wake up in the morning, for play, tingling fingers, limbs cold evil wind, cough asthma, abdominal distension and shortness of breath, loss of appetite, dry stool and the quantity is little, urinate a yellowish, whitish tongue dark, greasy, pulse fine and dry. Laboratory examination: blood sedimentation 68 mm/h, rheumatoid factor positive, c-reactive protein 70 mg/L; Chest X-ray: right pulmonary nodules, and pleural effusion on both sides. 
 
        Syndrome differentiation: sp long bi, the sun be the spirit loss, alongwith, and stop drinking XiongGe. 
 
        Treatment: WenYangYi cold gas, relaxing tendons bi, drink with wet detumescence. 
 
        40 grams of syndromes: astragalus, cassia twig, attached sheets, rhizoma anemarrhenae, windproof, notopterygium every 10 grams, rhizoma atractylodis, radix angelicae sinensis, radix paeoniae alba, own snake, semen lepidii, black tip each 15 grams, 18 g atractylodes, coix seed, giant knotweed, 30 g suberect spatholobus stem, ephedra, main licorice each 6 grams. 14. Daily 1 agent, water frying, two oral.
 
 
 
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