Kuang HuiTao grams of obstinate arlhralgia based on different stages

Zhou Ke Wang Shenzhi First affiliated hospital of hunan university of Chinese medicine

China's traditional Chinese medicine to

        As the name implies, "obstinate arlhralgia" can be understood as "stubborn poliomyelitis", and "rheumatoid arthritis" in modern medicine are of a similar expression in joint deformity, activity obstacle, treatment effect is not satisfied for the main features. The first affiliated hospital of hunan medical university professor kuang HuiTao practise medicine offers 40 years, long-term commitment to the treatment of rheumatoid immune system disease, accumulated a large number of clinical experience. The author is presently as follows the overview for the treatment of obstinate arlhralgia strategy, share with colleagues.

        Recurrence period

        WenTong xuan to drive the evil

        Obstinate arlhralgia often break out repeatedly. Qing Chen Nianzu pointed out: "dig in origin, should give priority to with cold and wet. Cover for Yang evil wind, cold and wet as yinxu, Yin Lord closed, closed the stasis and for pain. Is nothing more than bi cold and wet, and cold and wet will also false wind think handsome, cold, cold, wet, rheumatism, and the three gas hybrid tale." So its onset often feel cold origin, trapped depressive table, sun be the spirit is depressive, bi and the impassability, can appear the joint pain, with a bad cold fever, no sweat or sweat out poorly.

        At this point it is only through open Cou sweating, cold origin of xuan scattered muscle table, make YangYu make sense, qi prevail, bi pain stop. Kuang HuiTao explored to put forward the treatment of this period (by) to cold; And warm through the cold medicine, indisputably aconitum, aconite, big big heat, high male, the strongest force of cold pain.

        Zhang, female, 42, was on November 20, 2012.

        Chief complaint: general repeatedly cold pain for 4 years, increase in January. When the patient with left arm, left thigh pain, pain, when the weather turns cold morning the whole body, skin tingling. Fatigue, sweating, dizziness, poor appetite, insomnia, poor mainland can; Whitish tongue dark, heavy fine acerbity of arteries and veins.

        Diagnosis: obstinate arlhralgia, Yang deficiency cold bi. Cure fitting WenYangYi air, cold water removal, with three tonga taste of lateral root of aconite decoction and.

        Formula: radix aconiti 6 grams, 5 grams of ephedra, 10 grams of radix paeoniae alba, radix astragali 30 grams, 10 grams, attached atractylodes 10 grams, 10 grams wind, American ginseng 10 grams, clematis root, 10 g, Ann pain rattan 10 grams, 5 g scorpion, ground beetle bug 10 grams, main licorice 10 grams. 7 agent, add honey a blunt.

        At the same time with 10 grams of ephedra, 20 g cassia twig, notopterygium 20 grams, 20 g live alone, radix aconiti 12 grams, kusnezoff monkshood 9 grams, red flower 10 grams, Sue stems 20 grams, 10 g argyi. 7 agents, Fried water apply left upper limb and left thigh.

        Follow-up: symptoms, but feeling back pain, menstruation period pain, can, mainland, white tongue coating, pulse heavy fine. Above add evodia rutaecarpa 5 grams, 10 grams of cassia twig. More than 14 agent, at the same time, the outside wash and bubble bath. Two weeks after lower limb pain significantly reduce, also no conduct menstrual pain, cold above to radix aconiti, ephedra, scorpion, take 6 weeks again, no pain.

        , obstinate arlhralgia occurs, often with cold origin YuZu joints of main and collateral channels, qi and blood, meridians not free, so the drugs to WenTong xuan to. Monkshood, aconitum XinWen of cold medicine, in cases of the three Shang Wen of lateral root of aconite decoction and the cold, Yang dehumidification of multiplication; Again with real health, tonifying spleen yiqi solid table of jade screen soup contained in them, the more wind qushi search t2dm with insect poisons into the party and the whole party may, scattered XuanTong temperature; Go out of evil, and does not hurt.

        remission

        Removing the spleen kidney to help it is

        Obstinate arlhralgia is in remission, the characteristics is the virtual pathogenesis, clinical still visible joint swelling, inconvenient flexion and occasional pain. The disease after many days, qi and blood deficiency, kidney deficiency, cold origin bizu, more obstacles spleen Yang, lingers joints, this period treatment when focus on removing the spleen kidney to help its, filling liver liver to eliminate the evil.

        Kuang HuiTao think live with parasitic soup has the basic function, and on this basis, the add and subtract, good curative effect can be obtained.

        Zhao mou, male, 60, on October 31, 2012.

        Chief complaint: in the whole body joints, muscle pain, chills, and more than 30 years. At the whole body muscle joint pain, chills, chest tightness, slightly feeling shortness of breath, weakness of god drowsiness, much dream, head, giddy, but, the night to urinate, 5 ~ 6 times, defecate can; Pale tongue, moss thin white, pulse string.

        Diagnosis: obstinate arlhralgia, liver and kidney deficiency, spleen Yang. Treat kidney, spleen Yang warm, to live with parasitic tonga taste.

        Formula: alone live 15 grams, 30 grams of mulberry parasitism, astragalus membranaceus 20 grams, windproof 10 grams, 10 grams angelica sinensis, rhizoma ligustici wallichii 15 grams, cultivated land 20 grams, 15 grams of radix paeoniae alba, cinnamon, 3 g, poria cocos 20 grams, 15 grams of the bark of eucommia, ~ 15 grams, 30 grams of yam, system with 10 grams, 15 grams of salvia miltiorrhiza, clematis root 10 grams, 10 grams curculigo. 14.

        Appointment: medication after chest short breath, head, etc were disappeared, the whole body pain relieve earlier, but still chills, nocturia 1 ~ 2 times; Pale tongue moss thin white, pulse fine acerbity. Poria cocos, above attached sheets, salvia miltiorrhiza, curculigo, turmeric 10 grams, Ann pain cane 30 grams, aggravating the root of remembranous milk vetch to 30 grams; To 14 agent has no obvious sense of chills, aches obviously alleviate, continue from the rear.

        , obstinate arlhralgia is in remission, but liver and kidney is deficient, transport pixu (spleen deficient), inside and outside of the evil to, when treatment is given priority to with even the vital qi, and to eliminate pathogenic. Live with parasitic soup from the pre-emergency daughter s, its function attending two deficient kidney, qi and blood deficiency, cold origin caused by intrinsic adverse joint flexion and extension, cold the day for a long time not more. , already on both side of each drug combination, supporting, and again on this foundation to strengthen removing spleen Yang, made up of eliminate pathogenic stronger, long sigh.

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