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 Posted: Fri 23:12, 25 Feb 2011 Post subject: TCM Differential Treatment of rheumatoid arthritis |
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TCM Differential Treatment of rheumatoid arthritis, 60 cases of stage
l5g, Caulis Lonicerae l5g, pennant Siegesbeckiae l5g, Polygonum l5g, Clematis l0g. Zheng Jian 2.1.2 wind cold fingers or toes, the small type of joint swelling, numbness Leng Tong, Yu Han increase, too hot a little comfortable,[link widoczny dla zalogowanych], sleepy head and the body weight, aversion to cold or fever, pale tongue, greasy moss, pulse tension. Treatment for relieving rheumatism and cold, moisture meridians. Side to Guizhi Aconite Decoction: Gui Zhi l5g, made with pieces l5g, Bai Zhu 20g, wind 15g, thin Siegesbeckiae l5g, Asarum 5g, Menispermaceae l5g,[link widoczny dla zalogowanych], Notopterygium l0g, independent living 10g, Chuan Xiong l5g, Zaocys l5g. 2.2 recovery joint swelling and moderate pain and other symptoms, laboratory parameters such as RF, ESR, CRP, etc. began to improve, but still abnormal range. Into stasis, and damp heat Shangyin hurt a male type two syndromes. 2.2.1 Stagnant Heat Shangyin type of joint swelling and pain increased at night, fatigue, upset, dry mouth, dry stool, dark purple tongue or with petechia petechiae, small moss,[link widoczny dla zalogowanych], pulse fine astringent. Governance for the clearing away heat and circulation meridians. Medicinal: Rehmanniae 25g, Rehmannia 25g, white peony root 20g, dogwood l5g, Anemarrhena 15g, Cork l0g, Millettia 30g, earthworm 15g, Gentiana 15g. 2.2.2 alpine type Zheng Jian Yang injured joint swelling and pain when light weight, lingering endlessly, limited mobility, and more cold and wet due to climate changes such as heavier, cold limbs, body weight difficulties, frequent urination, loose stools , light dark big fat tongue, greasy moss, pulse Chenhuan. Governance in the yang meridians, dispelling dampness. Medicinal: Aconite l5g, Eucommia l5g, Gui 15g, Radix Astragali 30g, Angelica l0g, Chuanxiong l0g, Dipsacus 15g, sheep hopane 20g, Loranthaceae 20g, anti had l5g, herb 15g. 2.3 remission generally no typical symptoms and signs, made of the repeatedly manifested as joint deformity, stiffness, limited mobility. Laboratory parameters such as RF, ESR, CRP and other mostly back to normal. Divided into two types of spleen deficiency and liver-kidney syndrome. 2.3.1 card. Zheng Jian Yaoxisuanruan kidney yang, fatigue, poor appetite, loose stools, pale tongue, pulse Chenhuan. Spleen and kidney to the main rule. Recipe selection Shenlingbaizhu Powder Pill Modified: Codonopsis 20g, Poria 20g, Bai Zhu 15g,[link widoczny dla zalogowanych], Coix seed 30g, Chinese yam 20g, Fu Zi 10g, dogwood 20g, Eucommia 20g, Loranthaceae 20g, papaya 15g. 2.3.2 liver-kidney Zheng Jian fever, night sweats, body weight loss, upset little sleep soundly, red tongue, little coating, rapid pulse. Governance in order to nourish the liver and kidney-based,[link widoczny dla zalogowanych], six-Mei Huang used herbs Decoction: Rehmanniae 25g, Fructus Corni 15g, Chinese yam l5g, moutan 10g, white peony root 15g, Anemarrhena 15g, medlar l5g, Digupi l5g, Suanzaoren 20g , Caulis Lonicerae 15g. 3 Results 3.1 curative standard therapy clinical cure: After treatment the affected joint swelling and pain disappeared, joint function returned to normal, RF, ESR, ClIP value of the normal. Markedly: involvement of the improvement or disappearance of joint swelling and pain, joint function was restored, can participate in normal work and labor, RF, ESR, CRP value normal or better. Effective: involvement of joint swelling and pain improved, the main joint function recovered or have significant progress, life can not take care of themselves converted to take care of themselves, or loss of employment and the ability to work into labor and the ability to work has been restored. Invalid: no improvement in joint swelling and pain involved, joint functional activity without progress. 3.2 Treatment Results After treatment, 60 patients, clinical cure l5 cases, accounting for 25%; markedly l8 cases, accounting for 30%; effective in 24 cases, 40%; 3 cases, 5%, the total effective rate was 95 %. 4 discuss the pathogenesis of rheumatoid arthritis, with the body's response to state changes and the role of drug intervention, syndromes also will be changed accordingly. Different stages in the treatment of specific disease syndromes should be specifically analyzed and pathogenesis characteristics, diagnosis and treatment of this disease law, an important clinical role in guiding treatment. Active rheumatoid arthritis patients in the acute syndrome is characterized by its symptoms of urgency and weight, its pathogenesis characterized by evil Sheng-based, so the main treatment for dispelling evil. The pathogenesis of rheumatoid arthritis to liver and kidney blood shortage, it is also to be accompanied in the Quxie righting of the drug, in order to achieve the purpose of evil to being safe. In the recovery period, the cold damp heat evil are the basic control, the actual situation of its pathogenesis is characterized by inclusion, in order to uphold the principle of treatment to get rid of evil and not more than the net recovery organs function for therapeutic purposes. In remission, the disease is deficiency in the main machine characteristics, so that treatment should focus on righting, with particular attention to tone spleen and kidneys, so that Therefore, Chinese medicine treatment of rheumatoid arthritis differentiation stages have important clinical significance and is worthy of promotion. A 39 -
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