Everyone sees this topic today, is it a lot of doubts: is it not the jujube? Everywhere, what can I say? What other functions does jujube use for blood supplement? Jujube, also known as red jujube and dried jujube, originated in China. It has been cultivated for more than 8,000 years in China. It is a common food in our daily life and a good medicine in traditional Chinese medicine. “Compendium of Materia Medica” said jujube: “Jujube is sweet, warm in nature, can replenish qi, nourish blood and nourish the body, and is used to treat diseases such as weak spleen, loose stools, deficiency of qi and blood.” “Shen Nong’s Materia Medica” On the jujube: “Wei Ganping, stomping evil spirits, nourishing the spleen, helping the twelve meridians. Pingweiqi, Tongjiu, nourishing qi, less fluid, lack of body, panic, heavy limbs; and Bai “Medicine.” “Ben Cao Jing Shu” said jujube: “Ganneng Buzhong, warm energy and qi, Gan Wen can nourish the spleen and stomach and produce fluid, then the twelve meridians are self-sufficient, Jiuqiao Li, limbs and also.” Efficacy 01. Qi and nourishing red dates are regarded as the “supplement of blood”, the effect of nourishing qi and nourishing blood is very good. Shared with astragalus and wolfberry, it can nourish qi and blood and enhance vitality, especially suitable for women after menstruation and women who are weak after delivery. 02. Nourishing and calming mind Modern Chinese medicine believes that jujube is sweet and warm in nature. It has the effects of invigorating qi, nourishing the blood and soothing the nerves, and soothing fluid. It can be used for loss of appetite, loss of fluid, palpitation and insomnia. 03. In the clinical treatment of anti-allergy Chinese medicine, jujube has been found to have anti-allergic effects and can be used for allergic purpura caused by drug allergies and other allergic diseases. 04. The content of vitamin C in beauty and jujube jujube is extremely high. Every 100 grams of fresh jujube contains 243 milligrams of vitamin C. Together with substances such as cyclic adenosine monophosphate, it can promote cell metabolism and thus achieve beauty and beauty. effect. 05. Spleen and stomach are shared with Codonopsis and Atractylodes macrocephala, it can nourish qi, strengthen spleen and stomach, and increase appetite and diarrhea. It can be used with ginger and pinellia to treat gastritis, bloating and vomiting caused by careless diet. Jujube is also often used in prescriptions with severe drugs to reduce the side effects of strong drugs and protect righteousness. Although jujube is good, it is a sweet product, so it is not suitable for people with cough and sore throat, eczema, diarrhea, and constipation. Healthy people should not eat too much, 3 to 5 capsules per day is enough.
In order to popularize the knowledge of the prevention and treatment of rheumatoid bone disease such as gouty arthritis/gout stone, rheumatoid arthritis, rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, rheumatic neck, shoulder, waist and leg pain, let more Of patients with rheumatoid bone disease in the Central Plains region learned the benefits of “winter disease and summer treatment” and helped them seize the best treatment period of “winter disease and summer treatment”. On June 25, 2020, in the rheumatism special committee of Henan Medical Science Popularization Society Under the guidance of the Gout Professional Committee of Henan Provincial Institute of Integrated Chinese and Western Medicine and the Pain Rehabilitation Branch of Henan Provincial Society of Rehabilitation Medicine, it is sponsored by the Rheumatology Popularization Base of Henan Provincial Medical Science Popularization Society, Asia Pacific Gout Alliance Hyperuricemia and Gout Management Center (HGMC) Zhengzhou Branch Center and Zhengzhou Gout and Rheumatism Hospital undertook and launched the public health diagnosis and treatment action for gout \ rheumatism and bone disease in the Central Plains in 2020, which has achieved periodic social benefits. More and more rheumatic bone diseases in the Central Plains area Patients recognize the importance of scientific and standardized prevention and treatment in summer and the benefits of “winter disease and summer treatment”.  . To strengthen the medical knowledge for the prevention and treatment of rheumatoid arthritis/gout stone, rheumatoid arthritis, rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, rheumatic neck, shoulder, waist and leg pain in summer The popularization of science allows more patients with gout and rheumatoid bone disease to benefit from the “winter disease and summer treatment” and experience the “multiple effects with half the effort” effect brought by a standardized system of diagnosis and treatment, and consolidates the anti-relapse treatment effect of summer rheumatoid bone disease! The Rheumatology Science Base of Henan Provincial Medical Science Popularization Society, the Zhengzhou Gout Rheumatology Hospital of the Asia Pacific Gout Alliance HGMC Zhengzhou Branch in the Henan Provincial Medical Science Popularization Association Rheumatology Professional Committee, Henan Provincial Institute of Integrated Traditional Chinese and Western Medicine Gout Professional Committee, Henan Provincial Rehabilitation Medical Association With the care and support of the Pain Rehabilitation Branch and the Poverty Alleviation and Development Association of Henan Province, on the arrival of the early summer in 2020 (July 16), the joint launch of the “Intensive Strengthening of Winter Gout\Rheumatoid Bone Disease in the Central Plains Region in 2020″ Anti-relapse diagnosis and treatment action”. At that time, well-known physicians such as Du Aihua, deputy chairman of the Rheumatology Special Committee of Henan Provincial Medical Science Popularization Committee, Cheng Benwei, member of the Gout Special Committee of Henan Society of Integrated Traditional Chinese and Western Medicine, and Wang Kai, member of the Pain Rehabilitation Branch of the Henan Provincial Society of Rehabilitation Medicine The Public Welfare Joint Consultation will target families with financial difficulties such as poverty and return to poverty due to illness, as well as patients with persistent and recurring illnesses, will be supported by the Henan Provincial Poverty Alleviation and Development Association, and implement a loving policy of 50% subsidy for inspection fees to help Help the patients with gout and rheumatoid bone disease in the Central Plains to stay away from the pain, avoid disability due to the disease, and return to normal life.  . Active time July 18-20, 2020 . Active Huimin support policy 1. During the event, patients with gout and rheumatoid bone disease who come to the hospital for medical treatment can enjoy the joint consultation of the multidisciplinary directors of the hospital after a clear diagnosis. , Analyze and discuss difficult cases, and formulate individualized treatment plans. (The multi-disciplinary joint consultation fee was originally 300 yuan, and the first 30 patients who made advance appointments every day enjoyed the free consultation policy) .2. During the event, after making an appointment to the hospital in advance, patients with gout\rheumatic bone disease can enjoy gout\ Rheumatoid bone disease public welfare assistance, 50% subsidy for all inspection items. Active subjects Patients with rheumatoid bone disease such as gouty arthritis/gout stone, rheumatoid arthritis, rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, rheumatic neck, shoulder, waist and leg pain.  . . .July 18th-20th, the multidisciplinary joint consultation list of famous doctors, the expert consultation fee was originally 300 yuan, and the first 30 patients who booked in advance to enjoy the free consultation policy .
At present, the incidence of rheumatoid arthritis in my country is about 0.26%-0.5%, which can occur at any age. Everyone thinks that rheumatoid arthritis is only caused by the elderly and is far away from themselves, but some people are susceptible to rheumatoid arthritis! And some of the usual habits and ways of life have gradually made me a susceptible group of rheumatoid arthritis. Are you in the following 6 susceptible groups? How to screen for early rheumatoid arthritis? Fengfengguan prefers these 6 types of people. 1. People who live in a humid place, as the name suggests, a humid environment plays a role in the onset of rheumatoid arthritis. From the point of view of Chinese medicine, in the humid environment, the “wind”, “cold” and “wet” evils easily invade the human body, block the meridians, and the qi and blood run poorly, causing soreness, numbness and flexion and extension in muscles, bones and joints Unfavorable, even the symptoms of joint swelling and burning. 2. The incidence of women is higher than that of men. The menopause reaches its peak, which can be relieved during pregnancy. The incidence of women taking contraceptives generally decreases, suggesting that estrogen plays a role in the onset of rheumatoid arthritis; the age of menarche is also one of the risk factors The older the menarche is, the easier it is to get sick. The above shows that the onset of rheumatoid arthritis is related to changes in the endocrine system, especially estrogen, and women with disordered endocrine systems are more likely to cause rheumatoid arthritis. 3. People who take certain drugs for a long time These drugs can lead to an increase in the incidence of rheumatoid arthritis, including: baotaisong, antiepileptic drugs, penicillamine, penicillin, reserpine, procainamide, benzene Tonin sodium, hydralazine, and chlorpromazine should be avoided as much as possible. According to research, the drug may have changed the antigen, causing the body to produce corresponding autoantibodies. 4. People with rheumatoid arthritis among relatives Blood relatives suffer from rheumatoid arthritis, such as parents, grandparents, siblings, and rheumatoid arthritis are more susceptible. In addition, blood relatives suffering from other rheumatic diseases, such as Sjögren’s syndrome, lupus erythematosus, scleroderma, and susceptibility to rheumatoid arthritis will also increase accordingly. This is related to the patient’s own human leukocyte antigen (HLA), which is closely related to rheumatoid arthritis, and individuals carrying this antigen have a susceptibility to rheumatoid arthritis. 5. The long-term psychological pressure is too great, and the cheerful personality of the people who are easily excited is a common protective factor for men and women; studies have shown that RA occurs in a family environment with high conflicts, low concentration, and low interpersonal communication. 6. People with autoimmune system disorders have shown that people who have tonsillectomy are also more likely to get sick. After tonsillectomy, the body’s ability to resist pathogens and the immune system may change. Correspondingly, immune pathological damage is likely to occur, so it occurs. The risk of rheumatoid arthritis is also greater. How to screen early wind-like customs? 1. From a clinical point of view, if the wrist, metacarpal and proximal finger joints are swollen and painful (may be asymmetric in the early stage), obvious morning stiffness (the duration may be less than 1 hour), except for other diseases, rheumatoid arthritis (rheumatoid joint Inflammation) diagnosis and treatment. 2. If the rheumatoid factor (RF) is negative, anti-nuclear factor (APF), anti-keratin antibody (AFA), anti-rheumatoid arthritis -33, anti-Sa antibody, anti-cyclic citrullinated peptide, anti-nuclear antibody , Anti-Sm antibody, anti-RNP antibody, anti-double-stranded DNA antibody detection (many indicators are used for differential diagnosis) to improve the specificity of early diagnosis of rheumatoid arthritis. 3. If there is no abnormality on the X-ray examination and the symptoms persist, MRI or joint ultrasound examination may be performed, and it is possible to find early changes in synovitis. 4. Exclude related diseases with similar symptoms and other inflammatory arthritis (arthritis after viral infection, reactive arthritis, enteric arthritis, psoriatic arthritis, ankylosing spondylitis, gout or pseudo-gout); connective tissue Disease (systemic lupus erythematosus, scleroderma, Behcet’s disease, polyarteritis nodosa, undifferentiated connective tissue disease); non-inflammatory arthropathy (osteoarthritis, soft tissue rheumatism or fibromyalgia); others : Such as suppurative arthritis, rheumatic polymyalgia, subacute bacterial endocarditis, etc. If any discomfort is found, the diagnosis of early rheumatoid arthritis must be considered on the basis of the elimination of the above diseases under the guidance of a rheumatologist, and reasonable and effective treatment should be given. The picture comes from the Internet, please contact to delete it, thank you!
Knee joints also have years of use. The greater the responsibility, the greater the pressure. As a weight-bearing joint of the human body, the knee joint bears not only the weight of the person, but also the extra pressure generated by the human body in different postures and movement forms. The weight of the knee when walking is 3 times the weight. The weight of the knee when going up and down the stairs is 4 times the weight. The weight of the knee when running is 5.5 times the weight. Imagine: a person weighing 60 kg, every step of the step, the knee will bear a weight of 240 kg, which is susceptible to injury. At the same time, because the knee synovium is distributed in the shallow parts of the limbs, the chance of infection is also higher. . So in fact, our knee joint has a “use period”: *Before 15 years old, the knee joint is still in the developmental stage. *15~30 years old, the knee joint reaches the “perfect state”. *30~40 years old, the patellar cartilage is produced early Mild wear. * 40 to 50 years old, knee joint discomfort. * After 50 years old, patellar cartilage faces full-thickness wear. How to protect the knee and reduce the probability of injury? 1. Appropriate training First of all, we must know when our knee is most likely to be injured. First of all, of course, excessive use of the knee can easily cause fatigue in the knee joint, so blindly pursuing high-intensity training can easily cause injury, and moderate exercise is the best. 2. Do a good warm-up Before training, there is a link that many people will ignore, that is to do a good warm-up. Without adequate warm-up preparations, the muscles will become stiff, and the subsequent exercise will easily increase the pressure on the joints and cause knee injuries. 3. Correct posture If you are a person doing fitness, then you should pay attention to it. Did your movements really achieve the position? The wrong posture will also increase the pressure on the knee, for example, the squat will focus on the wrong Position, it will cause pressure on the knee. 4. Strengthen muscles At the end, it is the right way to strengthen your own body. While doing a good job of protection, the exercise of muscles cannot be ignored. When your muscles can withstand the relative amount of exercise, it is also equivalent to protecting the knee.
The standardized treatment of gout, the sooner the effect begins, the better. Most early patients can use standardized treatment to reduce the chance of recurrence of gout. When it comes to this, some wind friends may ask: What is the standardized treatment of gout? Gout standardized treatment is a highly personalized and precise treatment. Different patients may use different drugs and dosages. Brief summary: relax, correct bad habits, actively cooperate with doctors, regulate medication on time and in full, control uric acid to an ideal value, and regularly review and monitor adverse reactions of drugs. Can gout be cured? A: There are no reports in the literature that can cure gout. Early gout patients can control symptoms through standardized treatment, gradually reduce the number of gout attacks, and reduce the degree of gout attacks. Gout patients with severe gout stones, renal insufficiency, diabetes and other complications can also gradually reduce the number of gout attacks, reduce the degree of gout attacks, improve the prognosis of patients, and improve the quality of life of patients. How to personally control and treat gout? Personal treatment is particularly important due to different individuals and different treatments. For patients with gout, personal treatment depends on 6 factors: 1 If the economic conditions have a certain economic basis, there will be more options for treatment . However, this does not mean that the more expensive drugs must be better. Patients with different ages have different treatment options depending on their age. For example, both patients insisted on treatment for 15 years, but one has a long life, and the other is still a family pillar. Therefore, the treatment plan for young people will be more stringent. 3 comorbidities If gout patients are combined with other diseases, such as renal insufficiency, hypertension, etc., the combined diseases need to be analyzed for comprehensive treatment. 4 Complications If gout patients are complicated by other diseases, comprehensive treatment is needed according to the complicated diseases. 5 Indications Gout medicines generally include the inhibition of uric acid production and the promotion of uric acid excretion, which also needs to be decided according to the patient’s personal circumstances. Even if the same drug is selected for 6 doses, the dosage is different for different individuals. It can be seen that the purpose of personalized standardized treatment of gout: not only to reduce the incidence of gout and to reduce the degree of attack, but also to take into account other factors of the individual comprehensive treatment. To this end, the Rheumatology Research Team of Guangdong Provincial Hospital of Traditional Chinese Medicine and the Chronic Outpatient Clinic of Guangdong Provincial Hospital of Traditional Chinese Medicine jointly launched the special service package-“Gout conditioning package”, which uses Chinese and Western medicine special treatments for comprehensive conditioning to provide professional treatment for gout patients , Safe and personalized comprehensive management treatment plan to control uric acid to an ideal value.
Since the inflammation in the blood vessel wall cannot be detected in the early stages of vasculitis by conventional imaging methods. Therefore, it is difficult to accurately diagnose and evaluate vasculitis by conventional imaging methods.
However, it has been reported that PET/CT imaging is a valuable method for diagnosing and monitoring patients with vasculitis, such as giant cell arteritis and Takayasu arteritis. According to reports, FDG-PET imaging has a sensitivity of 99.7% and a specificity of 99.8% for the assessment of macroangiitis. Therefore, FDGPET is used as a sensitive and specific imaging tool for macrovasculitis, especially in patients who have not received immunosuppressive drugs.
PET/CT scan can help determine the appropriate biopsy site with the highest metabolic activity
Systemic lupus erythematosus can be complicated by multiple complications, such as lupus nephritis, lupus encephalopathy, pulmonary fibrosis, etc., combined with pulmonary arterial hypertension (PAH) is not rare.
The pathogenesis of lupus with pulmonary hypertension may be related to pulmonary fibrosis, pulmonary vasculitis, thrombosis, pulmonary embolism, and vasospasm. The proportion of patients with SLE-PAH is nearly 50% of CTD-PAH patients in my country. Patients with Raynaud’s phenomenon, anti-RNP antibody positive and anti-phospholipid antibody positive are prone to PAH.
Lupus complicated with pulmonary hypertension is not specific in the early stage, and the diagnosis is difficult. Misdiagnosis and missed diagnosis often occur in the clinic, and treatment is delayed. Once PAH appears in patients with lupus, it indicates a serious condition and a poor prognosis.
Symptoms and signs of lupus pulmonary hypertension
Lupus patients with pulmonary hypertension may present with difficulty in breathing after activity, chest pain, palpitations, dry cough, chest tightness, etc. However, some patients may have no clinical manifestations or some non-specific clinical features. In the early stage, they may only show dry cough, nausea and vomiting after exercise.
Physical examination can be manifested as second heart sound hyperactivity. When the disease progresses to right heart failure, jugular vein dilation, enlarged liver dullness, ascites, and lower extremity edema can be found.
Auxiliary examination of lupus pulmonary hypertension
In terms of auxiliary examination methods, cardiac ultrasound, lung function, and electrocardiogram are all non-invasive screening methods, but the main means of confirming PAH is still the right heart catheterization.
The diagnostic criteria are: at sea level, at rest, the average pulmonary artery pressure measured by the right heart catheter is ≥ 25 mmHg, but this method is an invasive examination, which is not easy for patients to accept clinically.
Studies have shown that echocardiography is more specific and sensitive for screening PAH, but compared with the right heart catheterization, the pulmonary artery pressure value measured by echocardiography is lower than the value measured by the actual right heart catheterization; for the elderly People and obese patients may also have false positives. Echocardiography is roughly equivalent to the “heart color ultrasound” that people say.
Internationally recommended suspected diagnostic criteria for transthoracic echocardiography: maximum tricuspid regurgitation velocity (TRV) >2.8 m/s, and pulmonary artery systolic pressure (PASP) >36 mmHg;
At the same time, the signs of PAH also include: right ventricular enlargement, abnormal ventricular septum shape and function, right ventricular wall thickening, and main pulmonary artery dilatation; lung function examination can suggest a decrease in forced vital capacity and a decrease in carbon monoxide diffusion rate.
The consensus on the diagnosis and treatment of systemic lupus erythematosus-related pulmonary hypertension points out that SLE patients with SLE disease activity (especially in the presence of pericarditis and pleurisy), anti-RNP antibody positive and/or Raynaud’s phenomenon are high-risk patients with SLE-PAH. If there are high-risk factors for SLE-PAH, early screening of PAH should be emphasized.
Another study showed that anti-Sm antibody positive, RF positive, antiphospholipid antibody positive, cytotoxic drug treatment, nephropathy, serositis, anti-endothelial cell antibody positive, increased levels of endothelin 1 (ET-1) and other factors are also related to SLE -The occurrence and development of PAH are related.
Lupus complicated with pulmonary hypertension is not typical in early clinical manifestations and examinations, and it is often easy to miss diagnosis, and heart failure and even life-threatening occur in the late stage. Therefore, early screening, early prevention, early diagnosis, and timely treatment are the keys to improving prognosis.
As the saying goes: People take food as the sky. Chinese people are very particular about eating. There are hundreds of ways to eat a chicken. However, in addition to the pursuit of delicious food, eating health is the most important. Reasonable nutritional collocation and conditioning is one of the methods to prevent or reduce the recurrence of disease. Especially for patients with rheumatism, the disease is lingering, recurrent, sometimes controlled by non-pharmacological treatment, but if combined with food conditioning, you can often get twice the result with half the effort. So, what should we pay attention to in the diet of rheumatic patients? Today I will make it clear to everyone. 01 Nourish the stomach first, and stay away from heavy tastes. Since wind-like is an inflammatory response, avoid or eat foods that induce inflammatory reactions, such as: fatty meat, high animal fat, high cholesterol foods, sweets, chocolate, cheese, toffee, Alcohol, black coffee, strong tea, etc., because they are easy to stimulate related inflammatory mediators or pathways, cause joint pain and swelling. The latest research indicates that desserts and sugar-soda soda are associated with increased rheumatoid symptoms. Excessive salt intake may be a risk factor for autoimmune diseases. This prompts us to do a light diet and stay away from heavy tastes. Secondly, given that the disease is a chronic disease, long-term medication is an inevitable means. The spleen and stomach of patients are often damaged. At this time, we must be cautious about hard, cold, greasy, and spicy foods. Only by maintaining good eating habits can we ensure a healthy spleen and stomach function, enhance disease resistance, and stabilize the disease from recurrence. 02 Pay attention to dialectical diet Many people think: “Every medicine is divided into three poisons”, “medicine is not as good as food tonic”, so too much tonic in diet, this is also a wrong dietary rule. Medicine supplements must be conducted under the guidance of a doctor, and food supplements must be properly coordinated according to the condition and the digestive function of the spleen and stomach. The food needs to be fresh, all meats are available, and the amount should not be excessive. The individualized diet, which is the syndrome differentiation of traditional Chinese medicine, needs to guide the daily diet according to the patient’s syndrome, and avoid random supplements. A reasonable diet is of certain significance for maintaining normal metabolism of the body, enhancing immunity and disease resistance, adjuvant therapy, and promoting rehabilitation of rheumatism. 03 It is recommended that patients with rheumatism in food list are often accompanied by other organs, such as gastrointestinal system and blood system. Some patients may have clinical manifestations such as upper abdominal discomfort, nausea, and anorexia due to taking anti-rheumatic drugs or small cell hypopigmented anemia. For gastrointestinal symptoms, it is recommended to eat soft and rotten digestible food, try to use semi-liquid food such as rice soup, lotus root powder, fruit juice, egg soup, porridge, noodle soup. People with anemia also need to pay attention to supplementing foods rich in high-quality protein, iron, vitamin C and vitamin B family, such as spinach, seaweed, eggs, milk, fresh fruits and vegetables. Rheumatism is a chronic wasting disease. The variety of food should be comprehensive. The cooking method should be steaming, boiling, stewing, and boiling. The general principle of diet is to dialectical diet, regular and appropriate diet. Don’t be hungry and overeating, and overeating. Choose high-protein, high-vitamin and digestible foods to ensure comprehensive and reasonable nutrition. References:  .Liu Junli.Dietary conditioning of rheumatism[J].Health Expo,2003,(8):32. .Lu Jing.Diet philosophy of rheumatic patients[J].2013, 20(4):64-65. . Liu Xide. Rheumatism patients should avoid food and drink[J]. Health Expo, 2004, (7): 41. The picture comes from the Internet, please contact to delete it, thank you!
In recent years, many diseases have begun to age, and bone diseases such as femoral head necrosis have frequently appeared among young people. The reason for the premature occurrence of this orthopedic disease has a lot to do with people’s living conditions and habits. 1. Working young people are very stressed about life and work. Drinking alcohol often becomes a way for them to relieve their stress. Some people have poor self-control, thinking that youth is the capital, and the body can bear it, and they continue to indulge, develop long-term alcoholism, and drink too much alcohol. Femoral head necrosis caused by alcoholism has accounted for three of the total number of cases. One in one. 2. Trauma Modern society has become more and more developed in traffic. There are endless streams of carts and carts on the roads, and the incidence of traffic accidents is also rising. Among them, more young people are involved in accidents. According to clinical statistics, trauma is the main cause of femoral head necrosis in young people. 3. Hormones The development of today’s society has spawned a large number of hormones. Young people are the largest group of hormones. I wonder if long-term large-dose use of hormone drugs or food will cause ischemic necrosis of the femoral head. Young people are the main consumer group of hormones, which greatly increases the chances of young people suffering from necrosis of the femoral head. The treatment method of femoral head necrosis failed to be found in time and failed to be treated in time. It was already serious when it was being treated. So what are the methods of treating femoral head necrosis? 1. Surgical treatment of femoral head necrosis includes the following: (1) osteotomy. (2) hip replacement. (3) central decompression. (4) Bone migration with blood supply. (5) Bone grafting. It should be noted that if the age is too young, it is recommended to do conservative treatment first. If the treatment is invalid, there is no other way to consider surgical treatment. Surgical replacement of the femoral head is used for up to 10-15 years and short 5-6 years, so generally We do not recommend surgical replacement for patients under 60 years of age. 2. Non-surgical treatment of femoral head necrosis (1) Avoid weight-bearing: including partial weight-bearing and non-weight-bearing, only applied to femoral head necrosis before collapse, the treatment method to avoid weight-bearing alone is not ideal, and the success rate is less than 15%. For a-type femoral head necrosis where the lesion is located inside the femoral head, this method may be considered. (2) Drug treatment: There are few reports on the treatment of femoral head necrosis with drugs. In short, the effect of drug treatment is still uncertain, but because of its noninvasive nature, it is still an important research direction.
With the two-child policy in recent years, many families earnestly hope that one can be reborn, but not everyone’s pregnancy is smooth sailing, and some even have recurrent miscarriage, especially in patients with rheumatic immune diseases. In fact, rheumatic immune diseases are closely related to fertility. So, what counts as recurrent miscarriage? Under what circumstances is it safe for rheumatic patients to consider pregnancy? What is recurrent miscarriage? Among pregnancy-related diseases, recurrent spontaneous abortion (RSA) is an important type of reproductive health problem. Recurrent abortion refers to the occurrence of spontaneous abortion 2 or more times in a row. The etiology of recurrent miscarriage is very complicated, such as genetic factors, endocrine factors, anatomical factors, etc. may all cause the occurrence of RSA, and with the study of autoimmune diseases and reproductive immunology, immune factors have become more and more The more it is valued. What is the relationship between immune disorders and recurrent miscarriage? Research suggests that autoimmune disorders are an important cause of RSA. Compared with normal pregnant women, the risk of miscarriage, premature delivery, and eclampsia among pregnant women with rheumatic immune diseases is significantly increased. For example, anti-phospholipid antibody syndrome (APS) in rheumatic immune diseases is a type of disease that is often mentioned related to reproductive health. This disease is recognized as the cause of recurrent miscarriage. Positive phospholipid antibody significantly increased the risk of arteriovenous thrombosis, so low-dose aspirin and/or low-molecular-weight heparin are widely used and are believed to increase pregnancy success. Furthermore, such as pregnancy health problems that systemic lupus erythematosus (SLE) patients often pay attention to, pregnancy and SLE affect each other, SLE patients may have aggravated or relapsed conditions during pregnancy, hypertension, preeclampsia, thrombocytopenia, fetus The risk of growth restriction, premature delivery, and neonatal lupus syndrome also increases. In this regard, the Chinese systemic lupus erythematosus research collaboration group expert group recommended that SLE patients plan to become pregnant, must also meet the following conditions: (1) the condition is inactive and stable for at least 6 months; (2) the dose of glucocorticoids is Prednisone less than 15mg/d (or equivalent dose); (3) 24h urine protein excretion is less than 0.5g; (4) No important organ damage; (5) Stop immunosuppressive drugs such as cyclophosphamide, methylamine Pterin, tripterygium wilfordii, mycophenolate mofetil, etc. for at least 6 months; for patients taking leflunomide, it is recommended to undergo drug clearance treatment before stopping the drug for at least 6 months before considering pregnancy. After pregnancy, patients with SLE need to go to the rheumatology and obstetrics department and obstetrics regularly for review. They should take therapeutic drugs on time and on demand. In addition to the use of Western medicine and Western medicine, Chinese medicine has a long-standing understanding of recurrent miscarriage, and it belongs to the category of “slippage”. The treatment of this disease includes two aspects before and after pregnancy; “pre-pregnancy damage” before pregnancy, after pregnancy “There is no cause for misfortune, both prevent pregnancy and change”. Before pregnancy, take Peiyuan Guben and adjust Chongren as the main method. When the patient’s symptoms and immunological indicators improve, and the condition is stable, consider pregnancy. After pregnancy, it is mainly to nourish the kidney and solidify the fetus. The medication should be slow. It should not damage the fetus and the mother. At the same time, pay attention to the adjustment of daily life. Compared with modern medicine, traditional Chinese medicine treatment is more extensive and has less toxic and side effects. It can make up for the shortage of western medicine while treating diseases. Therefore, in the future, Chinese medicine practitioners will further explore the treatment plan of integrated Chinese and Western medicine, and strive to improve the pregnancy rate of rheumatic immune disease patients. The picture comes from the Internet, please contact to delete it, thank you!
“Medication on demand” means to take some medicine when it hurts, but not to worry about it. “Take medication on time” is to take medication on time according to the medication list and medication course issued by the doctor. How to choose between “on-demand medication” and “on-time medication” for rheumatoid patients. In fact, after reading the following carefully, this problem will be solved. The condition of rheumatoid arthritis may develop from time to time, and pain or not can not be used as a measure of the degree of rheumatoid disease. Because, in the early and late stages of rheumatoid disease, patients may not feel obvious pain. But at this time, the condition is not not developing. If there is no pain in the early stage, and the patient does not take medicine, the condition will easily develop to the middle stage, causing the patient to miss the best treatment opportunity. If the condition is in the late stage, do not take medicine without pain. , The condition is very likely to continue to deteriorate, with a more serious impact. It may be that at this time you are just joint adhesion, causing joint deformation, reasonable treatment can still be recovered, but if not treated, it is likely to develop joint deformity, irreparable. “Take pain, take no pain” is a myth of rheumatoid treatment “Take pain, take no pain” is a big point in the treatment of rheumatoid patients. Many rheumatoid patients will have this kind of thinking misunderstanding in the process of dealing with the rheumatoid disease. But this really affects the prognosis of treatment, leading to a major cause of aggravation of the disease. Precautions for daily life of rheumatoid arthritis cannot be easily discontinued. Many patients are very anxious. They feel that this drug seems to have bad effects or too many side effects. They stopped the drug without authorization. This is very wrong. Patients with rheumatoid arthritis should be exposed to the sun. Many patients with rheumatoid arthritis are deficient in vitamin D. Patients often have osteoporosis, so it is very important to spend more time in the sun and exercise more. Rheumatoid patients should pay attention to a good living habit in daily life, should quit smoking and alcohol, usually pay attention to keeping their body warm to avoid joint pain and swelling, and patients with rheumatoid diseases should regularly check their bodies. It is more difficult to pay attention to rheumatoid diseases. It is better to pay more attention to reasonable dietary arrangements at ordinary times. There should be a good law of life, which has a good effect on the adjuvant treatment of rheumatoid diseases.
Nodular panniculitis, it is estimated that few people have heard the name, of course, is also a rare disease, but when the skin appears related symptoms, such as erythema nodosum, we often mistake it as a simple skin disease. In fact, it will not only damage skin and joints, but also multiple organs throughout the body, especially for female patients! What kind of disease is it? How to diagnose? 01GAOKAO What is nodular panniculitis? Nodular panniculitis is a non-pyogenic inflammation that originates in fat leaflets. The lesions mainly occur in fat leaflets and are characterized by the degeneration and necrosis of fat cells. In 1928, Weber described the recurrent and non-purulent features of this disease. In 1928, Christia emphasized its febrile nature, so this disease is also called recurrent febrile non-pyogenic panniculitis, weber-christian synthesis Sign. As a rare disease, the majority of patients are women, the ratio of men to women is about 1:7, and the disease can occur at any age, but it is more common in 30-35 years old, and there is no racial difference in the incidence rate. 02 GAOKAO nodular panniculitis is divided into two major types of nodular panniculitis, which are divided into skin type and system type, with various manifestations and lack of specificity. 1Skin-type skin-type lesions only invade subcutaneous adipose tissue without involving internal organs. Clinically, it is characterized by subcutaneous nodules, which are more likely to occur in the thigh and calf, and may also involve the upper arm. Occasionally, the trunk and face. More than half of the patients may be accompanied by fever, usually a few days after the subcutaneous nodules appear, and some cases have joint pain, which is more common in the knees and ankles. The symmetry occurs. The joints may be red and swollen, but there is no joint deformity. 2 Systemic systemic nodular panniculitis in addition to the above skin-type manifestations, there are internal organs involved. Systemic fever often parallels the appearance of a rash. Visceral damage can occur simultaneously with skin damage or after skin damage. Various organs can be involved in systemic damage, including liver, small intestine, mesentery, omentum, abdominal fat tissue, bone marrow, lung, pleura, Digestive system involvement is most common in the heart muscle, pericardium, spleen, kidney and adrenal glands. 03GAOKAO diagnostic criteria for nodular panniculitis . In the diagnosis of this disease, it is important to take skin nodules for pathological examination. Pathological changes can be divided into three stages: 1 Acute infiltration stage of lobular adipose tissue degeneration Necrosis, infiltration of neutrophils, lymphocytes and histiocytes, without the formation of abscesses. 2. A large number of macrophages infiltrate in the adipose tissue during the phagocytic phase, forming characteristic foam cells; 3. Foam cells in the fibrotic phase decrease, fibroblasts proliferate, and a large amount of collagen fibers increase in value and become fibrotic. After the diagnosis is confirmed, there is currently no specific treatment for this disease. The symptomatic treatment in the acute phase is mainly anti-inflammatory. Non-steroidal anti-inflammatory drugs such as diclofenac sodium can be used. Anti-inflammatory analgesics can relieve fever and joint pain; Complicated with infection, antibiotics can be given. For systemic patients, especially in severe cases, 1 or 2 kinds of immunosuppressive drugs, such as azathioprine, hydroxychloroquine, cyclophosphamide, etc., can be added at the same time. The picture comes from the Internet, please contact and delete it, thank you!
Rheumatoid arthritis is a kind of “senile disease” in the impression of many people, a disease that only the elderly can suffer from. However, clinical data shows that the number of young rheumatoid patients is increasing year by year, and young people are more likely to develop rheumatoid arthritis. Reasons for young people to get rheumatism Diet factors: Daily diet is an important factor leading to the onset of rheumatism. Many people will consume excessive amounts of animal fats in their lives. Animal fats contain many substances that can cause rheumatism. Occurred, for some people who have rheumatism, excessive intake of animal fat foods will aggravate the symptoms of rheumatism. Immune factors: Our body will have some irritation to some exogenous or endogenous antigen substances, so it will activate the corresponding T cells. At this time, T cells will produce a variety of factors that lead to the production of inflammatory cells, causing a certain degree of damage to various tissues and organs, and some T cells will stimulate B-cells, which in turn will cause the body to produce a lot of antibodies and antigens. When combined, an immune complex is formed, which damages both tissues and organs, causing rheumatism. The problem of dressing: Many young people often have the concept of demeanor and no temperature in their lives. Will cause cold air to invade into the body, and over time will lead to rheumatism. Even when the weather is relatively hot in summer, it is necessary to do a good job of keeping warm, especially for people who need to stay in the air-conditioned room for a long time. Failure to pay attention to keeping warm will also lead to cold air intrusion and rheumatism.
Many patients with ankylosing spondylitis will often go to the hospital for review. Doctors will often give you a blood test list, mainly check blood sedimentation (ESR) and C-reactive protein (CRP).
How can I find out if there is inflammation in the body at an early stage? Is there inflammation in the body?
Checking ESR and C-reactive protein is a relatively simple method. These two examinations may indicate that the body has some abnormal conditions, which should be further examined, or suggest that certain existing diseases are active. In the early stage of ankylosing spondylitis, or when there is peripheral arthritis, or when the disease is not controlled and continues to develop, in short, in the active period of disease, 80% of patients have increased blood sedimentation rate, more than 50% The patient has increased serum C-reactive protein.
For patients with diagnosed ankylosing spondylitis, the erythrocyte sedimentation rate value is often directly proportional to the inflammatory activity, and is also positively related to the pain level of clinical joint symptoms and physical fatigue. Elevated platelets, anemia, increased blood sedimentation rate, and elevated C-reactive protein may all be caused by ankylosing disease activity, but there are still some patients with clinically obvious symptoms such as low back pain, but the above indicators are normal. This situation exists.
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There are as many as 230 million patients with various rheumatic diseases in my country, of which nearly 80 million people have long been accompanied by crutches and wheelchairs. Because many patients have insufficient understanding of such diseases, treatment is not timely, or there are many misunderstandings in prevention and health care, it is not uncommon to lose treatment and mistreatment. Today, Professor Huang Runyue, an expert in rheumatology in Guangdong Provincial Hospital of Traditional Chinese Medicine, answers the five misunderstandings commonly seen by most rheumatic patients.  . . . Revealing the 5 common misunderstandings in the rheumatology department A large class of diseases such as cystic tendon and fascia; it covers a wide range of ten categories including connective tissue disease, spondyloarthropathy, degenerative or metabolic osteoarthropathy and infectious arthritis, including more than 100 kinds disease. Myth 2: There is nothing special to pay attention to in the diet Professor Huang Yunyue Answer: Many people think that rheumatic patients have nothing to pay attention to in the diet. In fact, this idea is wrong. Seafood soup and animal offal should be strictly prohibited for gout patients; for inflammatory arthritis patients, pork, beef, lamb, etc. “red meat” and sausages are recommended to eat up to 2 times a week, because animal fat contains A large number of ketone bodies, acids, arachidonic acid metabolites and inflammatory mediators, such as interleukin, etc., can easily cause and aggravate joint pain, swelling, decalcification of bone and joint destruction. Usually, low-fat milk, dairy products and fresh fresh fish are ideal protein supplements for rheumatic patients. These ingredients can relieve the pain caused by joint swelling in rheumatic patients. In addition, Chinese medicine pays attention to syndrome differentiation and chooses the correct diet according to its own constitution. For example, people who are hot and humid should avoid sweet and hot food, and people who are cold and humid must avoid raw fruits and food. This can be distinguished by a Chinese medicine rheumatologist and correct dietary guidance. Misunderstanding 3: Joint pain should be kept in bed. Professor Huang Yunyue answers: Some rheumatic patients dare not get out of bed for a long time because of joint swelling and pain. In fact, this kind of absolute braking is wrong. Persist in proper exercise to maintain physical fitness. And restore joint function, otherwise the body will become weaker and weaker, muscles of limbs and even the whole body will appear atrophy, joint stiffness, deformation, and become a lifelong disability. Rheumatism patients need to rest in the acute phase of joint swelling, and after the acute phase, they can do active or passive joint flexion and extension exercises on the bed, or they can regularly physiotherapy, and gradually increase the ability to wear, eat, take a bath and other living abilities. Myth #4: Rheumatism in confinement can be eliminated by re-pregnancy. Professor Huang Yunyue’s answer: People often say that confinement can be cured by confining confinement again. It depends on the specific situation. If it is a general joint pain caused by cold or postpartum qi and blood deficiency, it can indeed be improved by certain adjustments, but it does not necessarily have to sit next month. If it is a systemic rheumatism, such as Arthritis caused by systemic lupus erythematosus, rheumatoid arthritis, dermatomyositis, etc. Due to the occurrence of these rheumatisms is related to the change of sex hormones in the patient to a certain extent, changes in sex hormone levels in the body after pregnancy and delivery may become rheumatic immunity The predisposing factors of the disease. Therefore, for patients with systemic lupus erythematosus, dermatomyositis and other conditions that are not well controlled, the second pregnancy should be carefully considered, there is a demand, and the condition must be completely relieved. During the period, you must also follow the doctor’s advice and regularly monitor. Myth #5: Drinking Bone Decoction can be used to supplement the shape and treat arthropathy. Professor Huang Yunyue’s answer: Many people think that enough calcium can be taken from Bone Decoction to achieve the effect of treating arthropathy. This is not the case. In fact, every 500 grams of bone is cooked for 2 hours, only 20 mg of calcium can be dissolved, and a glass of milk (200 ml) provides 10 times the calcium. For the elderly, the bone soup is dissolved A large amount of fat in bones, regular consumption may also cause other health problems such as hyperlipidemia and cardiovascular disease. .For rheumatic patients, pay attention to eating less greasy food and insist on drinking milk (those with lactose intolerance can consider special milk powder) It is not advisable to consume too much protein and caffeine. Here, Professor Huang Yunyue advises the majority of patients to read more regular scientific articles and correctly understand such diseases
The wind is moistening the rain and the green is flourishing. Chuncao loves to dream of flying butterflies, dancing gracefully with Yang and Liu. This poem describes dandelions that are readily available on the roadside in the suburbs or countryside! When it comes to dandelion, I believe everyone is familiar with it. It can fly in the wind, be at ease, or be a home for the whole world, but many people do not know whether it is still a blind Chinese medicine. The medicinal effects of dandelion “The New Compendium of Materia Medica” records dandelion, “It’s cheap and has great merits, but the world doesn’t know how to use it.” From this we can see that dandelion is a very easy-to-use and widely used Chinese medicine, which has several effects worth One mention: 01 clears heat and detoxifies dandelion bitter and sweet cold, its heat clearing and detoxifying effect is commonly used in clinic, also known as “detox grass”. It has a good effect on infection and inflammation, and is often used to treat various diseases such as pharyngitis and conjunctivitis. 02 Reduce liver fire dandelion into the liver meridian, reduce liver fire, when the body shows dry mouth, mouth ulcers, colds, fever, throat pain and other symptoms, you can eat dandelion to relieve. 03 Yang Wei’s “Compendium of Materia Medica” records that dandelion “clears stomach heat without hurting stomach qi”, “clears stomach heat and clears stomach heat”. Modern research has found that dandelion has a broad-spectrum antibacterial effect, can inhibit the Helicobacter pylori, the pathogenic bacterium of gastric disease, and can repair the damage of the gastric mucosa. 04 Diuretic scattered dandelion diuretic scattered, is an important Chinese herbal medicine to reduce uric acid. Among them, dandelion soaking in water is a good choice for health and health tea, lowering fat and acid, preventing gout, and improving arthritis and rheumatism. The addition of dandelion increases the acid-lowering effect of dandelion, also known as “wetting bed grass”, which has a very good effect on diuresis, that is to say, dandelion’s diuretic effect is very powerful. Be aware that two-thirds of uric acid is excreted by the kidneys, so promoting urination is equivalent to promoting uric acid excretion. Daily use of dandelion soaked in water helps to excrete uric acid, while dandelion and magnolia root soaked in water together for better uric acid lowering effect. I have introduced it to you before-Magnolia root is a medicinal plant that my country introduced from Europe to China. It has been included in the Chinese Pharmacopoeia, also known as chicory, which is a plant that is used for medicine and food. Drinking it with dandelion soaked in water can not only promote the elimination of uric acid and prevent gout, but also have a good protective effect on the liver, which can reduce the damage to the liver of taking acid-lowering drugs. Tips: Dandelion is cold, people with spleen and stomach deficiency and qi deficiency should use less!
What are the inspection methods for osteoarthritis? This is a problem that everyone is more concerned about. Experts point out that the prerequisite for the treatment of osteoarthritis is correct diagnosis and inspection. So what are the specific inspection methods for osteoarthritis? Let’s take a closer look. Osteoarthritis examination methods: 1. Rheumatoid factor is an autoimmune antibody produced by the body against its own degenerated IgG, and these antibodies also include immunoglobulins such as IgA, IgM, and IgG. At present, the measurement methods used in clinic are all to determine IgG rheumatoid factor, and the IgG and IgA rheumatoid factor present in the serum of some rheumatoid arthritis patients cannot be detected by the current method, so about 30% of rheumatoid joints In patients with inflammation, the rheumatoid factor remains negative. 2. Streptococcal antibodies (anti-“O”) 3. Erythrocyte sedimentation rate (ESR) The erythrocyte sedimentation rate is also called erythrocyte sedimentation rate. The increase in erythrocyte sedimentation rate is due to the increase of large and asymmetric molecules such as fibrinogen and globulin in the plasma, which accelerates the sedimentation of red blood cells. The above-mentioned osteoarthritis inspection method is practically tested and the application effect is relatively good. In professional hospitals, the inspection method of osteoarthritis is relatively routine. Finally, it is recommended that everyone must go to a regular hospital to treat osteoarthritis.
. . You may feel that scleroderma is extremely harmful, and can accumulate multiple organs such as the gastrointestinal tract, heart, lungs, kidneys, etc., and finally end up in life due to nutritional disorders, failure of various important organs and complications . In fact, this is a wrong understanding, not all scleroderma will cause such serious consequences.  . . Scleroderma is divided into localized scleroderma and systemic scleroderma. Localized scleroderma, also known as scleroderma, is a skin disease in which localized skin swells and gradually develops sclerosis and shrinkage. Unlike systemic scleroderma, localized scleroderma lesions are limited to local skin and subcutaneous tissues, and can be patchy (plaque patchy scleroderma), or tightly banded (linear scleroderma) ).  . And systemic scleroderma has a wide range of lesions that can affect not only skin tissue but also internal organs of the body. It can cause different clinical symptoms such as heartburn, dyspnea, and increased blood pressure. Treatment of localized scleroderma The purpose of localized scleroderma is to relieve the inflammatory response as soon as possible. But any treatment has little effect on already formed fibrous tissue. Once the inflammation disappears, the body absorbs some fibrous tissue and the skin can gradually soften again. Physical therapy is an important treatment for linear scleroderma. If the skin lesions pass through the joints, it is very important to maintain the joint extension exercise, you can apply appropriate drugs to the lesions and deep connective tissue massage. In addition, the combination of traditional Chinese and Western medicine can greatly reduce the side effects of drug treatments and at the same time help to alleviate the disease. At the same time, combined with local drug injection, Chinese medicine collapse, acupuncture and other treatments, many patients have achieved significant results. What are the regular tests for localized scleroderma? Due to the possible involvement of important internal organs (such as lung, gastrointestinal tract, kidney, heart, etc.), organ function needs to be regularly evaluated to detect possible organ involvement early. When using certain drugs for treatment, the side effects of the drugs need to be monitored at any time and regularly monitored. The prognosis of localized scleroderma plaque scleroderma often only leaves defects that affect the appearance of the skin. Linear scleroderma can have a serious impact on children. They can have muscle loss and slow bone growth, and can cause joint stiffness and deformities. Some patients with localized scleroderma have a relatively small area, mild onset, and timely treatment. The recovery effect is very significant. If some patients with localized scleroderma are relatively large, the treatment is relatively late or the early treatment is inappropriate, some symptomatic treatment can achieve the purpose of control and remission. What do you think of this? Welcome to leave a comment~
Speaking of lilies, everyone will definitely think of the pot of lilies in the house that symbolizes “a hundred years of harmony”. But Dr. Huang reminds you that the lily we are discussing today is not a flower we put in the house, but a medicinal material. What is really called a lily is a kind of medicinal material with “homologous food”, and the lily planted in the vase in our house should be called a lily, which is a flower cultivated through hybridization. The lily’s application site is actually the root of the plant lily, which is called the lily.  . “Chinese Pharmacopoeia” records: Lily has the effect of nourishing yin and nourishing the lungs, clearing the mind and calming the mind. Clinically, it is generally used for cough with yin deficiency and long cough, bloody phlegm, restlessness, and insomnia and palpitations. Doctor Huang also likes to use “Lily” when treating gout, the answer is revealed in the article. According to clinical research, Lily’s 4 main functions have proved that Lily mainly has the following 4 kinds of effects: 1. Ning Xin calms the nerves, promotes sleep Lily returns to the heart channel, has a slightly cold nature, and has the effect of clearing mind and removing sedation and sedation. It has a good effect for the treatment of insomnia caused by nervous tension and thoughts. 2. . Ziyin Runfei Lily contains mucus quality. Although the medicine needs to be dried, it still has the effects of nourishing yin and moisturizing, clearing heat and quenching thirst, and cough and phlegm. 3. Anti-tumor lily is rich in various alkaloids, which has a preventive effect on leukopenia and a therapeutic effect on cytopenia after radiotherapy. And in the body can also promote and enhance the monocyte system and phagocytosis, with the role of stimulating and regulating the human immune system. So Lily has a better effect against tumors. 4. . Alleviating gout lily is rich in colchicine, which can be used as an auxiliary treatment for gout attack joint pain. When treating gout, Dr. Huang used the “lifting and uncovering” method of traditional Chinese medicine, which contained the “lily” medicinal material, and had achieved certain clinical effects. Yam is a medicinal material of the same origin as medicine and food. Lotus Root Lily Pork Ribs Soup [raw material] 300g pork ribs, 2 lotus roots, 30g lily, 5 ginger slices, proper amount of seasoning. [Making] The ribs are cleaned, cut into pieces, and put in the pot to fly water to remove foam. Peel and cut the lotus root, cut the lily for 15 minutes, then pour the prepared ingredients into the pot, pour the right amount of water, cook for about 30 minutes, add the right amount of salt according to personal taste and eat. [Efficacy] Nourishing yin and moisturizing, clearing mind and removing annoyance. [Applicable people] Suitable for patients with irritability, insomnia and nervousness. The picture comes from the Internet, please contact and delete it, thank you!
Rheumatoid arthritis is a systemic autoimmune disease with erosive arthritis as the main manifestation, which mainly affects the small joints of the hands and wrist joints. At present, there are still some misunderstandings about RA! Misunderstanding 1: “Western medicine has greater side effects, and Chinese medicine has fewer side effects, and Chinese medicine is better than Western medicine.” This knowledge is wrong. In fact, “all medicines are poisonous”, regardless of Chinese medicine and western medicine. The key to getting rheumatoid disease lies in the rational, scientific and individualized treatment of syndrome differentiation. Misunderstanding 2: “The hormone cannot be taken, and it is addictive when used.” This view is not comprehensive. At that time, when some joints were severely manifested, non-steroidal anti-inflammatory drugs were still unable to reduce the manifestation, or accompanied by obvious systemic manifestations or internal organs fatigue, and still required the cooperation of appropriate amount of hormone treatment, but it must be used reasonably and reasonably reduced , Patients do not need to “fear hormones”. Misunderstanding 3: “Rheumatoid disease, crippled in 9 out of 10”. Actually don’t worry too much. It is true that some severe rheumatoid arthritis patients, or patients who do not adhere to standard treatment, will cause joint deformation and reduced function. However, for most patients, it is assumed that they can seize the initial one or two years of onset and insist on adoption With standard treatment, severe deformation can be completely prevented, and patients can maintain a better quality of life and work ability. Misunderstanding 4: “Is it right? Rheumatoid arthritis, determine rheumatoid factor.” Rheumatoid factor positive is not unique to rheumatoid arthritis, some other diseases, such as monotonic syndrome, subacute bacterial endocarditis, etc. It will also present a positive reaction. However, only 75% of rheumatoid arthritis patients have positive rheumatoid factor, and the other 25% of patients have always been negative. The demand emphasizes that the positive person must test the titer, and the positive without the titer is meaningless for the diagnosis. Rheumatoid factor testing is only one of the reference policies in the diagnosis of rheumatoid arthritis. Doctors need to integrate laboratory examinations, clinical manifestations, physical examination and other materials before they can make a correct diagnosis. Myth #5: “Take the same medicine every time, just go to the pharmacy and buy some.” Don’t think about it like this. When you go to the hospital, it’s important that doctors investigate the changes in the patient’s condition and show any adverse drug reactions. If necessary, some laboratory tests should be done, and the doctor must also decide the increase and decrease of the drug dose and the replacement of the type. Although the treatment of rheumatoid diseases is indeed “problematic”, it must be remembered that patients must have patience and perseverance in the treatment, which is the prerequisite for ensuring smooth treatment and achieving the best results.