How to distinguish rheumatoid arthritis from rheumatoid arthritis
2016/07/04 16:30:04
Rheumatoid arthritis and rheumatoid arthritis are two different diseases.
Rheumatoid arthritis often occurs in the knee, ankle, elbow, wrist and other large joints, after the acute phase of joint function completely restored, no joint deformity left; salicylic acid preparation treatment is effective; anti-chain "O" can be increased; X-ray only shows joint soft tissue swelling. It is multiple and symmetrical. The joints were characterized by redness, swelling, heat and pain, and characterized by wandering and recurrent seizures.
Rheumatoid arthritis often occurs in winter and spring and rainy season in our country. Humidity and cold are important inducing factors. It has been recognized that hemolytic streptococcal infection in group A is related to the pathogenesis of rheumatoid arthritis. When hemolytic streptococcus infection, patients often have laryngopharyngitis, tonsillitis and other upper respiratory tract infections, 2-3 weeks after the onset of rheumatic fever. Repeated attacks can involve joints and form rheumatoid arthritis.
Traditional Chinese medicine believes that rheumatoid arthritis belongs to the category of arthralgia, mainly due to the empty mushroom, Wei Yang is not solid, wind, cold, damp evil Qi multiplied by deficiency, resulting in Qi and blood discord, meridian blockade. The occurrence of the disease is related to individual nutritional status, immune function, living conditions, climate and environmental factors such as the toxicity of epidemic strains. There are strong family tendencies in this disease, and many members of the same family often suffer from illness.
Rheumatoid arthritis joint pain has the following characteristics:
(1) The duration of pain is short, usually 12-72 hours, the longest is no more than 3 weeks, and most of the large joints, such as knees, elbows, shoulders and other joints.
(2) joint pain is accompanied by redness, swelling, tenderness around the joints, and refusal.
(3) Walking pain, that is, the pain of one joint has improved or not significantly improved, another joint was invaded, pain occurred.
(4) Symmetrical pain, lesions can invade the same joints of both limbs, such as knees, both elbows pain can occur at the same time.
(5) pain can occur simultaneously in multiple joints.
(6) at the same time, the skin may be accompanied by erythema annulus or subcutaneous nodules.
(7) after the pain subsided, no ankylosis or deformity was found, and joint function could be restored.
Early rheumatoid arthritis and rheumatoid arthritis all have fever, joint pain and erythrocyte sedimentation rate increase. Sometimes it is difficult to identify in clinic. But rheumatoid arthritis is mostly multiple, symmetrical phalangeal and metacarpal facet arthritis, the interphalangeal joints were fusiform swelling, joint ankylosis or deformity; salicylic acid treatment is not fixed, often temporary relief of pain; concurrent heart damage is less; anti-chain "O" is not increased; rheumatoid factor is mostly positive; The line showed destruction of articular surface, narrowing of joint space and osteoporosis, and even joint deformity.
Rheumatoid arthritis is a chronic systemic disease characterized by symmetrical polyarthritis of the peripheral joints. Morning stiffness is longer. Subcutaneous nodules, invasive changes of joints and progressive joint deformities are common, especially in hand and foot joints. Joint red, swollen, heat, pain, movement disorders. When inflammation aggravates, joint effusion and swelling are obvious, and all-day joint pain, but early morning joint pain is the most significant, so that patients can not move, after a period of time other joints also appear symmetrical pain, swelling and morning stiffness. Often one pair of arthritis has not yet been completely relieved, while the other one has the same symptoms. This point can be distinguished from rheumatoid arthritis. Because rheumatoid arthritis often disappears after a pair of joint inflammation, another pair of joints becomes ill again. The muscles around the inflamed joints atrophy, weakness, and even the difficulty of going upstairs, picking up more than two or three kilograms of objects or opening doors. Rheumatoid arthritis often invades the cervical spine, causing headache in the occipital region, especially in the neck flexion time is too long more obvious, head to shoulder rotation when the headache intensified, shoulder or hip abnormal sensation. Sternoclavicular joints and sternoclavicular joints are also frequently involved, with local swelling, pain and tenderness.
TCM believes that the disease is due to weak constitution, Yang Qi insufficiency, inadequate mushroom, Wei Yang not solid, resulting in wind, cold, damp evil invasion and flow of meridians, joint obstruction of Qi and blood movement and the formation of arthralgia. Wind victory makes the pain wander indefinitely, which is called "Xingbi". Wind victory makes the pain localized and aggravated by cold, which is called "Pain Bi". Wet victory makes the pain swell and numb, which is called "Pain Bi". For a long time, liver and kidney deficiency tendon and pulse dystrophy, Qi and blood stagnation, fluid coagulation for phlegm, so joint deformity stiffness, difficult to move.
The occurrence of arthralgia is "all due to deficiency of body, empty mushroom, caused by wind, cold and dampness". It can be seen that weakness of body, insufficient vital energy, inadequate mushroom, and unstable external defense are the internal factors causing arthralgia. Feeling wind, cold and dampness is the external factor. Therefore, treatment should be based on Supplementing Qi and nourishing blood, dispelling wind, removing dampness, dispersing cold and dredging collaterals, promoting blood circulation and relieving pain. Principle.