Rheumatoid Chinese medicine is called wāng bì ,clinical manifestations are prolonged paralysis, joint pain is mild and severe, fatigue is aggravated, joint flexion and extension is unfavorable or deformed, emaciation, waist and knee soreness, fine pulse or string fine. It is advisable to tonify the liver and kidneys, nourish the qi and nourish the blood, dispel wind and dehumidification, activate the network and parasites, and the prescription medicine can be used to add flavor to the unique parasitic soup.
Reference prescription: 9 to 12 grams each for solo living, angelica, and ginseng, 12 to 15 grams each for eucommia, cangshu, white art, mulberry parasitism, welling fairy, and poria sativa, 12 to 30 grams of white peony, 15 to 30 grams of astragalus, 3 to 6 grams of cinnamon, 6 to 9 grams of white root, and 6 grams of hot licorice.
This party is suitable for those who suffer from wind and cold and wetness, long-term paralysis, liver and kidney deficiency, and lack of qi.
If the outside is affected by wind and cold and wet evil, long-term heat, long-term illness and injury, yin and yang two injuries of the embarrassment, manifested as limb pain, foot and ankle swelling, body weakness, dizziness and shortness of breath, dry throat weakness, nausea and vomiting, you can use Guizhi peony medicine Zhimu soup to add or subtract.
Reference prescription: 9 to 12 grams each of Guizhi, Zhizhizi, Wei Lingxian and Qin Gang, 15 to 30 grams each of Qingfeng vine, chicken blood vine, honeysuckle vine, and red white peony, 6 to 9 grams each of Bai Zhi, ginger, and parsnip, 6 to 12 grams of ephedra, 12 to 15 grams each of Cangshu, Baishu, Self-Defense, and Zhimu, and 6 grams of burning licorice.
Guizhi
Wellings
Gentiana
Addition and subtraction: If the cold is heavier than the heat, the limb pain is obvious, you can reuse the laurel branch, appendage, or add bone fragment supplement, bone fat, epimedium and even Chuan Wu, cao wu, etc., to warm the cold, improve the strength of the warm menstrual pain relief; such as heat is heavier than the cold, you can reuse zhimu, or add raw gypsum, honeysuckle, horse chestnut flower, etc., to clear the heat and detoxify the paralysis; the pain in the upper limbs, you can add turmeric, mulberry branches, stretching grass, to dispel the wind and relax the muscles, and introduce the medicine upwards; for those who have pain in the lower limbs, add solitary living, papaya, ox knee, coix kernel, to remove dampness and open the network, and introduce the medicine downward If it is manifested as waist and spine pain, waist and knee soreness, dog ridge, eucommia, mulberry parasitism, deer antler tablets, etc. can be added to supplement the kidneys. As for the hot and humid betting, it is manifested as swelling and pain in the lower limb joints, sore waist and legs, unpleasant stool, yellow and red urine, and yellow and thick moss at the base of the tongue, you can add Cangshu, yellow cedar, coix kernel, ox knee, alfalfa, and soil poria to clear the heat and dehumidify the paralysis, or use the flavored ermiao scattering formula.
There are more cold and hot mixed, or hot and cold, showing bitter mouth, dry throat, dizziness, upset insomnia and cold limb pain, cold waist and legs, uncomfortable abdomen, loose stool, you can use Chai Hu Gui Zhi Tang flavor. "On Typhoid Fever and the Sun" Cloud "Typhoid Fever Six or Seven Days, Fever, Slight Cold, Limb Pain, Micro Vomiting, Subcentral Branches, External Evidence Has Not Gone, Chai Hu Gui Zhi Tang Lord".
Clinically borrowed to treat rheumatoid arthritis, manifested as bitter mouth, dry throat, upset, or fever, cold, or vomiting, abdominal diagnosis is manifested as subcardiac branches, subcardiac knots or hard fullness, or support two threats, or abdominal intolerance, limb joint swelling and pain, stretching and flexion is unfavorable, tongue moss yellow and white, fine strings, dialectical belongs to the cold and damp evil obstruction limb meridian qi and blood, both depressed, often has good effect.
Clinical application can often be combined with Professor Zhu Chenyu's four vines and one immortal soup, often adding Qingfeng vine, luoshi vine, honeysuckle vine 15 to 30 grams each, Qin Gang 12 to 15 grams, Welling Xian 9 to 12 grams, Bai Zhi 6 to 9 grams. Those with shoulder and back discomfort and upper limb joints as the mainstay, add turmeric 9 to 12 grams, mulberry branches 15 to 30 grams; lower limb joint pain as the main, Kagawa huai beef knee, papaya 12 to 15 grams each; waist and leg pain, cold limb cold, plus dog ridge, Sichuan break, mulberry parasitism, eucommia 12 to 15 grams each; poor sleep, plus acacia skin, night vine 12 to 30 grams, raw dragon oyster 15 to 30 grams; fever, sore throat, plus honeysuckle 12 to 30 grams, horse chestnut flower 6 to 9 grams. Apply it properly and achieve good results repeatedly.
Author: Zhao Jinxi, chief physician, professor and doctoral supervisor of the Department of Nephrology and Endocrinology, Dongzhimen Hospital, Beijing University of Chinese Medicine
The article is selected from the October 2020 issue of Family Medicine and Medical Selection