Eight, rheumatoid arthritis treatment principles rheumatoid arthritis treatment principles are: clear diagnosis and early treatment, combined medication and choose individualized treatment, adhere to long-term medication and strengthen their own functional exercise combination. Combination medication refers to the selection of several drugs with different mechanisms of action, or the combination of two and more disease-relieving anti-rheumatic drugs. Because there is no curative drug available worldwide, the combination of multiple types of drugs is often relatively more effective. Individualized treatment refers to the selection of different therapeutic drugs and treatment methods for each patient with different drug resistance and treatment effects. Nine, rheumatoid arthritis treatment drugs classification clinical treatment of rheumatoid arthritis drugs are broadly divided into five categories (1) steroidal anti-inflammatory drugs (also known as anti-inflammatory analgesics, for the first line of drugs). These drugs have anti-inflammatory and analgesic effects, reduce and relieve joint swelling, pain and stiffness. They are fast-acting and are mainly used to control and relieve clinical symptoms. Non-steroidal anti-inflammatory drugs (NSAIDs) have dozens of hundreds of varieties, divided into about six major categories. Salicylic acid, such as aspirin, indoleacetic acid, such as anti-inflammatory pain, sulforaphane, propionic acid, such as ibuprofen, muriatic acid, such as fotarine, xicam, such as inflammatory pain xicam, meloxicam, pyrazolone, such as nabumetone (2) slow-acting anti-rheumatic drugs (also known as disease control drugs) are mainly used to control the progress of the disease, to prevent the destruction of limbs, joints, disability. Commonly used are salazosulfapyridine, hydroxychloroquine, methotrexate, and leflunomide. However, the clinical effect of these drugs has failed to achieve the desired effect. And more adverse reactions, common gastrointestinal discomfort, anemia, hair loss, liver and kidney function damage, etc.. (3) Glucocorticoids such as prednisone (prednisone), methylprednisolone, dexamethasone, etc.. These drugs can quickly and effectively relieve the symptoms, but long-term use of drugs more side effects. (4) Biological agents With the application of biological drugs in clinical practice, the field of rheumatology has also carried out a lot of useful exploration, and the treatment of rheumatoid arthritis has also achieved a certain degree of efficacy. At present, most of them are chosen for patients who are refractory and have poor efficacy on commonly used drugs. Because biological drugs are expensive and have a long course of treatment, they do not have a curative effect. Therefore, there are not too many cases of selection yet. (5) Chinese herbal medicine Through clinical practice, it has been proved that the treatment of rheumatoid arthritis with Chinese herbal medicine does have good efficacy. Chinese medicine for generations of doctors to investigate the cause of the disease mechanism is mostly congenital deficiency of endowment, deficiency of vital energy or acquired loss of nourishment, couples are not solid “wind, cold, moisture three gas mixed to, combined with paralysis. This deficiency is characterized by a deficiency of qi and blood, yin and yang, and a loss of internal organs, while the symptoms are characterized by an external evil of wind, cold, dampness and heat, and an internal problem of phlegm and blood stasis. Especially in Lingnan, which is near the sea and mountains, the climate is humid and hot, so the evil of wind-dampness is mostly from heat, and the wind-dampness and heat toxins take advantage of the deficiency to enter and paralyze the muscles, bones and meridians, and the wetness and heat obstruct each other, and the blood and Qi do not flow smoothly, so it becomes a mutual knot of phlegm and blood stasis, which penetrates into the bones and joints and develops into “Dong Bath”. Therefore, the treatment is based on clearing heat and detoxifying dampness, promoting blood circulation and relieving pain, mainly using Lei Gong Vine, Qing Feng Vine, Lonicerae, Gutu Herb, Tu Fu Ling and Mulberry Branch to relieve redness, swelling and heat pain in joints. The pain in the upper limbs is mainly added with Qiang Wu and Ginger Huang; the dampness is very serious and the limbs are heavy with Cang Zhu, Fang Ji and Wei Ling Xian; the long-standing pain is not relieved with White Mustard Seed, Lactobacillus and Turtle; the spleen is deficient and poor in nourishment with Sha Ren, Bai Zhu and Radix Codonopsis. As the main anti-rheumatic drug, its immunosuppressive effect has been confirmed by many studies. Ten, the pros and cons of applying glucocorticoids in rheumatoid arthritis Rheumatoid arthritis can be treated with glucocorticoids, but the indications should be strictly controlled and should be used under the guidance of a professional physician, otherwise it will cause many adverse reactions and serious syndromes. Hormone therapy can be considered in the following cases: (1) Rheumatoid arthritis with systemic damage such as vasculitis, neuropathy, rheumatoid pneumonia or nephritis, thoracic or abdominal pluritis, etc. (2) the symptoms are serious can not tolerate NSAIDs, or the use of NSAIDs effect is not good, in the initial treatment of slow-acting anti-rheumatic drugs have not yet taken effect, can be used in the first phase of small doses of hormone transition, but generally not too long, the so-called “in the disease that stop”. (3) repeatedly using several non-steroidal anti-inflammatory drugs and slow-acting anti-rheumatic drugs for a period of time, there are still a few “intractable joints”, especially large joints, can be intra-articular injection of hormones, there is a certain degree of effectiveness. Eleven, rheumatoid arthritis patients need to strengthen functional exercise Functional exercise for rheumatoid arthritis patients to protect the limb joints, restore function and prevent muscle atrophy have an important role, which can not be replaced by drug therapy. Many patients do not dare to engage in functional exercise and sports activities because they are afraid of pain or “sickness for sickness”, even though the joint swelling and pain are obviously relieved or even disappeared. Often because of the lack of attention to functional exercise, strengthen the muscle and bone load force, making muscle atrophy, joint activity is unfavorable, slowly forming limbs, joint function loss and deformity and disability.