Combined Chinese and Western medicine treatment – advantages in the treatment of rheumatic diseases

    Given that the exact cause of rheumatic diseases is unknown, at this stage there is no special effective curative drugs, Chinese medicine focuses on dialectical conditioning, the effect is relatively slow, Western medicine is effective, the relative adverse reactions are inevitable, the combination of Chinese and Western medicine has attracted the attention of many doctors and exploration, each taking advantage of the strengths as a good strategy. The superiority of combined Chinese and Western medicine in the treatment of rheumatism is mainly reflected in the following: Guiyang Second Affiliated Hospital of Traditional Chinese Medicine, Rheumatology and Immunology Department, Ma Wu Kai 1, changed the Western medicine only focus on analysis, local research methods, began to combine local and overall, static and dynamic, analysis and synthesis, study the interrelationship of various organs or diseases of the human body and its process of change and development, and gradually reveal the internal regularity of human life and disease processes . SLE is an autoimmune disease, and the lesions can involve multiple organs singly or simultaneously. Western medicine believes that its pathogenesis is related to hormones, environment, infection, immunity and genetics, and is mainly characterized by hyperfunction of B cells and hypofunction of T cells. In Chinese medicine, there are two types of arguments: one believes that the main cause of the disease is the lack of innate endowment, loss of kidney essence, imbalance of yin and yang, and yin deficiency and yang hyperactivity; the other believes that the disease develops due to the imbalance of the body’s camp and guard, and the loss of harmony between qi and blood, resulting in qi stagnation and blood stasis. Chinese and Western medicine treatment is helpful to improve the efficacy, shorten the course of treatment and reduce side effects. Generally speaking, during the acute attack period, high-dose glucocorticoids and immunosuppressants are used for shock treatment, accompanied by drugs to clear heat and detoxify the body and cool the blood. As the disease requires long-term use of glucocorticoids, to reduce the negative effects of Cushing’s sign and neuro-endocrine-immune axis, yin-nourishing drugs are given. To reduce the bone marrow suppression, gonadal damage and gastrointestinal discomfort caused by immunosuppressive drugs, spleen and kidney tonics were used. As the disease has been lingering for several years, the clinical manifestation is mostly qi and blood stagnation, so the treatment is based on regulating qi and draining the liver, activating blood circulation and removing blood stasis. When the disease is alleviated, the treatment will be strengthened to benefit Qi and nourish Yin, improve the patient’s immune status, and facilitate the smooth reduction of hormones, and finally, the treatment will be supplemented to the spleen and kidney to consolidate the therapeutic effect.       2. Close integration with modern science and technology has made up for the defects of TCM, opened up a new field of modern medicine, and solved a series of major problems in diagnosis, treatment and prevention. It has made medical technology move toward the goals of automation, high speed, precision, efficiency, simplicity and non-invasiveness. In the fifth century B.C., Chinese medicine already classified arthritis or joint pain into three major types: walking paralysis, painful paralysis and catching paralysis. However, until today, it is impossible to distinguish rheumatoid arthritis from gout and to identify rheumatoid arthritis from ankylosing spondylitis if one relies solely on TCM theory. Despite Hua Tuo’s excellent medical skills, he had to perform open-heart surgery on Cao Cao with a sharp blade, and now it seems that it was not unreasonable for Cao Cao to kill him.       3. Highly integrated on the basis of high differentiation, showing a trend of systematization. On the one hand, it goes deeper into microcosm by individual, organ, tissue, cell, subcellular, molecular and even quantum level to conduct fine analysis and research, and use it to explain the overall function and life activities as well as the nature of diseases; on the other hand, it expands to macrocosm from the organism to all aspects, and generates many marginal disciplines such as cosmic medicine, environmental medicine, medical sociology, medical psychology, medical ethics, chronology The organic combination of Chinese and Western medicine gradually reveals the essence of the body. The organic combination of Chinese and Western medicine has gradually revealed the dialectical relationship between different levels of the human body. For example, in rheumatoid arthritis, from a microscopic perspective people have studied the immune cell subpopulations and the class II molecular structure of human histocompatibility antigens. From a macroscopic perspective, researchers have found a high prevalence in certain races, as well as a higher prevalence in poor, low-educated people, and attention has been paid to psychological disorders and sexual life disorders in rheumatoid arthritis patients. And the treatment of rheumatoid arthritis is required to be multifaceted and multifaceted. Treatment of patients, in addition to medical and nursing workers, social workers, psychologists, rehabilitation doctors, family and society and other industries have obligations and responsibilities, fully reflecting the holistic nature of people.       4.Increased the means and contents of disease diagnosis and treatment: it not only includes various treatment methods of Chinese and Western medicine, but also includes a variety of non-technical treatment methods such as rational nutrition, sports therapy, stress control, psychotherapy, social adaptation and various health care therapies.       5. Promoting the development of medical ethics: The system of combined Chinese and Western medicine treatment places more emphasis on the patient’s medical rights, respects the patient’s medical needs and the patient’s desire to enjoy life and improve the quality of life, and regards the patient as a social person, a whole person rather than a “sick machine”. For example, patients with SLE were previously advised to avoid having children or even getting married, which was indeed against their humanity. Many patients with rheumatic diseases have different degrees of joint and muscle pain and disabilities, which make their sexual life difficult to varying degrees. Systemic medicine gives appropriate attention to these patients, which improves their quality of life, increases the pleasure of life and harmonizes the relationship between husband and wife.