I have a feeling in my clinical work. Whether in the outpatient clinic or in the ward, we often encounter patients with rheumatoid arthritis who have been suffering from the disease for several years or even more than ten or twenty years, and many of their joints are deformed when they come. The most unfortunate thing is the hands, “swan neck”, “button flower”, “ulnar lateral deviation” (refer to the picture), loss of working ability, and even life They cannot take care of themselves. The doctor was distressed, asking why he had to wait until this time to seek medical treatment when medicine was so advanced nowadays. The patient replied, moving around in various hospitals of all sizes, tried a variety of prescriptions, the beginning of the disease also felt effective, but a number of years later ~ ~ ~ here to remind the majority of patients, rheumatoid arthritis patients such as early, active treatment, 50% of patients in 2 years will occur in the joint bone destruction, and bone destruction once irreversible, the disability rate is very high. The most common ingredient in prescriptions is glucocorticoids, which can relieve pain and reduce swelling, but bone destruction can still occur silently. What’s even more frightening is that the specific dosage of glucocorticoids in the prescriptions is unknown, and high doses and long-term use of glucocorticoids can result in side effects such as facial fattening, diabetes, hypertension, osteoporosis and drug dependence. In fact, hormones can be applied in the treatment of many arthritis, but in short cycles, in small doses, and with regular dose reduction under the guidance of a doctor. The regular drugs for rheumatoid arthritis are methotrexate, leflunomide, hydroxychloroquine and so on. The best drugs recommended abroad to stop bone destruction include biologics such as Classic, Iceptab, and Adalimumab. Your doctor will choose the best one according to your condition. You can also combine regular anti-rheumatic drugs with herbal supportive treatment. Of course, herbs should also be used under the guidance of a regular hospital and physician.