1. 4 principles of the Department of Rheumatology, China-Japan Friendship Hospital 1. RA treatment plan should be developed by the patient himself and the rheumatologist in consultation. The most important goal of treatment is to maintain a good quality of life in the long term to the greatest extent possible, which requires: control of pain, inflammation, stiffness, fatigue and other disease-related symptoms; prevention of bone or joint destruction; and return to normal work and participation in daily activities. 3. The most important way to achieve the above goals is to control joint inflammation. 4. For RA to achieve good results, treatment goals should be clear and should aim to control disease activity, and if the goals are not met, the treatment plan should be adjusted in time. II. 10 recommendations 1. The main goal of RA is to achieve disease remission. 2. Clinical remission is the disappearance of signs or symptoms due to inflammation. In some patients, especially those with long disease duration, the goal should be to achieve low disease activity. Disease activity should be evaluated and documented regularly, at least once a month for patients with moderate to severe disease activity, and at longer intervals (e.g., once every 3-6 months) for patients with low disease activity or remission. Clinical decision making. 7. In addition to disease activity, joint destruction and limited joint motion should be considered in daily life. 8. The desired treatment goals should be adhered to throughout the course of disease treatment. 9. The choice of the appropriate method of disease activity assessment or treatment goal should be based on the patient’s own circumstances, such as concomitant disease, patient wishes, and drug safety issues. 10. Patients should be reasonably informed of their treatment goals and treatment strategies under the guidance of a rheumatologist.