Many people incorrectly classify arthritis as “rheumatoid arthritis” and “rheumatoid arthritis”. It is believed that “rheumatoid” is simpler to use aspirin and long-acting penicillin; “rheumatoid” is miserable and must use hormones. In fact, these concepts are wrong. The most common arthritis in the middle-aged and elderly is osteoarthritis, mainly due to long-term weight bearing, resulting in strain injury, which is characterized by easy involvement of weight-bearing joints, often the knee joint is the most obvious, aggravated by activity, reduced after rest. Rheumatoid arthritis can be seen at any age, with middle-aged people being the majority. It is mainly characterized by symmetrical joint swelling and pain, with large and small joints of the extremities being easily involved, with wrists, finger joints and knees being the most obvious. Ankylosing spondylitis is more common in adolescent males and is characterized by painful swollen joints in the lower extremities, low back pain, neck pain and shoulder pain. Rheumatoid arthritis and ankylosing spondylitis have the same characteristics, that is, the pain is often more pronounced at night, stiffness and pain are more prominent when waking up in the morning, but reduced after daytime activities. Due to the improvement of living standards, the incidence of gout has increased significantly in the past two decades, and it is related to the consumption of meat and alcohol, often starting to attack in the middle of the night, the next morning when you wake up, the pain is difficult to walk, the medical term “overnight pain peak. 1, osteoarthrosis, seven points rely on themselves, three points rely on doctors Just like machines, due to years of labor, activities and bear the weight of the body, to middle and old age, the joints are inevitably subject to wear and tear, which is osteoarthrosis. Therefore, it is necessary to rest and reduce weight-bearing activities when the joints are painful. Some anti-inflammatory and analgesic drugs can be used externally, such as Furtalin latex, Fenbuterol gel, Umax cream, etc. Various home-based physical therapy is used to the extent that the patient feels comfortable. If the pain is not relieved, it is necessary to take some oral analgesic or anti-inflammatory and analgesic drugs such as Fotarine, Mopiko, Cilpro, etc. If the joint becomes swollen and painful, suggesting secondary synovitis, in addition to anti-inflammatory and analgesic drugs, you can also add some drugs that inhibit the inflammation of the synovial membrane, such as Lei Gong Tang tablets or torch flower root tablets. Long-term oral intake of health care drugs that promote cartilage metabolism (Vibram, etc.) and drinking more milk to supplement calcium and prevent osteoporosis can reduce the progression of osteoarthrosis. Appropriate weight loss in obese people can reduce the load on bone joints. Avoid weight-bearing activities such as running, jumping and hiking, and increase joint extension and flexion-based activities such as swimming and cycling. People with osteoarthropathy should avoid hormonal drug therapy unless deemed necessary by a specialist. As you can see, the treatment of osteoarthrosis, seven points rely on themselves, three points rely on doctors. 2, rheumatoid arthritis is already a curable disease There are many misconceptions about the treatment of rheumatoid arthritis. It is an incurable rheumatic disease, before the eighties, medical incompetence in the treatment of rheumatoid arthritis, so that many patients lose confidence in modern medicine. Hope in the search for ancestral secret recipes; follow the ads to find the so-called “experts” who have overcome the difficulties of rheumatoid; or metaphysically follow the “things are precious” reason, spend a lot of money to buy rare herbs and so on. Looking for advertising and spending money has become the spiritual support of many rheumatoid arthritis patients. In the nineties, the international treatment strategy for rheumatoid arthritis was readjusted. Emphasis was placed on the early use of disease-controlling anti-rheumatic drugs, and although the same old drugs were still used, their efficacy was significantly improved. Unless the rheumatoid arthritis is very mild, once the diagnosis is confirmed, a rheumatologist needs to be consulted and disease-controlling anti-rheumatic drugs are used. However, the instructions for such drugs in China are mostly unlabeled for the treatment of rheumatoid arthritis, and these drugs are mostly toxic drugs. The specialist who uses the medication needs to be clear about the harm that the disease will bring to the patient, the life that the medication will bring to the patient by relieving the harm of the disease, and the harm that may be caused by the side effects of the medication, so as to fully weigh the pros and cons and determine the most suitable treatment plan for the specific patient. The use of such drugs by patients on their own, or by non-specialists who know little about them, increases the potential dangers. Hormone therapy for rheumatoid arthritis has been around for half a century and is one of the most controversial drugs used in the treatment of rheumatoid arthritis. 1949 was the first time that hormones were used by British doctors to treat a 26-year-old woman with rheumatoid arthritis who had been bedridden for three years. This case was a worldwide sensation, and it was thought that a cure for rheumatoid arthritis had been found. However, in the early 1950s British doctors organized a series of studies that concluded that hormones were not a cure for rheumatoid arthritis. For half a century, many patients had to use hormones because of their strong anti-inflammatory and analgesic effects, and some people mixed hormones into homemade “proprietary Chinese medicines” to obtain “high efficacy” and high profits. However, the side effects of hormones have caused many long-term users to experience “more harm than good”. For a long time, hormones have become the “opium” of rheumatoid arthritis, which is very harmful. Modern medicine believes that it is wrong to rely on hormones to treat rheumatoid arthritis, and it is even more wrong to treat rheumatoid arthritis with intramuscular or intravenous hormone injections. Generally speaking, the use of small amounts of hormones for short periods of time, on top of anti-rheumatic drugs that control the disease, will be beneficial. Unless there is a tendency of internal organ damage, the daily hormone should not exceed 2 tablets of prednisone and the course of treatment should not be too long so that there are no significant side effects. It is wrong to blindly abuse hormones and unwise to reject them completely. In fact, the treatment of rheumatoid arthritis does not rely on a particular prescription or a particular drug. There are many drugs that are effective for rheumatoid arthritis, but all have many shortcomings and side effects. It is necessary to choose the right combination of drugs according to the specific situation of the patient. If the drugs are not properly matched, or if they are not in accordance with the patient’s specific situation, not only will the disease not be controlled well, but serious side effects may occur. Therefore, rheumatoid arthritis must be treated by a rheumatologist in a regular hospital. 3, gout does not originate from the “wind”, but from the “food” Gout is not “wind” caused by pain, but the pain of eating out. Half a century ago, gout was a common disease in Europe and America, but a rare disease in Asia. In the 1950s and 1960s, after Japan’s economic recovery, the incidence of gout increased rapidly and has surpassed that of Europe. In the last two decades, China’s economy has developed rapidly and the food structure of the country has changed, with meat replacing grains to a large extent. Nowadays, gout has become a common disease, especially in the more economically developed areas and in people with better living conditions. Gout is caused by a high purine diet, and generally, meat foods are rich in purines. Excess purine is converted into uric acid in the body, causing hyperuricemia, and uric acid forms crystals that are deposited in the joints causing gout, and in the kidneys causing gouty nephropathy or kidney stones. Feasting and drinking alcohol often induce acute attacks of gout. Therefore, the key to treatment for people with gout is to control a high purine diet and abstain from alcohol. For acute attacks of gout, non-steroidal anti-inflammatory drugs (Fotaralin, Mupirocor, Cilobal, Inflammatory Pain Xicam, etc.) are required, or colchicine should be used under medical supervision. For non-exacerbation period, use drugs that lower blood uric acid (Ligurian, Allopurinol, etc.) to reduce gout.