In Chinese medicine, rheumatoid arthritis belongs to the category of “paralysis”, which means blockage. Chinese medicine theory believes that wind, cold, dampness, heat, poison, strain, postpartum and seven emotional disorders are the triggers of RA. The main internal cause of RA is the deficiency of liver and kidney or overexertion that depletes the vital energy, resulting in the deficiency of vital energy, which can be easily invaded by external evil. Joint swelling and pain, stiffness, flexion and extension of unfavorable, impaired activity, tendon contracture meat roll. This is called paralysis. The disease is characterized by repeated evolution of deficiency, entanglement of the disease, and the fight between evil and toxins, resulting in a complex disease pattern and many changes in performance, which makes clinical treatment difficult. Chinese medicine usually classifies rheumatoid arthritis into the following types: walking palsy: in the case of wind energy, pain in the joints of the limbs, wandering, mostly in the wrist, elbow, ankle, knee and other joints, flexion and extension, or accompanied by evil, cold, fever and other manifestations, thin white tongue coating, floating pulse. Painful paralysis: cold Qi is strong; pain in the joints of the limbs is more intense, pain has a fixed place pain such as vertebral spurs, the heat is reduced, in case of cold, the joint flexion and extension is unfavorable, there is a local feeling of cold, moss white pulse tight. The pain in the joints of the limbs is mainly numbness, and the disease has a fixed location, and even the joints are swollen, the hands and feet are heavy, and the movement is difficult, the tongue is white and greasy, and the pulse is moist and slow. The above three can be collectively called “cold paralysis”, all have joint pain or part of the muscle soreness heavy numbness, prolonged for a long time, can lead to limb detention, and even joint enlargement. As the human body quality is different, the infection of wind, cold, moisture and heat each have their own prevalence, and therefore are divided into line paralysis, pain paralysis and paralysis. Heat paralysis: red, swollen and hot pain in the joints, or even pain that is unapproachable, with cold relief and restricted movement, as well as fever and thirst, excessive sweating, irritability, yellow tongue coating and slippery pulse. In clinical treatment, doctors can treat the disease by nourishing the liver and kidneys, nourishing Qi and blood, dispelling wind and cold, clearing dampness and heat, expelling phlegm and eliminating stasis, and relieving pain. RA can be clinically divided into active phase and remission phase Active phase: The active phase is mainly due to wind, cold, dampness and heat, with the disease located on the surface. The clinical manifestation of heat paralysis is different from heat and humidity, and can be accompanied by cold symptoms and a mixture of cold and heat, and heat can easily injure yin, so heat paralysis is often witnessed by yin deficiency. Therefore, heat paralysis can be divided into different types of evidence such as heat (toxic heat) type, wet type, yin deficiency type and with cold type. The treatment of heat paralysis should be applied to clear the heat and dampness, dredge the wind and channels, invigorate the blood and relieve pain. When the rheumatoid patient has a weakness of the body and Yang, the paralysis is blocked: fever, wind, fear of cold, sweating, morning stiffness is obvious, the pain in the joints around the body is intense, and even the flexion of the bones and joints is unfavorable. The treatment should be to dispel cold and dampness, and to harmonize the campanile. Addition and subtraction: Yang deficiency and coldness add Radix et Rhizoma, warming the twelve meridians; dampness is abundant in Atractylodes Macrocephala, Chuan Park. Generally after the stage of treatment, if the treatment is not effective, it is not easy to take for a long time, because the agent of dispelling wind and drying dampness depletes the yin liquid, so that the evil turns into the inside. Patients with rheumatoid arthritis are suffering from the disease of dampness and heat paralysis: vicious wind, fever, red, swollen and painful joints, cooled pain, restricted joint movement, inability to hold hands, difficulty in walking on feet, burning of bone joints, swelling, pain, heaviness, morning stiffness, thirst or thirst without desire to drink, yellowish red urine, unpleasant or insubstantial stool, greasy or yellowish moss, reddish tongue, number of pulse. Take the method of clearing heat and removing dampness, promoting paralysis and clearing the ligaments. Add and subtract: if the joint is swollen and painful, add Lonicera japonica, papaya, mulberry branch, etc., so that the power of clearing heat and dampness, activating and clearing paralysis is more specialized; if the heat and toxicity is strong, add Di Ding Cao, dandelion, Lonicera japonica flower; if the heat is strong, add gypsum, cold water stone; if the dampness is strong, add Wicker Z, Tu Fu Ling; if the heat burns and hurts the yin, combine Yuan Shen, Sheng Di, go to talcum, adzuki bean. In the remission period, the clinical deficiency is dominated or deficiency of evil love, the location of the disease in the patient can be seen alternately with the remission, the condition is increasingly aggravated, so that the deficiency of the real see each other, cold and heat mixed, identification and use of drugs more complex and difficult. The treatment should depend on the deficiencies and weaknesses, and the clinical evidence should be applied flexibly to benefit the liver and kidney, nourish the qi and blood, invigorate blood circulation and remove phlegm and clear the ligaments. During the remission period, we should still adhere to the treatment of Chinese medicine or Chinese patent medicine to adjust the body’s yin and yang, qi and blood, and clear the remaining evil, so as to prolong the stabilization period and reduce the recurrence of disease. Usually, one kind of medicine is used to support the essence of the body plus one kind of preparation to dispel rheumatism. For those who have dampness and heat in the lower jiao, use San Miao Tang and Zhi Bai Di Huang Wan; for those who have weak lung and stomach and are prone to recurrent colds, use Yu Ping Feng San; for those who have ankylosis, enlargement and deformity of the joints, they have liver and kidney deficiency, phlegm and stagnation, give nourishing products for the liver and kidney plus Scorpion Capsules or Tao Hong Si Wu Tang plus Pancreata. In addition, some of the important medicines for treating paralysis left behind by previous generations or widely circulated among folk such as Lei Gong Tang (including Kunming Shan Hai Tang), Qing Feng Tang, Ma Qian Zi, Wu Yao, etc. need to be further explored in order to highlight their curative effects and reduce toxic side effects. When arthritis patients have liver and kidney co-morbidities, qi and blood loss syndrome: wasting of the body, deformation of joints, muscle atrophy, painful bones and joints, stiffness and restricted movement, tendons and veins are constricted, often accompanied by weakness of the waist and knees, dizziness, palpitations, shortness of breath, pale white nails, weak pulse, thin moss, light tongue, or light red tongue. To benefit the liver and kidney and nourish the qi and blood, take Ten Perfect Tonic Soup with Duluxiaosheng Tang and reduce: Dang Shen 15g, Duluxiaosheng 10g, Sang Sang Sang 30g, Gentiana Macrophylla 10g, Fang Feng 10g, Hossein 5g, Angelica Sinensis 10g, Paeonia Lactiflora 10g, Chuanxiong Ligustici 10g, Dihuang 10g, Du Zhong 15g, Niu Knee 15g, Fu Ling 15g, Astragalus 15g, Atractylodes Macrocephala 10g, Cinnamon 3g, Licorice 5g. Add and subtract: for yin blood deficiency, dry throat and tinnitus, insomnia and dream disturbance, night sweats, irritable heat, red cheek, add Zuo Gui Wan for treatment; for yang deficiency, white face, swelling, fear of cold and warmth, hands and feet are not warm, add Right Gui Wan for treatment; for swelling, add White Mustard Seed, Soapberry, and external use of skin nitrate; for joint pain, choose from Old Zygomaticus, Gang Nim Root, Lonicera, Tiger Warrior, Gold Bird Root, etc. As the disease is imprisoned for a long time, not herbs and wood products can be effective, participate in flesh and blood sentient things, such as herb snake, wuzi snake, white flower snake, etc. outside to the skin, internal go to the internal organs of the cut-off wind medicine, and insects and ants search and such, can be used as appropriate. The disease is mostly seen in the late stage, mainly deficiency. The purpose of helping the righteous is to reach the evil, which can improve the function of the joints of the limbs.