Personally, I think that this is a case where the treatment cannot be standardized because there is no fixed doctor’s help, multiple medical consultations, and some tests that are not clearly explained to the patient, aggravating the psychological burden of the disease. Because the patient’s statement is more than messy, plus some pictures can not be copied, so there is no patient information attached. This is my reply: Hello! Thank you for your love! I did read the information you sent carefully, and I think it will be clearer to answer your question this way. 1, your current diagnosis, personal opinion, SPA, what kind of disease is this? It is an inflammatory arthropathy mainly in the middle column, you can also read the relevant short article I posted on this site. It’s phenotype is AS (ankylosing spondylitis), regular treatment of the patient is rarely ankylosing. 2, the diagnosis is based on the information you sent, there are clinical symptoms, plus the onset of “anti-O very high 1400 normal 100-200 then played a year long-acting penicillin super pain once a month now a year or two ago down to 400”, and now there are so many inflammatory manifestations, such as oral ulcers, you sent a photo of the face, which is a clear inflammation of the hair follicles. This is a clear inflammatory manifestation of the hair follicle, of course, this clinical manifestation has a certain relationship with your age, because your age is an androgenic secretion age, but also with your intake of excessive high-calorie food. These are also important factors in triggering inflammation! I don’t know if you have any such manifestations on your back, in addition to the problem of inflammation of the genitals, gastrointestinal tract, etc.? 3, on the issue of B27, it is the emergence of such indicators that people have clearly separated AS from RA (rheumatoid arthritis), recognizing that these are two types of diseases with distinct differences in gene expression and clinical symptoms, telling you this only to illustrate that medicine is indeed a discipline that is constantly progressing and changing its understanding, 90-98% of AS patients will appear B27 positive, but B27 positive people do not necessarily have B27. Some people who are not positive for B27 will also develop ankylosis. This is not a necessary indicator for the diagnosis of AS, because there is a major clinical indicator of AS! That is the symptoms of ankylosis of the middle column. Now there are some imaging indicators to help, inflammatory indicators to suggest, and B27 to base on, so that we will consider some patients without ankylosis as early patients, which should have some clinical significance. Mainly, it can help patients to control the progression of inflammation and reduce the problems of impaired joint function and serious comorbidities such as ankylosis. However, for some patients with SPA, if left untreated, they are also capable of developing the problem of ankylosis of the middle column, which must also attract our attention. This is what I want you, the current generation of educated young people, to understand that the diagnosis of a disease is not a one-size-fits-all problem, and that each disease has its own developmental trajectory. Therefore, whether it is Chinese medicine or Western medicine, it is most important to recognize the clinical symptoms of a disease at different stages. 4, the imaging problem, strictly speaking, imaging is more widely used in the diagnosis of rheumatic diseases is also a matter of recent years, many of our radiologists in this area of knowledge is also a difference, we are constantly learning, which is why my patients basically I have to see the film themselves. At that time, an American sent us a high-powered microscope and wanted to work with us, but no one was interested. Now I still think it has some clinical significance. At that time, the phenomenon I saw was more serious than the picture you sent me. At that time, I could only elaborate on one issue, the stagnation of qi and blood in TCM could be seen clearly under this high magnification microscope, and it could be divided into many types, which could be a way of cognition for us to combine Chinese and Western medicine, so I wrote some articles. The Americans also took back the mirror. Since the work did not continue, I can’t talk about more problems. But I can tell you clearly that it cannot be used to diagnose diseases, for example, you said your father cried when he saw such a large cell, I can tell that it is a foreign body that swallows a lot of white blood cells, your red blood cell viscosity is higher, there is a small amount of metabolic abnormalities around the red blood cell, because I can not see your situation at that time, so I can not tell what it is, and it is not a terrible problem, not so terrible! If you take your father’s blood to see, there are more problems than this. So there’s no need to be so nervous, and there’s no need to take any supplements indiscriminately. So, how should you treat your current problem? My personal opinion, relax, change the structure of your diet, reduce the calorie intake, and properly put yourself in a state of hunger has benefits. Drink more water in moderation, eat a diet with more dietary fiber, and keep your bowels open, which can intentionally increase the amount of bowel movements. More activity so that abnormal metabolites can be eliminated from the body in a shorter period of time and restore the normal physiological metabolism. Regarding the SPA and related inflammation, anti-inflammatory treatment should be done when necessary, because some blood viscosity issues are the main ones. symptoms. Is it good?