Ankylosing spondylitis, a systemic osteoarthropathy dominated by chronic inflammation of the sacroiliac joints and spine. The characteristic pathological changes are tendon, ligament, and joint capsule bone attachment point inflammation. Late stage calcification and ossification of the involved areas, and eventually ankylosis of the spine. The prevalence of the disease in China is about 0.3%, mostly in people aged 10-30 years, with a peak incidence of 20-30 years. 40 years of age and below 8 years of age is rare; men are much more than women, the ratio of men to women is (2.5-4.1): 1, the statistics are not consistent around, such as Tianjin is 10:1. Ankylosing spondylitis belongs to the “bone paralysis” and “kidney paralysis” in the scope of “paralysis” in Chinese medicine. The Su Wen. The theory of paralysis says: “Bone paralysis has not ceased, repeatedly feel the evil, internal surrender in the kidney …… kidney paralysis, good swelling, the tail to replace the heel, back to replace the head.” The symptoms of this disease are quite similar to the late stage of this disease. (1) Identification and treatment: the evolution of the pathogenesis of this disease is initially liver and kidney deficiency, invasion of wind, cold and dampness, paralysis of qi, blood, tendons and collaterals, and involvement of the Governor’s vein; gradually to paralysis and stasis, heat and turbidity; finally, stasis and turbidity clump and condense, and tendons and bones become strong and straight. According to this evolutionary process, combined with clinical experience, it can be divided into four types of dialectical treatment: kidney deficiency, cold and dampness, dampness and heat paralysis, stagnation and condensation, and deficiency of qi and blood. Kidney deficiency cold and damp evidence: lower back or with hip and knee joint hidden pain, morning stiffness, can be relieved by activity or hot bath, hot compress, aggravated by rainy cold, sacroiliac joint squeezing pain, pulse sunken string and tight, tongue light coating white. Treatment is to warm the kidneys and disperse cold, expel wind and open the ligaments. The formula is based on the formula of Gui and Four Vines Soup with Addition (empirical formula, Gui Zhi, Piece of Pith, Hosanna, Wei Ling Xian, Nan Xing, Golden Hair Dog’s Backbone, Bone Crushing Tonic, Epimedium, Green Wind Vine, Sea Wind Vine, Chicken Blood Vine, Loxodendron). If the pain is obvious, add Centipede, Scorpion, Lactuca, dry mouth and dry lips, add Dendrobium and Qinjiri. For fast heart rate, remove the sanguinaria and slices of the sphagnum, add licorice and Fu Shen. Damp-heat paralysis evidence: pain in the lumbosacral or hip area, morning stiffness is obvious, or swelling and pain in the knee joint, unfavorable movement. Local skin temperature is slightly elevated. Painful bone attachment points refusing to be pressed. X-rays show erosion of the sacroiliac joint and blurring of the space. The tongue is red with yellow or white greasy coating. Treatment is to clear heat, resolve dampness, clear the ligaments and relieve pain. The formula is to add and subtract Huangbai Cangjiao San (experienced formula, Huangbai, Cangjiao, Bile South Star, Gui Zhi, L Datu Cao, Chasing Earth Wind, Enduring Winter Vine, Leigong Vine, Sea Wind Vine, Coix Seed, Mulberry Branch, Wei Lingxian, Hessian, decocted in water to get juice, centipede, whole scorpion, ground dragon and leech are added into the juice with powder and taken in 2 times). Add Xinhuang tablet, 3 times a day, 3~4 tablets each time, take orally. Externally, use add flavor Ding Gui San (experience formula, clove, cinnamon, mannitol, raw nanxing, alum and camphor together and grind very fine powder, honey mixes with paste) to put on pain and swelling, change once in 8~14 hours. X ray shows sacroiliac arthritis grade III. The treatment is to benefit Qi, invigorate Blood, resolve stasis and disperse nodules. The formula is based on the formula of “Tonic Yang Returning Five Soup with Addition” (experienced formula, Astragalus, Angelica, Rhizoma Chuanxiong, Radix Paeoniae Alba, Peach kernel, Safflower, Trigonella, Curcuma longa, Leigong vine, Qingfeng vine, Chasing the wind), decocted in water to obtain juice, and the centipede, whole scorpion, leech, turtle worm and ground dragon are finely powdered and added to the above juice, and taken in two divided doses. If the pain is serious, add Xinhuang tablet 2~3 times a day, 3~4 tablets each time. Qi and blood deficiency certificate: the course of disease is long, the condition is heavy, the pain is stiff and lingering, the yin and yang are lost, both qi and blood are deficient, the god is tired and lazy, less qi and weak, the face is white, and the pulse is not good. White face, no Xin in the grain, weak pulse, light tongue. Treatment is to strengthen the spleen and kidney, and to benefit the qi and blood. The formula is Zuo Gui Wan plus or minus (Shu Di, Huai Shan Yao, Cornu Cervi Pantotrichum, Fructus Lycii, Xian Ling Spleen, Deer Gum, Tortoise Board, Astragalus, Radix Angelicae Sinensis, Rhizoma Atractylodis Macrocephalae, Pericarpium Citri Reticulatae, Fried Grain Malt). If the pain is obvious, add Xinhuang tablets, twice a day, 3-4 tablets each time. According to clinical observation, ankylosing spondylitis has individual difference. Facing different specific patients, prescription drugs should be increased or reduced dialectically; deficiency of qi and blood is a variation in the process of ankylosing spondylitis, which is mostly seen in middle and late stage patients. After the general condition has improved and the appetite has increased, the treatment should be continued according to the above three evidence. (2) Topical Chinese medicine treatment: Topical Chinese medicine can make the active ingredients of the drug absorbed through the skin and increase the local concentration of the drug in the lesion. There are many methods of topical Chinese medicine treatment, such as fumigation, external application, hot ironing, wax therapy and ionization of Chinese medicine. Fumigation therapy can be applied to orthopedic external baptism one or two parties, lower limb injury baptism, etc., fumigation twice a day. Hot ironing method can be used to iron the wind. External rubs include: Bone You Ling rub, Bone Spirit rub, Bone Pain Spirit tincture, etc. applied to the affected limb. External ointment: Bone Tong paste paste, Tongluo dispel pain paste, dog skin paste and other compresses. (3) Functional exercise: instruct the patient to carry out correct and reasonable functional exercise, such as encouraging the patient to do deep breathing, chest expansion exercises to maintain the mobility of the thorax; neck and waist movement in all directions to maintain the flexibility of the spine; frequent walking, push-ups, swimming, etc., to maintain the normal function of the limbs and the whole body. In daily life, when standing, the chest should be raised and the abdomen should be collected, and the chest should be kept straight in sitting position, more supine hard bed without high pillow, early patients more supine or prone position lumbar back muscle functional exercises, as well as lumbar forward flexion and back extension, left and right lateral flexion exercises. The amount of activity of the above exercises should be increased gradually, in order not to increase the disease and fatigue. Be sure to avoid sharp and strenuous exercise. If the increase in pain after exercise continues under more than 2 hours, fatigue is difficult to recover, that is, excessive exercise. Ankylosing spondylitis early patients should learn and adhere to our traditional methods of practice, such as Taijiquan, Bada Jin, Yi Jin Jing, Vajra Qigong, etc. (4) massage therapy: the principle of massage is through the tendons and the longitudinal extension of the spine, so that the force lines along the pushing body are transmitted up and down, so as to achieve relaxation of the ligaments and muscles, improve the movement of the joints, adjust the longitudinal axis of the spine, in order to obtain maximum improvement of the effects of the kyphosis deformity and lower limb joint function. Traction can be added for those with kyphosis.