What is rheumatism?

  Rheumatic diseases are a group of diseases affecting bones, joints and their surrounding soft tissues in general. The causes are complex: infectious, immune, metabolic, endocrine, degenerative, hereditary, tumor, etc. The resulting diseases are also diverse. There are many different diseases that can be caused, so we would like to discuss the common rheumatoid arthritis and rheumatoid arthritis with you.  What is rheumatoid arthritis, known as rheumatoid, chronic, symmetrical, multivariable small arthritis and extra-articular lesions as the main performance, the late stage can appear joint diameter and deformity, loss of joint function, loss of self-care ability. According to medical statistics, untreated patients have a two-year disability rate of 50% and a three-year disability rate of 70% Once you have the disease or suspect that you have the disease, you should seek medical attention in a timely manner. Early diagnosis and early treatment are very important.  Rheumatoid arthritis and rheumatoid arthritis are two different diseases with different causes and similar symptoms, but with different characteristics. The former occurs in large joints and heals better without deformity, but it is easy to invade the heart; the latter occurs in small joints (such as finger joints) and heals poorly, leaving deformity and disability.  The main symptoms of rheumatoid arthritis are acute and chronic. When the disease starts, there is general fatigue, loss of appetite, sweating, irritability, fever, etc. The joints are red, swollen, hot and painful, mainly invading the large joints such as knee, manic, hip, shoulder, elbow and wrist, and a few can invade the small joints of the extremities, showing wandering pain. Nodular erythema can be seen on the skin, with annular erythema being the most common, and pressure pain when pressed.  Most patients with rheumatoid arthritis initially have localized pain in a few joints, and the disease develops slowly, with alternating pain relief and aggravation. In mild cases, the stiffness disappears after getting up and moving or warming, while in severe cases, the stiffness persists and the movement is inflexible. Morning stiffness is an important symptom in rheumatoid patients. Early joint pain wandering is more pronounced, except for this, wandering is often symmetrical and unilateral arthritis is rare. Late stage patients mainly due to joint bone destruction, fibrous adhesions, osteophytes cause joint ankylosis and deformity, and some patients can lose the ability to take care of themselves.  Chinese medicine’s understanding of the causes of rheumatism Chinese medicine’s understanding of the causes of disease, that “where the evil comes together, its qi must be deficient”. “Wind, cold, and dampness are combined to form paralysis. Due to the weakness of the human body, insufficient qi and blood, or overwork, the pores of the skin are loose, the camp is not solid, wind, cold and damp external evil to take advantage of the weakness, flow into the meridians, muscles, joints, resulting in qi and blood stagnation, blockage, pain and joint pain, unfavorable activities. However, due to the different physique of each person, the disease has its own prevalence and is divided into: walking paralysis, pain paralysis, paralysis, cold paralysis, and heat paralysis.  Chinese medicine and Western medicine seem to be similar in the name of rheumatism, but their theories are very different and each has a different theoretical system. Therefore, in chronic pain diseases, pain related to dampness, cold, and cold irritation are not all rheumatic diseases.  If the patient is suspected of having rheumatoid rheumatism should do the following three tests: 1, anti “o”; 2, blood sedimentation (ESR). Blood sedimentation 0-15 normal for men, 0-20 for women below normal to prove the presence of rheumatic activity; 3, rheumatoid factor (RF) positive rate of adult patients up to 70-80%.  In addition to the above three routine tests, if the condition requires, C-reactive protein, immunology, anti-nuclear antibody, human tissue phase-antigen system examination.