Patient: Description (onset, symptoms, hospital, etc.): I’m 21 years old, and I’ve had rheumatoid rheumatism since 2008…I’ve been undergoing treatment, but it’s not getting better. Now I’m in Hunan Chinese Medicine Hospital combining Chinese and Western medicine…but I’ve been taking Chinese medicine and Western medicine for a year, and I feel that my disease is still developing…now I’m in great pain…I can’t take care of myself. No energy, no spirit. Even can not walk. I still have a good future, but now I am very distressed and helpless… What else can be done to better cooperate with the treatment? Dr. Zhang: Wind-like Guan is a very stubborn disease that requires long-term systematic combined medication treatment before it can be effective. It is best to have a medication regimen developed by a doctor based on individual circumstances and to take it for a long period of time after making adjustments based on the response to the medication. Patient: How should I better cooperate with the medication? Dr. Zhang: There are many kinds of drugs commonly used for treatment, which can be adjusted according to the patient’s reaction to the drugs, and before using the drugs, routine blood and liver and kidney functions should be measured to see which drugs are suitable. The rheumatology department of a regular hospital should be able to develop a treatment plan. If it is convenient to come to Shanghai to see it, it is also possible. After the plan is made, you can go back and continue with the medication. Patient: First of all, thank you for answering my question in your busy schedule. I can’t even walk, I sit or lie down and every time I have to stand up, my palms sweat with pain, and then the next day I have a lot of pain. May I ask if I am to exercise? What do I need to pay attention to in my daily life and? Dr. Zhang: I wonder if there is any swelling and other conditions in the joints now. If the joints are swollen and painful, with significant fluid accumulation, arthroscopic treatment is needed to help relieve the symptoms. If these conditions are not present, the symptoms can be partially relieved after a period of time with medication. Patient: I am now being treated at Hunan Hospital for Chinese medicine and Western medicine…I have been treated for over a year…and the swelling has subsided. What should I pay attention to now? The doctor also said I still need to exercise properly, but the pain is so bad I can’t even stand up. Dr. Zhang: I do not know your recent treatment plan and treatment, if the long-term use of drugs after a period of poor results, you can do some adjustments, in any case, since the symptoms are so obvious, the first thing to do is to use drugs to control the symptoms, as for exercise, need to be measured. Patient: Dr. Zhang, I would like to consult you… Can the deformed knuckles be restored to normal after slow conditioning treatment? Or will it remain deformed? Also, my legs are a little bent and I can’t stretch them straight? Can’t these be restored to normal? I recently discovered a medicine called type 2 collagen, which is said to be effective for rheumatoid arthritis. What do you think? Dr. Zhang: It is difficult to recover the joints of the fingers, and the problem of the legs is the stiffness of the knee joints, which can only be solved by joint replacement surgery. The treatment of rheumatoid joints still needs to be carried out regularly to achieve good results.