Chinese medicine has a long history, profound and profound, with a very complete system of prevention and treatment, and “treating the untreated” as an important preventive idea in Chinese medicine, as early as the Spring and Autumn Period and the Warring States “Yellow Emperor’s Classic of Internal Medicine” has been proposed: “Therefore, the sages do not treat the untreated disease, do not treat the untreated chaos, this is also called. The disease has become and after the medicine, chaos has become and after the treatment, such as thirst and wear well, bucket and cast cone, is not also late! This idea of prevention is more important than cure still has very important guiding significance today. Rheumatoid arthritis belongs to the category of “paralysis” in Chinese medicine, which is caused by the deficiency of the body’s vital energy and the induction of external evil such as wind, cold and damp, and is characterized by chronicity, progressiveness and recurrent attacks. Since there is no effective clinical measure to cure the disease, early prevention and early treatment are especially important. The idea of “treating the untreated disease” in Chinese medicine, specifically in rheumatoid arthritis, mainly includes four aspects: prevention of untreated disease, prevention of existing disease, prevention of chronic disease and disability, and prevention of post-healing changes. First of all, prevention before the disease. “Preventing diseases before they occur” means taking active and effective measures to prevent and control the occurrence of diseases before they happen. It is said in Suwen Shanggu Tianzhen: “The law is based on yin and yang, the harmony is based on art, the food and drink are regulated, the living is regular, and there is no delusional labor, so that the form and the spirit are in harmony”. The “Suwen and the Legacy of the Method of Stabbing” states: “If the righteousness exists within, the evil cannot dry up.” The “Spiritual Pillar – Ben Shen” calls it “nourishing life” and says, “The wise man’s nourishment is to follow the four seasons and adapt to the cold and heat, to harmonize the joy and anger and live in peace, to regulate the yin and yang and adjust the rigidity and flexibility. If this is the seclusion of evil, longevity and longevity of vision”, the “Golden Horoscope” that: “a thousand M difficulties, but not more than three: one, the meridians by the evil into the internal organs, as the cause of the internal; two, the nine orifices of the limbs, blood vessels, congestion and inaccessibility, for the external skin also; three, the room, gold blade, insect and animal injuries. With these details, the causes of disease are all exhausted.” All of the above points out the importance of “prevention before illness”, suggesting that people should follow nature in their daily lives and follow the changes of yin and yang in the four seasons of nature to regulate; emotionally and spiritually, they should “be calm and void” and “keep the spirit within In terms of emotion and will, we should be “calm and void” and “keep the spirit within”; in terms of diet, we should “eat and drink in moderation” and “be careful to harmonize the five tastes”; in terms of labor, we should “work in form and not be tired” and avoid “These health practices play a positive role in the prevention of rheumatoid arthritis. As mentioned earlier, the pathogenesis of rheumatoid arthritis includes two aspects of deficiency of positive energy and invasion of external evil, then for the prevention of rheumatoid arthritis: First, we should support the positive energy and improve the body’s ability to resist disease and evil. Such as a reasonable diet structure, appropriate physical exercise, regular life, maintain a good state of mind, active activities, etc.; second is to take appropriate measures to actively prevent the invasion of disease. Such as avoiding the stimulation of wind, cold, moisture and other undesirable factors, avoid overwork, prevent various infections, etc. Secondly, both disease prevention change. “Preventing change from existing diseases” means to master the law of disease transmission and change, intervene in the early stage of disease, and take appropriate measures to prevent the progress and deterioration of disease. Therefore, early diagnosis and early treatment, active and correct treatment, and comprehensive treatment are important measures for prevention and treatment of both diseases. 1, early diagnosis, early treatment: Sun Simiao “a thousand jin to formula – typhoid cases first” pointed out: “all people have a lot of suffering seems to be less than usual, that must be early road, if withholding not to treat, hoping that since the disease, in a short time, to become a chronic disease”. If you don’t take measures, you may delay the disease and make the damage more serious. If rheumatoid arthritis patients have low fever, weakness, joint pain with swelling, morning stiffness, especially in the small joints of the hands and feet, wrist joints, elbow joints, etc., they should promptly consult a doctor, thus clarifying the diagnosis and enabling early treatment of the disease. Serological indicators such as rheumatoid factor, anti-cyclic citrullinated peptide antibodies and blood sedimentation, C-reactive protein, etc. are helpful for the diagnosis of the disease and the assessment of the current activity of the disease. 2, active and correct treatment: “Su Wen – yin and Yang should be the elephant in the room” said “evil wind to, as the wind and rain, so good treatment of the skin, followed by the skin, followed by the tendons and veins, followed by the six internal organs, followed by the five organs. To understand and grasp the etiology of the disease and the characteristics of development and change, we can make a correct diagnosis at the beginning of the disease, so that timely and effective treatment can be carried out to avoid further development and transmission of the disease. For example, rheumatoid arthritis patients with combined internal organ damage and severe vasculitis should be actively treated with Chinese medicine. We should not only use products to dispel wind and dampness and relieve pain, but also pay attention to the protection of positive energy. Use some prescriptions that nourish the liver and kidney, strengthen the tendons and bones, benefit the qi and spleen, nourish the blood and activate the blood, in order to curb the destruction of bone and further development of the disease. 3.Comprehensive treatment: In order to control the further development of the disease as soon as possible, reasonable comprehensive treatment should be carried out at an early stage in view of the multi-factor and multi-attribute characteristics of rheumatism. Ming Zhang Jinyue, “classical treatment” points out: “a combination of the five treatment and randomization, then each of them is appropriate.” Therefore, for the treatment of rheumatoid arthritis, in addition to drug therapy, acupuncture, acupressure therapy, should also be appropriate with physical therapy, psychotherapy and other therapies, in order to improve the quality of life of patients. Third, slow disease prevention and disability. “Slow disease prevention” means that, because the basic lesion of rheumatoid arthritis is a chronic inflammatory disease of the synovial membrane, joint destruction is very likely to occur, resulting in physical disability, so it is very important to prevent disability and reduce the degree of disability throughout the treatment process. 1, maintain the best posture and functional position: supine position with the upper limbs in external rotation, thighs to maintain a neutral position; sitting position with a flat-backed chair, back straight against the back of the chair, both feet flat on the ground. Avoid long-term flexion of the diseased joint and cause ankylosis, to move and balance, neither excessive movement and cause unnecessary consumption, increasing pain; nor complete quiescence and cause muscle atrophy and joint contracture. During the period of bed rest, we should change the position frequently, and take the prone position for 1-2 h daily, which can stretch the trunk and limbs; we can also do deep breathing to improve the cardiopulmonary function. 2.Exercise therapy: In the acute stage, patients with obvious joint swelling and pain need to do joint extension and flexion exercises 2-3 times a day, after the joint swelling and pain is reduced, gradually increase the amount of activity, after the condition is stable, you can practice Taijiquan, Badaunjin, etc. Patients should be encouraged to complete daily life by themselves as much as possible to prevent them from becoming overly dependent. Patients can also squeeze walnuts or elastic fitness rings to exercise the function of finger joints; pedal bicycle to exercise the function of knee joints, etc. The “Nourishing Life Extension Record” says: “The way to nourish sex is not to walk for a long time, sit for a long time, lie for a long time, see for a long time, listen for a long time …… This is called to be able to neutralize. Those who can neutralize, will live a long time.” Therefore, the appropriate exercise, can promote the circulation of blood and enhance the vitality of life. 3, psychotherapy: rheumatoid arthritis treatment period is long, and prone to recurrent attacks, pain, cost, family and social pressure, especially when the performance of physical disability, more likely to appear obvious depression and anxiety and other psychological reactions, is not conducive to the stability of the disease, easy to promote the development of the disease, the treatment, loss of confidence in life, seriously affect the effectiveness of treatment. Therefore, it is necessary to cooperate with psychotherapy and actively encourage the participation of social forces such as family members and friends to give patients understanding and support, so as to prevent the occurrence of voluntary disability to the maximum extent. Finally, prevention of relapse after healing. “Post-healing prevention” means that after active treatment, many patients’ disease can be remitted or stabilized, at this time, it is extremely important to prevent recurrence. The common causes of rheumatoid arthritis relapse are fatigue, diet, anger, wind, cold and dampness, so pay attention to rest, avoid excessive fatigue, including physical labor, brain labor, room labor; maintain a good mood, avoid excessive mental stimulation; careful diet, appropriate taboos, to avoid relapse due to improper diet. In summary, rheumatoid arthritis is a chronic, persistent, recurrent, multi-systemic damage disease. The use of Chinese medicine “treatment of the disease” theory to guide the prevention and treatment of rheumatoid arthritis, not only to prevent the occurrence of rheumatoid arthritis, improve the effectiveness of treatment, but also rheumatoid arthritis patients to improve their own prevention awareness, take the initiative to do a good job of health care, with the treatment, so as to achieve better results. Therefore, the theory of “treating the untreated disease” has very important guiding significance for the prevention and treatment of rheumatoid arthritis.