Lingnan Rheumatology | Joint always hurts suddenly. Is it also called rheumatism?

Author:Guangdong Provincial Hospital Time:2022.08.05

Speaking of rheumatoid, everyone knows that this is a chronic, systemic autoimmune disease. The accumulated joints are mainly symmetrically small joints, such as the close -end finger, palm finger joint, wrist joint and wrist joints and wrist joints. Symptoms such as redness, pain, and pain at the same time.

However, when Dr. Huang Yueyue was out of the clinic, he often met some patients and said that he also had small joints with redness and swelling and recurrent pain, and the pain was severe, but it only appeared on one side of the joints, or it appeared from a joint. It seemed that it was not symmetrical. Sex. What's going on?

Today, Dr. Huang Yueyue told everyone.

Retrofiler rheumatism

Rheumatoid disease, also known as recurrent rheumatoid disease, is a clinical syndrome characterized by acute arthritis and short -term hair peripheral of joints. Inflammation response such as redness, swelling heat and pain. Even if it is not treated, all symptoms can completely disappear within a few hours or days after the onset of the disease. There are no traces of leftover, but they will recur. Generally, it can recur 1-10 times within January.

Not only that, even during the onset of the disease, the blood routine, blood sinks and other experimental indicators of patients with rheumatoid diseases will show normal physiological state. Patients who are asymmetric in the joints may belong to rheumatoid disease, not typical rheumatoid arthritis.

The difference from typical rheumatism

Although the symptoms of rheumatism are similar to typical rheumatism, in fact, there are still relatively large differences. Don't confuse it.

The 01 -line rheumatoid disease is mostly a unilateral small joint, which is not symmetrical, and the typical rheumatoid is bilateral symmetrical onset.

02 Although it is also repeated onset, the onset time of rheumatism is generally shorter than the typical rheumatoid disease time. Most of them are within 10 days. Even if no treatment is performed, it can be relieved by itself. There is no symptom at all;

How long the typical humid -like disease activity period usually depends on the specific situation of the patient, the patient needs to be actively treated, and controls the daily life and diet.

03 At the occurrence of the disease, the blood routine, blood sinks and other indicators of rheumatoid disease can appear normal, while typical rheumatoid arthritis can be visible when the blood sink and C reactive protein are visible at the time of the disease.

Wanless connection

There are so many differences between rheumatism and rheumatoid arthritis, but the symptoms are so similar. Is there a "relative relationship" we don't know between them?

Studies have found that more than 40%of the rheumatoid disease will develop into rheumatoid arthritis, and patients with rheumatoid disease can also experience high -sensitivity antibodies of rheumatoid arthritis -the positive of anti -ring melonic acid peptide antibodies. The dietary conditioning of the two diseases is very similar. At present, rheumatism is gradually considered a subtype of rheumatoid arthritis.

Traditional Chinese medicine treatment cannot be less

After looking at the science above, many people may think that since it is not treated, the symptoms can be relieved by themselves, so is it not necessary to control the treatment of rheumatism?

Huang Yueyue told us: Of course not!

Although symptoms can be relieved by itself, this disease has the characteristics of recurrence. If it is not controlled, the frequency of hair is becoming more and more frequent, which can bring greater pain and inconvenience to the patient's life, and have a great impact on patients' lives and work.

In addition, we also mentioned above that some rheumatoid disease can develop into rheumatoid arthritis, which is a matter of joy.

Worried that once it becomes rheumatoid arthritis, it means that the patient's condition is worse.

It is very happy that the rheumatoid disease is not a rheumatoid arthritis. It can be controlled by drug treatment and dietary diet, reducing the possibility of development, reducing the possibility of development, and keeping the disease at a lighter stage. Therefore, if everyone finds that their symptoms sound similar to the rheumatoid disease, it is recommended to go to the hospital rheumatism as soon as possible.

The same as rheumatoid arthritis, Chinese medicine attributes rheumatoid disease to the category of "paralysis". The difference is that Chinese medicine believes that rheumatoids are mixed with wind, cold, and wet evil, and they believe that the rheumatism is mainly based on wind and evil, and other external evils are diseased. The main treatment of the disease, insufficient qi, and stagnation of liver stagnation. In terms of treatment, it is mainly based on removing wind, righteousness, and relieving liver and relieving depression.

Clinically, Western medicine mostly uses non -steroidal anti -inflammatory drugs for symptomatic treatment. Although it can relieve symptoms, it is difficult to effectively prevent seizures even for a long time. There are also cases of treatment of chronic anti -rheumatism drugs in clinical practice, but the rheumatoid rheumatoid disease has a period of relief in the disease that has no symptoms. Generally, it is difficult for patients to receive long -term non -interrupted drugs.

On this basis, the combination of traditional Chinese medicine and traditional Chinese and Western medicine has become the top priority of the treatment of rheumatism. The use of Chinese medicine treatment can relieve the symptoms of joint pain, reduce the amount of anti -inflammatory drugs, reduce the side effects of drugs, and at the same time use dialectical drugs and long -term conditioning, which will also help reduce the number of diseases.

Huang Yueyue Dr. Tips

Whether it is rheumatoid and what kind of rheumatoids are required, it is also necessary to judge rheumatism and immunochemical specialists. It is not recommended to be in the home medicine to avoid increasing the disease due to improper medication, or producing unnecessary drug side effects.

references

[1] Zhou Meng, Qin Si, Chu Yang, Lu Yahua. 25 cases of clinical review analysis [J]. Clinical gathers, 2014: 2+95-97. [2] Wang Jibo, Jiang Xiubo, Zhang Zhiqing. Back to return. Clinical analysis of rheumatic rheumatism [J]. China grass-roots medicine, 2000: 17-18.

[3] Xu Yue, Yan Xiaoping. Back pattern rheumatoid disease [J]. Chinese rheumatology magazine, 2010: 713-716.

[4] Xie Youhong. TCM syndrome differentiation treatment of rheumatism and rheumatism [J]. Journal of Liaoning University of Traditional Chinese Medicine, 2012: 25-26.

(This article is a science science and is for reference only. If there is a disease, please be diagnosed and treated with special specialties in the hospital.)

Expert introduction

Yao Yueyue

Professor of Chinese and Western Medicine Integrated Clinical Medicine

PhD Tutor

Professor Li Jiren, a master of Chinese Medicine, academic inheritance, head of the rheumatism and immunization research team of the Guangdong Provincial Hospital of Traditional Chinese Medicine, Youth Deputy Chairman of the Immunoh Branch of the Chinese Medicine Society, Deputy Chairman of the Rheumatology Commission of the Guangdong Provincial Society of Traditional Chinese Medicine, and scholar at the National Public Dutch Dutch. Outstanding youth medical talents in Guangdong Province, top talents in Guangdong Provincial Hospital of Traditional Chinese Medicine, and the first famous science teacher in Guangzhou.

Good at: integrated Chinese and Western medicine, gout, rheumatoid arthritis, ankylosing spondylitis, psoriasis arthritis, systemic lupus erythematosus, and dry syndrome.

Source: "Rheumatology" public account