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Friday, February 10, 2012

Rheumatology

Rheumatology-What is rheumatism?

Rheumatism is a group A beta-hemolytic streptococcus infection-related allergic diseases. Lesions involving the systemic connective tissue was acute or chronic connective tissue inflammation, degeneration and necrosis of collagen fibers. Most frequently involving the heart and joints, followed by the skin, serous membrane, blood vessels and brain. The acute phase is known as rheumatic fever (rheumatism fever). Clinically, in addition to heart and joint symptoms, often accompanied by signs and symptoms of fever, rash, subcutaneous nodules, chorea, etc.; blood test, the antistreptolysin prime O antibody titer increased, erythrocyte sedimentation rate speeding up.

Rheumatism may occur at any age, but mostly occurred in children aged 5 to 15, the peak incidence of 6 to 9 years old. Men and women the incidence is roughly equal. This disease is often recurrent, after the acute phase, the legacy of chronic heart damage, the formation of rheumatic heart disease.

Rheumatism occur in cold regions. China's northeast, northwest and north China, the incidence is higher.

Rheumatism refers mainly affects the joints, muscles, bones and joints surrounding soft tissue such as tendons, ligaments, bursa, fascia and other parts of the disease. Rheumatism in the concept of modern medicine is the rheumatic diseases referred to, refers to the bone, muscle and soft tissue, such as a large group of diseases of the bursa, tendons, fascia, blood vessels, nerves and other. Rheumatic diseases with diffuse connective tissue disease (such as systemic lupus erythematosus, Sjögren's syndrome, inflammatory myopathy, scleroderma, mixed connective tissue disease, Behcet disease, etc.), systemic vasculitis, spondyloarthropathy (general term such as ankylosing spondylitis, reactive arthritis, Reiter syndrome), osteoarthritis, osteoporosis and more than hundreds of mainly involving bone, joints and other connective tissue diseases.

A variety of rheumatic diseases, especially autoimmune rheumatic, often systemic multi-system and multi-organ damage, with complex symptoms, often due to the complex and ever-changing clinical manifestations become incurable diseases. The course of rheumatism some slow, delayed healing, some of the outbreak onset, diagnosis and treatment is very cumbersome and complex, if not regular use of drugs, often make the diagnosis and treatment more difficult.
Rheumatism - TCM classificationClassified according to etiology,Rheumatology This classification is according to the disease occurs because of disease classification and naming, a long time, but still is one of the rheumatism; laquo; Su Wen Bi theory; raquo; cloud: " atmosphere winner for the line weakness, cold winner Tongbi moisture winner for paralysis. "Yun:" the heat of those, yang and more yin fewer symptoms of illness wins, Yang was overcast, so the paralysis hot. "are based on the cause of the wind, cold, wet, hot classification; Doctors later explicitly put forward the" rheumatism "and" wet-Bi "," wind musculoskeletal nonaggressive.According to the experience of ancient physicians, from etiology to consider the general rheumatology is divided into several:1 Wind Bi: to feel the wind cold, violations of the skin, joints, meridians, the wind to go string clinical pain walk uncertain characterized. Yang evil because of the wind, "the first be, it is prone to the upper extremity, shoulder, etc.; Wei Yang is not solid, knee reason Kongshu, so evil wind, the Han of the disease.Han Bi: usually caused by yang deficiency, feel the cold pathogen, its performance for the limb and joint pain, and fixed and unwavering, Yuhan increase the heat pain was reduced or eased. The main closing argument because of the cold, their sexual stagnation, it is clinically often the chief aversion to cold, physical Spasm, flexion and extension negative pulse tension and so on.Wet Bi: the main evil to feel wet, wet evil is the lag between the limbs, joints, skin, and clinical manifestations of the above parts of the swelling and pain, numbness, weight characterized. For spleen wet, while the wet viscous, hindering gas machine, it is also more common in the spleen does not transport the wet of the disease, such as the head sink heavy, chest tightness, poor appetite, bloating body tired, greasy moss, pulse, such as slow.Hot Bi: evil mainly to feel the heat evil or damp heat or wind cold dampness evil into the inside of hot, muscular and joint pain, swelling, accompanied by fever, sweating, thirst, greasy yellow tongue coating, slippery pulse characterized. Yang evil due to heat, easy Shangyin Tianjin, it is obvious swelling, often of both erythema, nodules, and thirst, they dry embolism.5 dry paralysis: to feel dry evil-based, or the evil of the sun hot dry Shangyin, leading to musculoskeletal joint loss raised in Confucianism was caused by a type of paralysis disease. "Dry" dry victory, Yin and Blood, body fluid, bones and joints lose raised in Confucian, clinical muscle-thin, bad for the joints, dry mouth and nose, head dry and astringent, such as main features.The wind musculoskeletal: wind cold dampness evil and chief plus to, alpine three-gas hybrid to co Stagnation, "the original meaning of the provisional license Discrimination among the three pros and cons. Terms of wind, wet main, called "rheumatism": If the cold, wet-based, known as "musculoskeletal"; wind cold dampness, three gas and heavy, while the wind musculoskeletal "the name.The. Shirebi: feeling of damp heat evil wind cold dampness evil Ikuhisa of heat for the change.The clinical findings, the general Rebi mostly Shirebi. The clinical manifestations of a combination of wet paralysis and hot arthralgia. Parts of the classification; classification of a traditional way according to the lesion. The patient's diagnosis requires not only a detailed history and physical examination, and the need for a variety of antibodies and other tests and treatment after diagnosis is a long process. The majority of rheumatology is difficult to cure, and often require long-term, even lifelong medication, although most the rheumatism difficult to cure, but can be treated through formal, medication, the vast majority of patients can control the disease, relieve symptoms, prevent disability, improve quality of life and save lives. If you suffer from rheumatism, treatment or treatment system, often delay treatment, leading to disability, and even life-threatening. With the deepening of rheumatism pathogenesis of rheumatism cure? Law, such as stem cell transplantation in clinical trials, there is reason to believe that the near future rheumatism is a certain cure.Rheumatism - treatmentRheumatism rheumatic diseases are a group based in the medical treatment of musculoskeletal system diseases, including diffuse connective tissue diseases and various causes joints and soft tissue of joints, including muscles, tendons, ligaments, and other diseases.Commonly used treatment methods:Rheumatism often violations of the joints, muscles, bones and soft tissue, pain, swelling, joint dysfunction, these symptoms are fever, antipyretic analgesic anti-inflammatory, to relieve symptoms is the primary purpose for the treatment of this group of diseases, and therefore tend to use non-steroidal anti-inflammatory drugs, such as Voltaren, Mobic, Le Song, days of the new Lied, Celebrex, Vioxx, and the new role of non-steroidal anti-inflammatory drugs, high efficacy, side effects decreased significantly.If rheumatic diseases can not be the right treatment, joint, muscle, bone lesions cause dysfunction? And deformity, leaving behind a lifelong disability, affecting the life and labor, economic losses to individuals and society. Violations of the organization from the rheumatic diseases, in the past commonly known as connective tissue disease, systemic lupus erythematosus, rheumatoid arthritis, scleroderma, polymyositis, necrotizing vasculitis, ankylosing spondylitis have autoimmune disorder, belongs to a group of diseases of the autoimmune disorder. Gouty arthritis has made it clear the purine metabolism caused by urate crystals in the joints Shen, to the left joint cavity, bones, ligaments involved. Rheumatism treatment apart from symptomatic treatment to relieve symptoms, need cause of treatment, the disease of autoimmune disorders of the immune regulation, such as the use of corticosteroids and immunosuppressive agents, immunosuppressive therapy has made great strides, new drugs and found for the clinical, such as the Xiao interest, love, Novartis, Pavlin, new therapies continue to discover, such as systemic lupus erythematosus ① light? sores with a small dose of prednisone, chloroquine, mtx combination therapy, can significantly reduce the side effects; ② rheumatoid arthritis combination therapy first-line drugs and second-line drug combination therapy, combination therapy in second-line drugs. ③ high-dose gamma globulin treatment of severe rheumatism.(3) the biological therapy and bone marrow transplantation also has been tested in clinicalJoint disease can also use the arthroscopic treatment greatly improve the efficacy, improved the prognosis of the disease, decreased morbidity, the patient's quality of life improved.View of just ease the pain there is no cure for rheumatoid arthritis, the traditional medical therapy, so in the 1980s, developed countries in the world (America, Europe, etc.) the prevalence of alternative therapy - use of natural saws peak tooth shark cartilage powder treatment of various arthritis, and obtain the validation of the clinical efficacy. Now, in some European countries have saw the peak tooth shark cartilage extract identified as medicines, and Japan also selected enterprise specializing in clinical use. Tooth shark cartilage powder, natural saw peak suppression, to improve the efficacy of even the complete control of rheumatoid arthritis, it is more commendable is that it has no side effects, drug dependence, has been used to fully control the disease within one year case. Now, it has been in developed countries as part of alternative medicine, the implementation of the prospective study, and has been widely promoted in clinical among a complete victory for human rheumatoid arthritis has brought new hope.
Rheumatology care:(A) emotional careRheumatism longer duration, repeated illness, and activities of the patient's thinking, emotions and more complex changes, such as disease in acute episode, or sicker, mobility, life can not take care of themselves, they feel despair and even suicide idea ; some lack of proper understanding of the disease, but also produce a hurry to showMore rheumatism, irritable mood, high medical effects of emotions, etc., mental state, have a serious impact on the efficacy of treatment, although the "magic bullet" this time it is difficult to work, to do love rheumatism care ethics The chi care.Specifically, the following: 1) to guide and help patients correct to treat the disease, reduce patients' psychological pressure; 2) to seek relatives actively cooperate with the enable to achieve the desired effect.(B) life care1, the general care: rheumatic diseases are most afraid of air-cooled, wet, houses and the best sunny, ventilated, dry, keep indoor air fresh, the beds to the formation of bedding, light and warm dry laundry frequently, especially ankylosing spondylitis patients with the best sleep wooden bed, the beds can not be placed in the outlet, the anti-sleep in the cold. Wash hands use warm water, and feet at night, hot water can dip to above the ankle as well, in about a quarter of an hour, can promote lower limb blood flow. Function of the limbs disappeared bedridden should help to change position frequently to prevent bedsores. Deformity of finger joints, elbow flexion and extension negative, or both knee and ankle joint deformity, the walking-impaired persons to take care of, always help.2, diet care: 1) diet based on specific conditions, have a choice. Rheumatic diseases, diet, should generally be into the high-protein, high-calorie, easily digestible food, eat spicy spicy food and cold, greasy thing. 2) diet can not be one-sided, the correct treatment of the drug fill, Sibu problems. Fruits, vegetables, fish, chicken, ducks are nutrition, not a partial eclipse. 3) diet Taboo.(C) Attitude Care (also known as postural care)Rheumatism, abnormal posture dynamic, and often affects the patient's future activities of the function and future life and work. The attitude of care to always pay attention to correct the patient bad attitude, position conducive to the future to restore a healthy, normal work. Rheumatic diseases due to numbness, pain, adverse range of motion, stiffness, etc., often take all kinds of incorrect posture and body position in order to alleviate the pain. Care patients to sit, stand, stand, walk, sleep posture required to pay attention to, be promptly corrected to prevent harm to a lifetime. Care but also pay attention to the physiological attitude to maintain. For the prevention of ankylosing spondylitis in patients with spine, hip, knee occurred deformity, stiffness, generally show the patient standing should try to chest, abdomen and hands on his hips, avoid lazy relaxation hunchback posture, not too soft beds, of wood Banchuang better sleep, avoid using high pillow prone position to take to the prone position is preferred.(D) functional exercise careRheumatoid patients with rheumatoid arthritis functional exercise must be carried out through joint activities, to avoid stiffness contracture, prevent muscle atrophy and restore joint function, which is called the "anti-residue. Exercise can promote the body's blood circulation, improve the local nutritional status, boost spirit, enhance physical fitness, to promote a speedy recovery. Therefore, how to guide an important part of the rheumatic patients with proper rest and make the necessary exercise of rheumatology care.A functional exercise when sick and disease-free sports exercise requirements can not be. For rheumatism, the exercise is to maintain and restore joint function, exercise requirements and methods vary according to different physical fitness, age, gender, such as rheumatism serious acute exacerbation of systemic symptoms or joint swelling, and you should bed rest, severe cases can rest for 1-2 weeks, moderate rest for 5-7 days, pay attention to the location of the hand, foot and joint function, Once in remission, you can do some bed of the functional exercise, such as joint range of motion exercise, massage swollen arthralgia. In stable condition after getting out of bed and walk out of bed slowly amble. Elimination of the joint swelling and pain, must be functional exercise on the recovery of joint function, in accordance with the physiological functions of the diseased joint exercise, start with the passive activity at the beginning gradually to active activities, or a combination of both to take the initiative activities into the promotion of recovery of joint function. Can also be by means of a variety of simple tools and equipment, such as pinching walnut, stretch fitness circle exercise finger function; both hands swivel the exercises rotation exercise wrist function; footsteps exercise bike joints; rounded wood Ta sewing machine to exercise the ankle joints; pulley rope activities, exercise shoulder.2, the functional exercise of the place, form and time.The rheumatism functional training establishments, form and time should also vary from person to person due to illness system should be.(E) secondary treatment and careRheumatism is a more difficult to treat intractable diseases, and sometimes medication alone, the effect is still not satisfied, there are a lot of research rheumatology experts advocate the use of combination therapy, that is combined with a variety of supportive treatment and drug therapy treatment can improve the therapeutic effect. Commonly used complementary therapies: conductive heat therapy, spa therapy, sports therapy, applicator therapy, hot iron therapy, Waicha treatments, fumigation therapy, injection of liquid acupuncture points, acupuncture, massage, massage therapy and laser, microwave power therapy.(F) the care of complicationsRheumatic diseases in the long course of the disease, often easily complicated by other medical conditions, especially in the abrupt climate change or the rainy season and typhoons, rainstorms, winter, summer, easier to feel the cold, wet evil, and heat stroke, which should take it seriously. For the hospital check against the treatment of pneumonia, heart failure, high fever and other serious complications when morning. Rheumatology is a Western disease name, disease mostly in the areas of Chinese medicine Arthralgia is a common clinical multiple refractory disease. Chinese medicine believes that the occurrence of rheumatism, is imaginary, evil invasion and phlegm congestion. Invasion in human righteousness is insufficient, the evils of wind, cold, wet, hot, Blockage of muscle, joint, between the meridians, resulting in poor blood to run, stretch adverse musculoskeletal joint pain, numbness, show, or even joint swelling , burning, and deformities. Disease unhealed for a long time, can cause joint swelling, deformation, and the pain got worse, subcutaneous nodules, limbs were stiff, insensitive, and Zhu Zheng stubborn skin ulcers. Chinese medicine to treat rheumatism follow the diagnosis and treatment principles, first to identify the actual situation of cold and heat. Disease is true, the main symptoms to limb and joint swelling, pain, numbness, no righteousness weak performance. The disease is a virtual, with blood injury, the viscera deficiency syndrome. Clinical treatment of rheumatism is usually cold and heat properties of syndromes are divided into two types of wind musculoskeletal and rheumatic fever, paralysis. Proprietary Chinese medicines to treat rheumatism in all pharmacies, patients should be based on a specific card type selection, made possible by the good effect.Wind musculoskeletal symptoms: musculoskeletal joint pain, swelling, numbness, exhibition stretched negative, evil wind chill, heat pain was reduced, the case of cold pain increased. The thin white tongue coating or greasy. The Wind musculoskeletal another line weakness, Tongbi and with paralysis of the points. Paralysis OK to feel the wind cold joints and limbs mostly channeling pain, pain walk uncertain; Tongbi to feel the cold pathogen limb arthralgia drama, pain has given place, heat-loving cold; with paralysis to feel wet evil main limbs swollen joints, sore fixed, skin numbness, heaviness. The rule is: cold, expelling wind, dampness, through the meridians. Chinese medicine: wind musculoskeletal Powder, rheumatoid arthritis tablets, Herd Toukuwan Shufeng pain pills, a small active Dan specter rheumatoid fluid, rheumatism pills, founder Ma tablets, musk rheumatoid piece, Geranium cream, Shi Guogong wine, Feng Xing wine, bone pain liquid the osteoprotegerin wine, papaya, wine, Guoguang bone tendons pill capsule. For external use: bone Friends of the Spirit liniment, musk strong bone paste, Tianma Herd cream, sticking cream, Zao pain paste.Systemic manifestations of the symptoms of rheumatic fever, paralysis: musculoskeletal joint pain, local swelling, burning, worse pain and too cold a little Shu, or accompanied by fever, aversion to wind, thirst, boredom, etc., red tongue, yellow tongue coating, or yellow and greasy. The rule is: heat, expelling wind, dampness, through the meridians. Chinese medicine: granules of Shirebi, two wonderful pill, four wonderful pill, paralysis Long clear safety films and so on.Three other syndromes Symptoms: If the patient musculoskeletal joint pain without local hot and cold and abnormal skin color, there is no systemic symptoms such as warm-or cold, mostly feel rheumatism evil. Therapeutic dehumidification: scattered wind-based. Chinese medicine: scattered wind Pills, medicinal properties, active Dan, Tianma pills, rheumatoid arthritis tablets, Kunming Mountain Begonia piece, Tripterygium piece Zhengqing Fengtongning, etc., can be topical Herd ointment,  . Symptoms: If the patient musculoskeletal joint pain, cold is also sensitive to heat, joint local warm hi hi cool, resistance to cold and heat mixed congestion network. The rule is: the cold-dispelling heat, through the meridians. Chinese patent medicines: Tongluo open Bi films. Symptoms: if the wind musculoskeletal patients both qi and blood deficiency, showing pale complexion, fatigue, shortness of breath, spontaneous perspiration, palpitations, eat less, loose stools. The rule is: BNI. Chinese patent medicines: active Dan Huoxuetongmai films and so on. Symptoms: wind musculoskeletal patients both liver and kidney deficiency be seen Yaoxisuanruan to Shenpi fatigue, forgetfulness, frequent urination, ankylosis deformity or woman, irregular menstruation, male impotence spermatorrhea; partial deficiency, dizziness, tinnitus, five upset hot, dry throat, night sweats; partial yang, cold limbs. Treatment: nourishing liver and kidney, strong bones. Chinese medicine: the vigorous Zhuanggu pill the kidney Juanbi pill Bones arthritis pill, the spiritual effect Dan and so on.Rheumatism - NotesAn allergic disease, rheumatoid arthritis is one of the main manifestations of rheumatic fever. More acute fever and joint pain onset, the typical manifestation is mild or moderate fever, the migratory multi-joint pain, the affected joints, mostly the large joints of the knee, ankle, shoulder, elbow, wrist. The disease is common by a joint transfer to anotherRheumatic joints, local lesion showing red, swollen, burning, pain, some patients also have a few joints at the same time the incidence, the typical patient only joint pain without inflammation, acute inflammation usually subside in 2-4 weeks, do not sequelae, but often recurrent. Rheumatoid activity affect the heart can occur myocarditis, even legacy valvular heart disease.Common rheumatism: rheumatoid, rheumatoid arthritis, rheumatism, cold joint pain, rheumatism, rheumatoid, ankylosing spondylitis, osteoporosis, bone hyperplasia, proliferative arthritis, periarthritis of shoulder, erythema lupus, postpartum wind, intractable low back pain, sciatica, Sjogren's syndrome and so on.In daily life, rheumatism Note:(1) live in houses to be ventilated, sunny, keep the air fresh. Do not sleep on the cement floor and the outlet.Washing (2) wash Seto to use warm water to bedtime feet, the best feet immersed in traditional Chinese medicine decoction, can not only promote lower limb blood flow can also be swelling and pain, in addition to rheumatism.(3) the acute phase of rheumatism or acute exacerbation of red, swollen, hot, pain who want to bed rest for 2-3 weeks, kidney and lumbar patients to avoid sex life.(4) patients sweat more when required with a dry towel dry in time, clothes, sweat should be replaced to avoid the invasion of the body by the wind cold dampness.(5) keep warm and to avoid the wind, damp, over exertion and mental stimulation to prevent colds and to reduce the impact of natural factors on the disease.(6) of the rheumatic diseases in the diet according to the prevalence of the disease severity, in accordance with medical advice, conditioning, diet and diet.Rheumatic disease control in (7) can participate in the daily work of some labor-saving, and adhere to physical activity to enhance health and improve disease resistance.Rheumatism (8) To maintain a good mental state, the right to treat the disease, must not be impatient anxiety.
Rheumatism - taboo behaviorRheumatic illness, be sure to go to regular hospitals active treatment, avoid the following behavior:Early care, that would be better. Early and some people only a finger, toe or waist, back, hip pain, but do not care, until very sick to go to the hospital, the result is easy to lose the best timing of treatment.Second, without a doctor's diagnosis, her own medication, resulting in a variety of adverse consequences (including hormone-induced bone necrosis, osteoporosis, etc.; anti-inflammatory analgesic class cause discomfort, stomach ulcers, bleeding, liver and kidney damage, etc.).Figure to save money or convenience, to eat the so-called "prescription" of street advertising to the informal clinic. Do not know the "prescription" containing medicines, medication appears to alleviate symptoms, the patient believes that the "efficacy", in fact, tend to cover up the disease. Formal system of Chinese medicine treatment, selection of the spiritual effect Dan series bone Naoshenkang Series treatment. The best effect., Just leave, no definitive treatment. Some patients the treatment works well, but a see pain relief, to stop the treatment, and then fall ill treatment, the result that the disease continues to develop, more and more weight.Rheumatoid bone diseases easily repeated, must be caused by a high degree of concern to be early (early prevention, early detection and early treatment) and 12-character principle "(early, timely and effective, system, foot process in sufficient quantities) usually pay attention to the weatherization work and rest, strengthening diet. Regularly followed up.Rheumatism - the errors of the treatment of rheumatismMyth 1: A simple anti-inflammatory.Simple anti-inflammatory, a palliative. Many patients do not know the causes of rheumatoid bone, just blindly taking some anti-inflammatory drugs. These drugs can not completely eliminate soft tissue inflammation of the bones and joints and the body paralysis poison, only temporarily alleviate the pain.Myth: surgical treatment.Surgical treatment of rheumatoid bone, risk, and do not dig up the roots. The method of surgery is only the organic treatment of rheumatoid bone, can not resist the wind, cold, wet, evil is the second invasion of bone and joint, and therefore can not achieve radical results.Myth: only pain, not cure.Many patients in the treatment of rheumatoid bone, over-reliance on pain medication, the dose increasing, organs and organ injury riddled. As everyone knows. Rapid pain relief products contain toxic ingredients, only temporary relief, to cover up the symptoms, does not eliminate the pathogenic root of a long time taking will lead to stomach, liver and kidney damage.Myth: fire with fire.At present, the treatment of rheumatoid bone products on the market "fire with fire" approach to clear the paralysis poison and inflammation. Doing so easy to damage the stomach, liver, kidney and other organs, organs, and severe cases may even lead to paralysis and death! Such products, or pain not Qudu, or Qudu the injured liver and kidney; this is another big misunderstanding of the traditional methods of treatment of rheumatoid bone.Myth: pain treatment, hurt not the rule.Most patients with rheumatoid bone get out of pain - treatment - not hurt - stop the treatment - and then the pain - treatment "this vicious circle vicious circle. In fact, leading them into such a misunderstanding of the key treatment goals are not clear. Their pain as the purpose of treatment, rather than understand the cure rheumatoid bone ultimate goal should be to completely eliminate the paralysis poison restore the bones of their own immunity.Rheumatism - rheumatic family therapyFirst of all, from the patients diet for patients with rheumatic condition did not improve, it is best to eat liquid food, until his condition improved, the choice of fruits, vegetables, yogurt, porridge, fruit juice and other light food. It should also drink plenty of fresh fruit juices and distilled water, add water and nutrients lost due to the body with fever. Patients can be catnip mountain stems leaves and dandelion three kinds of herb material to soak into the fruit juice drink, play a role in swelling and pain.Drug supplement rheumatic diseases are usually due to high fever and other diseases cause great loss of body water and nutrients, therefore, can be supplemented by oral nutrients in their daily lives.① vitamins: vitamin C can play to enhance immune function, reduce the role of the throat, taken according to the amount of product labeling; vitamin E can play to increase tissue oxygen and the role of fever, it is recommended to take the emulsion in order to facilitate absorbed dose initially of 200IU, can be gradually increased to 800IU; vitamin D or cod liver oil for the recovery and absorption of calcium and other minerals, a daily 400IU or more; Vitamin A is an important antioxidant, suggests the use of emulsion conducive to absorbed dose per days 25000IU; living Cypriots B complex can help the body recover and improve immune function, each taking 50 mg three times a day.② antibiotics: count head Capsules, 2 each, 3 times a day.The ③ seaweed with a variety of essential minerals, and each two is appropriate.The ④ coenzyme Ql0 can enhance immune system, the dosage of 100 mg per day.The ⑤ germanium can enhance immune function to help alleviate swelling and pain, the dosage of 200 mg a day.The ⑥ calcium plus magnesium are important minerals daily in patients taking 1500 mg of calcium, 1000 mg of magnesium. Again, if the rheumatic diseases frequently relapsing tonsillitis, compared to avoid infection, tonsillectomy. In addition, due to rheumatic diseases often take antibiotics, to prevent its heart damage, need to take acidophilus supplement the body of the benign bacteria.
The rheumatism how physical therapyPhysical therapy can promote blood running Shujin, reduce pain, is a good adjuvant therapy. Commonly used in physical therapy:(A) iontophoresis.(B) infrared irradiation: throat parts irradiation, 1 time per day, every 15 to 20 minutes.(C) Wax: first wax bags softened into the site of onset, 1 day, 15-20 minutes each time.(D) Massage Therapy: first push, management, kneading techniques, gently massage to affected area muscle relaxation, blood Cheong Hang; then use the point, press, pinch, take the way, achieve the purpose of Shujin active, pain, and finally with shaking, rolling, kneading and other techniques. Each treatment time of 15-30 minutes, 2-3 days.The above treatments can be used alone, can also be combined with each other. Using irradiation and wax treatment temperature and time, so as not to burn the skin, topical drugs, we should pay attention to the timely replacement can not be long dressing, massage technique should be gentle, violently may not use violence in order to avoid fractures.