First, rheumatoid arthritis:
Arthritis is a general term for joint swelling, pain and other diseases. There are many kinds of arthritis, some of which are mild and some of which can cause disability.
Rheumatoid arthritis (RA) is a kind of systemic connective tissue inflammation, with complicated etiology and pathogenesis, and it is often a process of recurrent attacks, and the treatment time is relatively long. For its treatment, western medicine generally uses salicylic acid preparation and glucosamine sulfate for treatment; Traditional Chinese medicine classifies it as arthralgia syndrome, and there are many therapeutic prescriptions. In the process of dietotherapy, we should treat it according to syndrome differentiation, and adopt the methods of expelling wind and cold, removing dampness and clearing heat according to the cause. In the later stage, there are many blood stasis and deficiency, and liver and kidney are insufficient. It is also necessary to replenish liver and kidney, replenish qi and blood, adjust diet according to patients' tastes and changes of tongue coating, guide patients to choose appropriate diet, and better play the role of dietotherapy. Medicinal diet therapy is also a method to treat rheumatoid arthritis. In the process of clinical treatment, patients with rheumatoid arthritis should follow the basic principles of syndrome differentiation and treatment of traditional Chinese medicine, and adopt the laws of tonifying deficiency and purging excess, and cooling heat with heat. Different medicated diet formulas should be given according to the syndrome of yin and yang, deficiency and excess, cold and heat. When patients with rheumatoid arthritis eat medicated diet, they should eat more and less, and don't eat too much at a time, so as not to cause indigestion.
Second, what should the diet of patients with rheumatoid arthritis pay attention to?
1, eat moderately. The diet should be regular and quantitative, and the food should be soft, hard, cold and hot. Don't overeat because you are worried about weak body and insufficient nutrition, which will increase the burden on the spleen and stomach and damage the digestive function.
2, the diet should be light. Patients with rheumatoid arthritis often get sick and are accompanied by drugs for a long time. When the disease breaks out, the tea and rice are not fragrant and the diet should be light. On the one hand, it can maintain good appetite, on the other hand, it can maintain good spleen and stomach transport function, thus enhancing disease resistance.
3, diet should not be partial eclipse. Chicken, duck, fish, whole grains, vegetables and fruits can't be ignored, and they should be reasonably matched.
4. Treat food supplements and medicine supplements correctly. Both food supplement and medicine supplement are beneficial to patients with rheumatoid arthritis, but they must be carried out according to the condition and the strength of spleen and stomach transport and transformation function. For example, although milk, soybean milk, malt extract, chocolate, etc. are good nutrients, people with damp heat or sticky tongue coating in their bodies will feel abdominal distension and discomfort instead of eating them; Ginseng, auricularia auricula and colla corii asini can invigorate qi and nourish blood. However, if people with spleen-stomach disharmony or damp-heat content take it, it will not only make the disease disappear, but also increase the pain.
5, pay attention to diet should avoid:
(1) contraindications for patients with rheumatoid arthritis:
Every food has its nutritional characteristics, but after getting sick, due to different diseases, we should also make certain choices about diet, mainly considering whether the treatment of diseases is contradictory to some foods. So the problem of taboo is not too mysterious. Some patients with rheumatoid arthritis have a long course of disease. If the taboo is too strict, it will affect the absorption of nutrients for many years and is not conducive to the recovery of the disease. Generally speaking, patients with rheumatoid arthritis can eat any diet, and there are no taboos. Only in the acute phase or acute attack, the joints are red, swollen and burning, so it is appropriate to avoid eating; Once the condition is stable, the taboo can be relaxed.
Generally, it should not be eaten during the onset:
① Patients with damp-heat arthralgia should not eat spicy and warm products, such as onions, ginger, peppers, beef and mutton, etc.
2 Avoid greasy food: eggs, animal offal, fat chicken soup, fat meat, cream and fried food, "red meat" such as pork, beef and mutton, and sausages (eat 1-2 times a week at most). Avoid greasy food (cold, wet, joint pain, pig fat meat, crab meat and other greasy food) when eating chicken. );
In the process of digestion, absorption, decomposition and other metabolism in the body, fatty foods will produce a variety of harmful metabolic wastes, toxins and other substances, resulting in metabolic imbalance of the body, thus aggravating the disease. Don't just drink soup, because there is oil in it.
Avoid eating high-sweet foods: such as candy, biscuits, ice cream, chocolate, etc.
Eating more sweets will also produce too many harmful substances in the body and aggravate the condition of arthritis.
Avoid eating more seafood: such as sea cucumber, marine fish, kelp, seaweed, etc.
Modern medical research has proved that seafood contains certain uric acid, which can form uric acid crystals in joints after being absorbed by the human body, aggravating arthritis symptoms. At the same time, eating nutritious seafood and fermenting it in the gastrointestinal tract will also produce a lot of toxins to poison joints and aggravate arthritis.
⑤ If the patient feels pain aggravation or allergy after eating a certain food, he should stop eating;
⑥ Patients with chronic diseases and poor spleen and stomach function; Those who suffer from gastrointestinal discomfort after a long illness should eat less cold and hard food, such as cold fruits, shrimps and crabs, bamboo shoots and so on.
⑦ Patients with rheumatoid arthritis should not take supplements such as red ginseng and velvet antler if they have fever, and should not eat more hot foods such as garlic, onion, leek and pepper.
(8) Those with high gastric acid or full stomach should not eat more sweet and greasy products, such as milk, soybean milk, beans, etc.
Pet-name ruby If the patient belongs to spleen and stomach weakness, it is not advisable to take supplements such as tremella and donkey-hide gelatin, and it is better to eat less hard and cold food and raw pears in fruits.
Attending if the patient's tongue coating is sticky and moist, it is not suitable to eat greasy and thick-flavored products, such as hooves, claws and turtles. , and it is advisable to use light colors.
⑵ Patients with rheumatoid arthritis should take the following measures:
① Patients with joint wandering pain can eat lobster sauce, silkworm chrysalis and loofah.
② For those with severe joint pain, fennel, cinnamon, pepper and other condiments can be used;
③ Those with obvious joint fever can eat more cool foods such as celery, vegetables and fruits.
④ Patients with wind (wind) arthralgia should use pungent and dampness-dispelling products such as onion and ginger;
⑤ Patients with cold (pain) arthralgia should use hot and humid products such as pepper and dried ginger, and should not eat them raw and cold;
⑥ Patients with damp arthralgia should use Poria, Coix seed and other products to strengthen the spleen and eliminate dampness;
⑦ Patients with heat arthralgia generally have the pathogenesis of damp-heat. Bean sprouts, mung bean sprouts, loofah, wax gourd and other foods should be used for medicinal diet, and mutton and spicy food should not be eaten.
8 Patients with rheumatoid arthritis should generally eat high-protein, high-calorie and digestible food.
Pet-name ruby arthralgia due to wind-cold-dampness should dispel wind and remove dampness, warm meridians and dredge collaterals, and eat more foods such as black beans, onions, ginger, peppers, eels, snake meat, dog meat and mutton. And pay attention to eating greasy and damp-proof foods, such as pig fat and crab meat.
Attending to people with damp-heat arthralgia, eat more foods that help to clear away heat, remove dampness and relieve arthralgia, such as bean sprouts, adzuki beans, lotus seeds, Pleurotus ostreatus, wax gourd, loofah, coix seed and mung beans. And avoid spicy and warm products, such as onion ginger, pepper, beef and mutton.
6, bee products:
First, royal jelly:
(1) Mechanism of Royal Jelly in Treating Rheumatism and Rheumatism
① Nourish and strong. Zhou Shaoci reported that royal jelly contains about 1O kinds of vitamins necessary for human body: B 1, B2, B6, B 12, nicotinic acid, pantothenic acid, biotin, folic acid and so on. Vitamin B 12, folic acid and nicotinic acid are all related to the growth of human beings and animals. Ubiquitin and fat metabolism are essential. Therefore, the nourishing and strengthening function of royal jelly can only be understood from the multivitamins it contains.
② Enhance joint vitality. Han Beijing reported that Wang Jiang made middle-aged and elderly people "rejuvenate" by preventing physical deterioration, because it can enhance vitality, stabilize the mind and restore joint elasticity. Pure royal jelly may be as heavy as gold and effective in treating arthritis.
③ Anti-inflammatory effect. Royal jelly has obvious anti-inflammatory effect. Japan reported that 27 patients with arthritis received intramuscular injection of 40 mg per month, and 20 of them were effective. Some people in our country take 400 mg of royal jelly orally every day for 3-6 months to treat arthritis. There were 28 cases of arthritis, 20 of which were effective. Zuo Yifei treated 77 cases of chronic rheumatoid arthritis with fresh royal jelly, and the spinal type had the best effect.
Royal jelly has been used to treat some intractable diseases for a long time in clinic. It has good curative effect on rheumatoid arthritis, and decenoic acid in royal jelly has strong bactericidal ability, but whether it can replace all anti-inflammatory components needs further discussion.
(2) The therapeutic effect of royal jelly:
Royal jelly has been used to treat rheumatoid arthritis and osteoarthralgia at home and abroad. Shi introduced the treatment of arthritis with royal jelly, and said that there are few clinical reports on the treatment of arthritis with royal jelly at present. Recently, it was reported in the Japanese Science and Technology Literature Express (1990), and an article by the Oita Beekeeping Association of Japan introduced that he suffered from rheumatoid arthritis 15 years and had difficulty walking. After taking royal jelly, I recovered.
In the past, it was generally believed that the daily dose of royal jelly should be about 0.5 grams, while that of recent tablets was 5-8 grams. From this point of view, the research on the use and dosage of royal jelly is developing continuously.
It is also reported that royal jelly can treat all kinds of arthritis and osteoarthritis by iontophoresis, which can not only quickly eliminate symptoms and effectively relieve pain, but also improve and restore joint function.
Wuhan Zhu Li introduced that taking royal jelly can relieve joint, waist and leg pain. Patients with rheumatoid arthritis took royal jelly for 9 months, and their rheumatoid symptoms disappeared and their physical symptoms improved.
B, dear:
Honey can tonify the middle energizer, invigorate qi, dispel cold and remove dampness, and is effective in treating joint pain. Xiao Yuezhi of Hunan reported that it is effective to treat arthritis with half-maple lotus honey. Semimaple lotus is a tree of Araliaceae, whose scientific name is Ginseng. Has the effects of expelling pathogenic wind, removing dampness, promoting blood circulation, removing blood stasis, and relieving swelling and pain. Eight patients with rheumatoid arthritis were treated successively, and 7 patients were cured except 1 patient.
Poplar in Guizhou reported that an egg, 150- 180 g vinegar, 150- 120 g honey, was soaked in vinegar for 2-3 days, and the eggshell was soft. Take out the egg liquid and divide the smaller one into 3- 14 parts and the larger one into 5-6 parts. Every morning, pour 1 serving of the treated egg liquid into boiling water, then add 30-40 grams of honey, stir well and take it on an empty stomach. It can be used to treat chronic rheumatism, rheumatic sciatica, senile arthritis and other incurable diseases, especially damp-heat type. Take 15-20 eggs for light people, and 40-50 eggs for heavy people, which has certain therapeutic effect.
7. How does rheumatoid arthritis spend the winter?
Rheumatoid arthritis is a manifestation of rheumatism. The main symptoms are swelling, pain, limited movement and fever of joints all over the body, especially knees, elbows, wrists and shoulder blades. The joint pain is not fixed, but wandering. Joint pain is obviously related to indoor darkness, humidity, cold climate and rainy weather. Therefore, patients with rheumatoid arthritis should pay attention to winter health care.
Cold and humid climate and environment, constant stimulation of cold water can induce rheumatoid arthritis or aggravate the condition, which should be avoided as far as possible. Always pay attention to the weather forecast, strengthen cold protection and warmth when the cold wave strikes and the weather changes, and try not to touch cold water. Wear vinyl underwear. Chlorine fiber is a kind of synthetic fiber with high electrical insulation. Once rubbed, it can generate a much larger charge than any other fiber. This charge gradually accumulates on clothes. Even if the air humidity is as high as 80%, it is still difficult for electrons to flow, making the charge disappear. Chlorine fiber has low hygroscopicity and can resist water vapor, and water is easy to evaporate. Friction with skin can produce "electrotherapy" effect, which is beneficial to the treatment of rheumatoid arthritis.
Control the high-fat diet in diet. Fat will produce a ketone body in the process of oxidation in the body, and too many ketone bodies have a strong stimulating effect on joints. Someone has done an experiment: let 16 arthritis patients eat fat meals (fat meat, fried food, etc. ) every day. The symptoms of arthritis are obviously aggravated, and some even have joint swelling, stiffness and dyskinesia. When you stop eating high-fat food, the symptoms will be relieved or disappeared quickly. Later, the experiment was repeated and the same result was obtained. Therefore, patients with arthritis should control the high-fat diet. But the choice of food should be rich, especially eggs, lean meat, bean products and other foods rich in protein, as well as vegetables and fruits rich in vitamin C. Vitamin C can inhibit inflammatory exudation and promote inflammatory absorption. During the active period of rheumatism, ginger, pepper, onion, mutton and dog meat should be avoided when the joints are red, swollen and hot.
Rheumatism is a systemic disease caused by hemolytic streptococcus. Patients with colds, tracheitis, rhinitis, otitis media and tonsillitis, especially those with tonsillar enlargement and dental caries, are more likely to induce rheumatism, which will lead to the onset or aggravation of rheumatoid arthritis. The climate in winter is very cold. If you don't pay attention to health care, colds, tracheitis, rhinitis, otitis media and tonsillitis are easy to attack. If these diseases are not actively treated, Streptococcus is bound to further invade the joints and heart, leading to the deterioration of the disease.
Third, the diet of patients with rheumatoid arthritis:
1. Clinically, it is found that adjusting the patient's rice staple food to a medicated diet with dietotherapy function, taking it every day or every other day and persisting for a long time, has a good effect on reducing recurrence or improving symptoms. The following is mainly to discuss the staple food of arthritis for reference.
Ingredients: papaya10g, 30 coix seeds, 30g japonica rice.
Production: put papaya, coix seed and stem rice into the pot and add appropriate amount of cold water. After the coix seed is boiled with strong fire, it can be eaten with slow fire. Candy lovers can add 1 tablespoon of white sugar and eat it once a day or every other day.
Results: After taking the medicine, the patients' joint symptoms were relieved and their activities were good. After half a year, there were no other side effects, and he felt good.
2, rheumatoid arthritis patients drink soup is good:
Drinking soup can promote the digestion of food; Secondly, add some drugs to promote the rehabilitation of rheumatoid arthritis, such as Ruyi Coicis Semen, Papaya, Eucommia ulmoides Cortex, Acanthopanax Cortex, etc. Is conducive to the improvement of the disease; Third, it is economical and practical for patients to make their own soup at home. There are several ways to make soup:
(1) Zanthoxylum Bunge: 100g lean pork, 90g Zanthoxylum Bunge, boiled in soup and seasoned. Every day 1 time for 7- 10 days. It is suitable for wind-cold-dampness arthralgia.
(2) Papaya soup: it is suitable for patients with rheumatoid arthritis with swollen joints and painful bones and muscles. 4 papaya, steamed and peeled, ground into mud and purified with 1 kg white honey. Mix the two things and put them in clean porcelain. Drink 1-2 spoonfuls of boiled water every morning.
(3) Pig's foot tendon-stretching soup: 60g of Coicis Semen, 60g of Papaya, 60g of Lycopodium, and pig's foot 1-2 are wrapped in gauze and put into the pot, and the torch is rotten, and the slag is removed without salt. Have soup and meat for two meals.
(4) Beef tendon soup: 50g of beef tendon, 65,438+05g of dipsacus root and Eucommia bark, 50g of Spatholobus suberectus, decocted with water to eat tendon and drink soup. It is mainly used for rheumatoid arthritis patients with weak bones and muscles.
(5) Tremella longan soup: soak 200g tremella, wash and remove pedicels, then cook until it is half crisp, add 100g longan meat, and then * * * cook until tremella is rotten and longan meat is delicious. Drink two spoonfuls of hot water every morning Used for rheumatoid arthritis with mixed cold and heat.
3, rheumatoid arthritis patients drink tea:
Drinking tea is a fine tradition of our Chinese nation. Drinking tea can not only clear the heart and improve eyesight, soothe the nerves and nourish the stomach, but also help the digestion of food. Specifically, patients with rheumatoid arthritis drink more tea, which can accelerate the metabolism of substances in the body and promote the digestion of food. In particular, adding less drugs to dispel wind and remove dampness in tea is of great benefit to the recovery of diseases. The specific tea drinking method is as follows:
(1) Chuanxiong tea: 3g of Chuanxiong, 6g of tea, * * * ground into fine powder, mixed evenly, brewed with boiling water, and frequently served as tea. 65438+ 0 times a day, often taken.
(2) Gold and silver chrysanthemum tea: 5 grams of tea powder, 5 grams of honeysuckle and 6 grams of chrysanthemum, brewed in boiling water and drunk many times a day. Used for patients with joint pain, fever and redness.
(3) Radix Scrophulariae and Radix Ophiopogonis tea: 8g of Radix Scrophulariae and 8g of Radix Ophiopogonis, slightly mixed with tea, boiled for10min, and then drunk. Can be used for treating xerostomia and vexation of elderly patients with rheumatoid arthritis.
(4) Qishen Tea: 5 grams of Astragalus membranaceus and 5 grams of American ginseng, cut into thin slices, mixed with tea, brewed with boiling water for 10 minute, and ready to drink. 1 day 1 dose, you can drink it 6-8 times. It can be used for elderly rheumatoid arthritis patients with deficiency of both qi and yin, insomnia and hyperhidrosis.
Fourth, the nursing methods of rheumatoid arthritis:
(1) Joint immobilization: In the acute phase, the joints should be put in a static position to reduce movement.
(2) Local massage: After the joint pain is relieved, you can massage around the joint by yourself.
(3) Joint Gymnastics Exercise: Practice different joint gymnastics for different joints for 30 minutes each time, 2-3 times a day.
(4) joint fumigation and washing: prepare drugs to fumigate and wash joints, and keep the water temperature at about 50℃, once a day/kloc-0, 20 minutes each time.
(5) Warm joint bath: You can soak the diseased joint or the whole limb with warm water for about 20 minutes, once a day/kloc-0.
(6) Joint health moxibustion: choose 2-3 commonly used acupoints around the affected part and use moxa sticks for health moxibustion. Generally one day 1 time, 20 minutes 1 time.
(7) When acute rheumatoid arthritis or chronic rheumatoid arthritis occurs, those who have obvious redness, swelling, heat and pain should stay in bed for 2-3 weeks, and after the inflammation is controlled, they can gradually resume physical exercise; If accompanied by carditis, the rest time should be extended.
(8) Patients with rheumatoid arthritis should be treated actively and thoroughly if they have streptococcal infection. Penicillin is the first choice among antibiotics. Repeatedly infected tonsils should be surgically removed 2-4 months after rheumatic activity stops to eliminate the hidden danger of arthritis recurrence. Use penicillin before and after operation to prevent the outbreak of infection.
(9) The living house should be sunny, ventilated and dry, keep the indoor air fresh, the bed should be flat, the bedding should be light, warm and dry, and often washed and dried. Don't sleep on the concrete floor and in the air outlet.
(10) Wash your face with warm water. Wash your feet at night, and soak hot water above your ankles for about 15 minutes to promote the smooth blood flow of lower limbs.
(1 1) People who sweat a lot should be dried with a dry towel, and clothes and bedding should be changed and cleaned in time after sweating to avoid catching cold and getting wet; If night sweats occur, gallnut powder can be mixed with water and applied to navel before going to bed. People with constipation should eat more fruits and vegetables and keep their stools unobstructed.
(12) Pay attention to climate change and add clothes in time when the weather gets cold. Pay attention to keep warm, avoid wind, humidity, overwork and mental stimulation, prevent colds and reduce the influence of natural factors on diseases.
(13) Patients with rheumatoid arthritis should eat more foods with high protein, high calorie and easy digestion, and eat less cold, greasy and spicy foods.
(14) Keep a good mental state, treat diseases correctly, and don't be anxious, impatient, depressed, let alone careless. Be good at self-control, study hard, work actively and live happily. Keep an open mind.
(15) Insist on exercise, strengthen physical fitness and improve disease resistance.
Tai Ji Chuan is one of the precious sports heritages in China. Although early Tai Ji Chuan was dominated by martial arts, it developed with martial arts, sports and medical care in the past hundred years, especially the establishment of young Tai Ji Chuan, which achieved good results in medical care. Therefore, Tai Ji Chuan, as an effective means to strengthen physical fitness and prevent diseases, has been widely welcomed by people and spread at home and abroad.
So, is Tai Ji Chuan good for rheumatoid arthritis? As we know, rheumatoid arthritis is a disease characterized by joint pain, swelling and unfavorable flexion and extension. Tai Ji Chuan is a traditional exercise method characterized by exercise, and its seemingly smooth and continuous movements have a variety of medical and health care effects on the human body.
Experimental studies in recent years show that Tai Ji Chuan can promote blood circulation, reduce myocardial oxygen consumption, reduce the burden on the heart, improve myocardial blood supply and increase cardiac output fraction, thus enhancing the cardiac gel function; Increase vital capacity and enhance lung ventilation and ventilation function; Improve the function of nervous system, especially autonomic nerve, and enhance the coordination and balance of human movements; Enhance gastrointestinal peristalsis and increase the secretion of digestive juice and digestive enzymes; Regulate pituitary gland or higher nerve and endocrine center, improve target gland function, promote body metabolism, enhance human immunity, resist diseases and delay aging. All the above items play an auxiliary role in joint activities, preventing joint diseases and promoting the healing of diseased joints. To put it simply, "running water does not rot, and relatives do not eat away", Tai Ji Chuan exercise has a positive preventive and therapeutic effect on rheumatoid arthritis.