"Brother Xie, how did you confirm that this patient has rheumatoid arthritis?"

Xie Junhua said with a smile: "The patient reported joint pain in the body, fingers and toes were also painful, red and swollen, as well as limited activity and pulse diagnosis results, comprehensive patient conditions, is a more typical rheumatoid arthritis, this patient has a long onset time, it is basically impossible to cure at present, but it can reduce pain, delay the progression of the disease, Wanjie Tongbi decoction has a good effect on acute and inflammatory active periods."

Sister Anxia, in fact, ankylosing spondylitis also belongs to the rheumatology department, which is a disease in rheumatoid, and the two are similar, and there are similarities in treatment. ”

"No, as early as the forties of this century, ankylosing spondylitis was discovered abroad, and in the seventies this condition was defined as ankylosing spondylitis, which is fundamentally different from rheumatoid, although the two are similar."

Old Man Xie sneered, just now this little girl directly denied his words, he was a little uncomfortable, and now he still refuses to admit it, obviously it is a disease in medicine, and domestic Western medicine also defines it like this, "How is it different, in the eyes of traditional Chinese medicine, both are paralytic diseases, and the symptoms are similar, but ankylosing spondylitis is milder than rheumatoid arthritis." ”

An Xia smiled, and heard the unhappiness in Old Man Xie's tone, "Grandpa Xie, listen to me, of course, what I said may not be right, but let's discuss it." ”

"Rheumatoid arthritis is a paralytic disease in traditional Chinese medicine, and Western medicine recognizes this disease as a dual disease of endocrine and immune systems, and Western medicine also diagnoses the disease through blood tests to check rheumatic factors, and determines whether it is diseased according to this indicator. Its main manifestations are joint swelling and pain caused by the synovium of the facet joints, followed by cartilage destruction, narrowing of the joint space, and in the late stage, joint stiffness, deformity and dysfunction due to severe bone destruction and resorption. The treatment is mainly to remove and straighten the kidney, and relieve spasms.

Ankylosing spondylitis is an immune system disorder, I said that this disease is different from rheumatoid arthritis in that ankylosis is an immune system disorder, autologous attack, causing joint inflammation and pain, it is an immune system disease, and Western medicine diagnoses ankylosis through HLA-B27, this disease is a genetic problem, there is a quarter of the genetic probability, not that men do not pass on women, women do not wear men, in fact, as long as someone in the family has this disease, his genetic probability of his own child is 25%.

This was published in an article in the core journal SCI in December last year, which proposed that ankylosing spondylitis is a disorder of the immune system, which is fundamentally different from the diagnosis method of rheumatoid arthritis. ”

"But this is because the patient's toes are painful, red and swollen, which is a sign of rheumatoid disease, and the finger joints are thick and deformed, and the frontal facet joint inflammation is typical, which is different from rigidity." Xue Junhua insisted on his own point of view.

"His toes were inflamed because he had gout, and because of his rigidity, both of which affected kidney function, and as for the coarse deformity of the fingers, the patient's long-term manual labor caused the deformation of the fingers, which was not a rheumatoid manifestation. Gout is a metabolic disease, which is accompanied by redness, swelling and pain in the joints of the hallux, ankle, hand, wrist, knee, elbow, etc., which is a manifestation of eating disorders, insufficient spleen and kidney, and external evil paralysis. ”

Xie Junhua listened to An Xia's words, grabbed the patient's wrist, and after ten minutes, exhaled, "Sister An Xia, I am willing to bow down." ”

Old man Xie was in a hurry, and he admitted defeat before he finished comparing his grandson, this rabbit cub, seeing the beautiful girl, was not firm at all, "Wait, it's not over yet, why are you in a hurry." ”

"There is an essential difference between the rigidity and rheumatoid that you say, I don't agree, from the theory of traditional Chinese medicine, the two are the manifestations of evil wind entering the body, excessive cold and dampness."

"Grandpa Xie, although I open my mouth and close my mouth to talk about Western medicine, I believe that it is better for us to treat the symptoms and cure the root cause, but Western medicine makes the examination data indexed and concrete, which is indeed their advantage, and many diseases can be determined through some specific examinations.

This patient only needs to take a CT scan of the sacroiliac joint to determine that he must be rigid, and I said that ankylosis is different from rheumatoid, it will take time, and when medicine slowly develops, everyone will realize the essential difference between the two. ”

"Humph! How can you be sure that what you say is right! ”

Anxia smiled, what she said is determined in the future, the future ankylosing spondylitis is separated from the rheumatoid department, directly classified as the immune disease department, of course, rheumatoid can be classified as the immune disease department, and there are hospitals that classify it as endocrinology, at that time, everyone will realize that ankylosis is different from rheumatoid, the two have different diagnostic indicators, different symptoms, and even different damage to the human body.

"What I said is right, you can wait for the future development of medicine, but the world now has a clearer understanding of ankylosis now, ankylosis not only affects the joints, in fact, the biggest threat to this disease is that the immune system disorder, there is more serious damage to the internal organs, kidney damage, if you take drugs for a long time, there is liver damage, lung fibrosis, ventricular hypertrophy, hypertension, iritis of the eye, etc. are all caused by ankylosing spondylitis.

Don't listen to this name, it seems to be an inflammation of the spine and bones, the most terrible thing about this disease is that it can damage the kidneys, and when it is severe, it can induce a heart attack. ”

Old Man Xie didn't speak, because of what An Xia said, he did faintly notice it in these years, but he didn't dare to be sure, after all, ankylosing spondylitis has always been treated as a joint and bone disease, and joint pain is also because of the cold entering the body, but it is true that all people who have this disease have gradually weakened their kidneys, and some people have low lung function and high blood pressure.

After An Xia said this, he felt that he had only vaguely felt something before, but now it suddenly became clear and clear, could it ...... Old Man Xie was shocked, this child's medical skills were far superior to his own.

Old man Huo saw that Lao Xie didn't speak, so he beckoned everyone to come forward and check the pulse again, this patient's condition is complicated, first of all, we must distinguish between ankyloidism and rheumatoid, few people can completely distinguish it, and secondly, there is gout, from the complex pulse, it is also very difficult to distinguish gout.

However, a smile appeared on the corner of Old Man Huo's mouth after taking the pulse, obviously his granddaughter was right, "Lao Xie, you go to get diagnosed." ”

Old Man Xie looked at Huo Lao and smiled like an old fox, he knew that his grandson must have been wrong, he was unwilling, and he also went up to diagnose carefully, but in the end he didn't speak.

"Lao Xie, you say, I want to avoid suspicion."

"What do I say? My grandson is still here, and I want to avoid suspicion. Old Man Xie was angry, his best grandsons were defeated, and he faintly felt in his heart that he was also defeated, because Anxia's words just now made the questions in his heart finally answered, and all the questions were clear, he looked at the young girl in front of him, and was shocked in his heart.

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