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Arthralgia Syndrome

General Introduction

Arthralgia syndrome is caused by blockage of channels and qi and blood flowing unsmoothly due to invasion of exogenous pathogenic wind, cold, dampness and heat, marked by pain, numbness, a heavy feeling, swelling, incapability of flexing and extending or even a feeling of burning heat in muscles, bones and joints.

In western medicine,the diseases such as rheumatic arthritis, rheumatoid arthritis, bony arthritis. sciatica, periarthritis humeroscapularis ( Scapulohumeral Periarthritis ),Neck Tntervertebral, tennis elbow ,gout ( Rheumatic fever ), Knee arthritis, Ligamentous injury of knee joint ( caused by deficiency, strain ), Prolapse of Lumber Intervertebral Disc , Hyperosteogeny, Osteoporosis, Bony Ankytosis and so on can also refer to this syndrome for diagnosis and treatment based on pathogensis obtained through differentiation of symptoms and signs.

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Diagnosis and treatment according to differentiation

1. Identification of similar syndromes:

The disease and flaccidity syndome are all marked by symptoms of limbs or joints, both of them may interchange. So it is necessary to distinguish these two disease. But arthralgia syndrome is mainly characterized by aching pain, a heavy feeling, swelling in tendons, bones, muscles and joints, incapability of flexing and extending. Sometimes, it is accompanied with numbness, but no paralysis. While flaccidity syndrome is characterized by atrophy and debility of the limbs, wasting and atrophy of muscle, no pain in the limbs or joints.

If arthralgia syndrome lasts for a long time , the patient can hardly motion due to pain limbs, which leads to wasting and atrophy of muscles, joint deformity , amyloses .But it is accompanied with flaccidity and weakness of the lower limbs .So it is seen in clinic that arthralgia syndrome coverts into flaccidity syndrome . For a patient of arthralgia syndrome , due to deficiency of vital-qi he infects exogenous pathogen that obstructs the channels causing stagnation of qi and blood then, arthralgia syndrome will occur . So it is seen in clinic that flaccidity syndrome accompanies with arthralgia syndrome.


2. Main points of differentiation of symptoms and signs:

Identifying arthralgia due to wind-cold-dampness pathogen with arthritis of heat of type: The former is marked as wandering pain and swelling of limbs or joints, no heat symptoms. The latter is marked by redness, swelling, burning sensation, pain of joints with irritability.

You must distinguish your joint or bone placement symptom have heat or have not heat to have diagnosis.


1. For upper part of the body:
   1. Wind-dampness-heat Syndrome:
   
   ( suitable for Upper part of the body such as Rheumatic arthritis, Rheumatoid arthritis, Bony arthritis, Periarthritis humeroscapularis “ Scapulohumeral Periarthritis “, Neck Tntervertebral, Tennis Elbow, Gout at thumb & Etc).
   
   Main symptoms and Signs : Redness, swelling, heat sensation and of pain of the joints which is too painful to be touched but relieved by cold, inability to move, restlessness and discomfort in the chest, sometimes accompanied with fever and thirst.
   
   Therapeutic Principle: Dispelling pathogenic heat, removing obstruction in the channels and dispelling pathogenic wind and dampness, Promoting blood circulation to remove blood stasis, removing obstruction in the collaterals to relieve pain, tonifying the liver and kidney.
   
   Recipe: Mulberry Twig, White Peony Root, Anemarrhena Rhizome, white Atractylodes, Lodebouriella Root, Red Salge Root, Chinese Angelica Root, Aucklandia Root, Arisaema Cum Bile, Honeysuckle Stem, Large Leaf Gentian Root, Loranthus Mulberry Mistletoe, Eucommia Bark, Ground Beetle, Chuanxiong Rhizome & etc.
   
   
   2. Wind-cold-dampness Syndrome:
   
   (Suitable for Upper part of the body such as Rheumatic arthritis, Rheumatoid arthritis, Bony arthritis, Periarthritis humeroscapularis “ Scapulohumeral Periarthritis “, Neck Tntervertebral, Tennis Elbow & Etc.)
   
   Main Symptoms and Signs: Persistent arthralgia of the extremities aggravated by cold and relieved by warmth.
   
   Therapeutic Principle: Dispersing pathogenic wind, cold and dampness, Promoting blood circulating to remove blood stasis, removing obstruction in the collaterals to relieve pain, tonifying the liver and kidney.
   
   Recipe: Cinnamom Twig, Ephedra, White Atractylodes, Sichuan Aconite Root, Dried Ginger, Myrrb, Chinese Angelica Root, Arisaema Tuber, Astragalus Root, Ginseng, Peach Kernel, Eucommia Bark, Coix Seed, Notoptorygium Root, Turmeric & etc.
   


2. For lower part of the body:
   1. Wind-dampness-heat Syndrome:
   
   (Suitable for lower part of the body or waist downward of the body such such as rheumatic arthritis, rheumatoid arthritis, bony arthritis. sciatica, Prolapse of Lumber Intervertebral Disc etc.)
   
   Main symptoms and Signs : Redness, swelling, heat sensation and of pain of the joints which is too painful to be touched but relieved by cold, inability to move, restlessness and discomfort in the chest, sometimes accompanied with fever and thirst.
   
   Therapeutic Principle: Dispelling pathogenic heat, removing obstruction in the channels and dispelling pathogenic wind and dampness. Regulating Qi, Promoting blood circulation to remove blood stasis, Removing obstruction in the collaterals to relieve pain, tonifying the liver and kidney.
   
   Recipe: Large leaf gentian, Nutgrass flatsedge rhizome, Myrrb, Trogopterus dung, Chinese angelica root, Earthworm, Safflower, Pubescent angelica root, Ginseng, Chinese cassia bark, Lodebouriella root, Tetrandra root, Scutellaria root, Arisaema cum bile, Eucommia bark & etc.
   
   
   2. Wind-cold-dampness Syndrome:
   
   (Suitable for lower part of the body or waist downward of the body such such as rheumatic arthritis, rheumatoid arthritis, bony arthritis. sciatica, Prolapse of Lumber Intervertebral Disc Hyperosteogeny, Osteoporosis,Bony Ankytosis & etc.)
   
   Main Symptoms and Signs: Persistent arthralgia of the extremities aggravated by cold and relieved by warmth.
   
   Therapeutic Principle: Dispelling pathogenic wind, cold and dampness. Regulating Qi, Promoting blood circulation to remove blood stasis, Removing obstruction in the collaterals to relieve pain, Tonifying the liver and kidney.
   
   Recipe: Cinnamom twig, White peony root, Anemarrhena rhizome, Wild aconite root, Frankincense, Chinese angelica root, Astragalus root, Ginseng, Aucklandia root, Ground beetle, Eucommia bark, Manchurian aristolochia stem, Pubescent angelica root, Clemalis root, Scorpion & etc.
   
   
3. For Knee arthritis
   1. Wind-dampness-heat Syndrome
   
   (Suitable for Knee arthritis, Ligamentous injury of knee joint, caused by deficiency, strain), Gout at malleolus and limbs (Rheumatic fever) & etc.)
   
   Main symptoms and Signs: Redness, swelling, heat sensation and of pain of the joints which is too painful to be touched but relieved by cold, inability to move, restlessness and discomfort in the chest, sometimes accompanied with fever and thirst.
   
   Therapeutic Principle: Dispelling pathogenic heat, removing obstruction in the channels and dispelling pathogenic wind and dampness. Regulating Qi, Promoting blood circulation to remove blood stasis, removing obstruction in the collaterals to relieve pain, tonifying the liver and kidney.
   
   Recipe: Yam rhizome, Poria, Red salge root. Grassleaved sweetflag rhizome, lotus seed embryo, Plantain seed, Coix seed, Achyranthes root, Oriental water plantain rhizome, Chinese cassia bark, Loranthus mulberry mistletoe, Ginseng, Chuanxiong rhizome, Schizonepeta, Large leaf gentian root & etc.
   
   
   2. Wind-cold-dampness Syndrome
   
   (Suitable for Knee arthritis, Ligamentous injury of knee joint,  caused by deficiency, strain )
   
   Main Symptoms and Signs: Persistent arthralgia of the extremities aggravated by cold and relieved by warmth.
   
   Therapeutic Principle: Dispelling pathogenic wind, cold and dampness. Regulating Qi, Promoting blood circulation to remove blood stasis, Removing obstruction in the collaterals to relieve pain, Tonifying the liver and kidney.
   
   Recipe: White atractylodes, White peony root, Chaenomeles fruit, Aucklandia root, Tsaoko, Shell of arecanut, Aconite root. Myrrb, Chinese angelica root, Pubescent angelica root, Ginseng, Rehmannia root, Eucommia bark, Chinese cassia bark, Peach kernel & etc.
   
   

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