Discussion on Application of Rattan Drugs in Treatment of Rheumatoid Arthritis Based on Theory of"Unobstructed Collateral Being Normal"
Rheumatoid arthritis belongs to"Bi syndrome"in traditional Chinese medicine,with swelling and pain of joints a-round the body as the main clinical manifestation.YE Tianshi proposed the theory of collateral diseases in Clinical Guidelines for Medical Records,which expounded the idea of"prolonged illness entering the collaterals"and"prolonged pain entering the collat-erals",revealing the essence of pain in arthralgia disease."Obstruction leading to pain"is the key to the pain pathogenesis of Wangbi syndrome,while"toxins accumulation in collateral"and"loss of nourishment of collaterals"are the key to the syndrome differentiation and treatment of Wangbi syndrome.Most rattan drugs have the efficacy characteristics of dredging collaterals and dispersing nodules,which can effectively treat rheumatoid arthritis due to"obstruction leading to pain".Different rattan drugs have their own efficacy and characteristics due to their different natures,tastes and meridians.Among the eight commonly used rattan drugs for dredging collaterals,Leigongteng(Tripterygii Radix et Rhizoma),Qingfengteng(Sinomenii Caulis)and Haifengteng(Piperis Kadsurae Caulis)tend to remove wind and dampness;Jixueteng(Spatholobi Caulis)and Daxueteng(Sar-gentodoxae Caulis)tend to promote blood circulation and collaterals;Rendongteng(Lonicerae Japonicae Caulis)and Luoshiteng(Trachelospermi Caulis et Folium)tend to clear heat and unblock collaterals;Shouwuteng(Polygoni Multiflori Caulis)can nour-ish blood and calm the nerves.Based on this,it is of great significance to treat rheumatoid arthritis by using"unobstructed collat-eral being normal"as the basic treatment idea,and rationally applying rattan drugs based on clinical syndrome differentiation.
rheumatoid arthritisrattan drugscollateral disease theory
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