Can Children with JDMS Avoid Side Effects of Hormone Treatment

Children suffering from Juvenile Dermatomyositis(JDMS) often apply hormones such as prednisone and methatrexate. The parents are worried of the side effects and looking for other natural therapies to cure their children’s disease. In this passage, we will introduce traditional Chinese medicine treatment for JDMS.
Benefits and side effects of Hormone Treatment on JDMS
Glucocorticoids:corticosteroids is very effective to control inflammation. However, they can cause side effects, including growth inhibition, susceptible, hypertension and osteoporosis. Small doses of corticosteroids rarely cause any side effects, but side effects also increases as the dose increases. However, the sudden withdrawal may be life-threatening, so it is necessary gradually reduce the dose.
Immunosuppressants: methotrexate has certain effect in improving muscle strength. However, long-term use of the medication can cause certain side effects such as oral ulcers, high blood pressure and others.
Alternative therapy other than hormone treatment: traditional Chinese medicine
Currently, traditional Chinese medicine can be used to effectively treat Juvenile Dermatomyositis(JDMS).
First, the dialectical, Qi, Yin heat. Governing Law, Qi, Yin, cooling. Party name, flavored Qi cooling soup. Composition, habitat 12 grams, Radix 9 grams, Dan 6 grams, Digupi 30 grams, 15 grams turtle shell, turtle shell 15 grams, 9 grams Adenophorae, littoralis 9 g, Radix 9 grams, 12 grams astragalus, Codonopsis 12 grams, 9 grams Atractylodes, Chinese yam 12 grams. Usage, Shuijianbi day 1, day 3 times.
Second, differentiation, Qi. Governing Law, nourishing, cooling meridians. Party name, two parameters two vine soup. Composition, Codonopsis 15 grams, littoralis 15 grams, 20 grams of astragalus, habitat 15 grams, Dan 12 grams, Radix 12 grams, 30 grams of Millettia, contact Ishido 30 grams, which is in the treatment of dermatomyositis one prescription dermatology. Usage, Shuijianbi day 1, day 3 times.

Dermatomyositis patients should pay attention to avoid direct sunlight (ultraviolet light when the main), when they go out with a hat, gloves, long-sleeved clothing or an umbrella and so on. Try not to eat seafood (fish, shrimp, crab) and so easy to cause food allergies. Eat spicy food (onion, ginger, garlic, etc.). Eat less greasy foods; Do satiation. Ban smoking and drinking. Without cosmetics, hair dye. Avoid contact with pesticides and some decorative materials. Women of childbearing age should be in the condition is not very stable mind to avoid pregnancy and abortion, childbirth should be put under the guidance of the physician. Ensure adequate sleep, work and rest. To feel comfortable, moderate exercise. Outside the hospital should regularly follow-up review. And so on, very helpful disease rehabilitation and prevention of recurrence. Heavier, limb deformities, to prevent heart failure or respiratory failure, severe symptoms appear, the disease eventually remission.

Factors Affecting the Prognosis of Rheumatoid Arthritis(RA)

Rheumatoid arthritis (RA) is a chronic inflammatory condition. Clinically, various risk factors can affect the prognosis of the disease. The patients may have varying lengths of disease course, some may remit after active treatment, others may relapse again and again and deteriorate gradually.
The factors affecting the prognosis of Rheumatoid Arthritis generally include the follows:
· HLA DR4 and DR1 are associated.
· Other environmental factors apart from smoking are infections from various viruses (eg, Epstein-Barr virus, parvovirus) and bacteria (eg, Porphyromonas gingivalis, mycoplasma)
· Additionally, endocrinologic and reproductive factors may also contribute to the development of RA
· The etiology and pathophysiology of RA remain fields of active research that will either strengthen current theories or dispute them in the future.
· Flares that are intense and last a long time
· Diagnosed very young and have had active disease for years

Other major prognosis and outcomes include features of other systems like inflammation of blood vessels (vasculitis), heart disease, infections etc. RA is known to reduce the lifespan of patients by anywhere from three to 12 years. To keep the disease under control and prevent flare ups regular reviews and checkups are important to improve prognosis of Rheumatoid Arthritis.

How to Treat Gout by Traditional Chinese Medicine(TCM)

Traditional Chinese medicine(TCM), based on the combination of previous experience and modern medical theory , devides Gout into thirteen types and three stages. Gout is a complex disease with varying duration of lengths. In some cases, Gout is recurrent or even progress and lead to gouty nephropathy. What’s more, Gout is prone to be mixed with other types of arthritis.
As is introduced by director Zhang Kaifu, Gout was called a "noble disease. Because patients often joint pain treatment, so it is classified as " Arthralgia" range in traditional Chinese medicine. Over prolonging course, Gout can cause organ dysfunctions, with metabolic disorders in the spleen and kidney as the most prominent. In traditional Chinese medicine(TCM), base on the combination of previous experience in medicine and modern medical theory, Gout is divided into three stages and thirteen types. Gout is a complex disease with varying duration of lengths and high recurrence rate, and the clinical manifestations are not the same. Some patients have high uric acid without symptoms. In some cases, the disease progress or even develop to Gouty Nephropathy. In the early stage, the disease is prone to be mixed with other kinds of arthritis. Therefore, traditional Chinese medicine applies the method of syndrome differenation, which has obvious effects in alleviating symptoms and reducing uric acid. In the following, Director Zhang Kaifu Director will introduce several common kinds of traditional Chinese medicine, prescriptions and dietary therapy.
Traditional Chinese medicine(TCM)
1. Functions of Ginseng Guipi: nourishing spleen, used for deficiency of yang and overbundance of yang. The pills are used three times a day with warm water.
2 . Functions of simiaosan: get rid of phlegm and dredge channels. It is used for blood stasis type. Three times a day, drink ginger juice to take the medicine.
3 . Functions of jinkui shenqiwan: nourish the kidneys, which is applied on the type of liver & kidney deficiency. Take one pill every time and three times a day.
Prescriptions
1 . Plantago 30g. add 500 ml of water to boil the medcine for 30 minutes. Take it once a day. This is applicable to all types of Gout.
2 . Mulberry 500g, contact Ishido 200g, honeysuckle, millettla and pittosporum skin for 60g seperately, siegesbeckiae sea breeze rattan, Jianshui bathing to treat joint pain and swelling in Acute Gouty Arthritis.
Dietary therapies
Barley porridge and barley of 10g to be boiled once a day. And take it for one week to prevent heat blockage type of gout .
2 . Peach peach porridge 15g, 60g rice, smashed drunks, used to treat blood stasis type of Gout.
The above introduces the treatment of Gout by traditional Chinese medicine(TCM). As Chinese medicine treatment is a process to be based on the patients’ condition, the patients should treat Gout under the guidance of practitioners or doctor of Oriental medicine.

Can Eating Fish Prevent Rheumatoid Arthritis(RA)

Can eating fish prevent Rheumatoid Arthritis(RA)? To a certain extent, eating fish is helpful for preventing Rheumatoid Arthritis because omega-3 fatty acids in fish has significant effects on preventing Rheumatoid Arthritis(RA), protecting the cartilage in the knee, and maximally avoiding the occurrence of disability.
Rheumatoid Arthritis (RA) is a chronic systemic inflammatory disease characterized by chronic, symmetric, multple cartilage disease with articular synovial lesions as the main clinical manifestations.
Can eating fish prevent Rheumatoid Arthritis?
To a certain extent, eating fish can prevent rheumatoid arthritis disease because the omega-3 fatty acids in fish has a significant effect in effectively protecting the cartilage in the knee, and maximally avoiding the phenomenon of disability. To be noted, seafish should not be chosen the uric acid contained in seafish will form urate crystals in the joints after being absorbed by the body, thus worsening the symptoms of rheumatoid arthritis.
Research found that carp, crucian carp, mullet, eel and other species of fish are conductive to the prevention of rheumatoid arthritis because these foods contain protein, fat and a variety of essential amino acids (such as cystine, histidine acid, glutamic acid, glycine, lysine and arginine), creatine, niacin, vitamins and calcium, phosphorus, iron and other ingredients. In view of Chinese medicine, these fish share the feature to strengthen spleen; especially, eel has good effects in in strengthening bones.
Rheumatoid Arthritis(RA) is a chronic systemic autoimmune disease. Early diagnosis and early treatment is the key to treat the disease. As is suggested by experts, the majority of patients with rheumatological disease should treat the disease timely after the diagnosis, so as to avoid physical and psychological harms to patients over prolonging course of the disease.

Characteristics of Pain in Ankylosing Spondylitis(AS)

Back and waist pain is the most common symptom and an indicator of disease activity of Ankylosing Spondylitis(AS). The locations of pain include lumbar pain, lower back and lumbosacral part. Ankylosing Spondylitis mainly affects the axial joints, the involvement of sacroiliac joint and lumbar spine disease is found in almost all patients. In the earlier stage, sacroiliac arthritis is generally hidden, so the early manifestations of lumbosacral pain are only discomfort or pain. The disease occurs only after fatigue, intermittent or alternating sides aches, or the disease is reflected as hip discomfort.
In some other patients, there may be traumatic or other inducing factors.
The pain occurs in lumbosacral suddenly, and can become very severe, making the patients unable to move. The pains is also sometimes accompanied by fever, and will get better after a rest for a few days. The pain can be alleviated or disappear. This situation can be repeated or may be worsened gradually. In the initial stage, the pains are located in the lumbosacral area. Severe pains may radiate to the iliac crest, ischial tuberosity and rear thigh. Coughing , sneezing, bending and other movements can suddenly worsen the pains.
With the further deterioration of disease, pains or intermittent pain will become persistent. Maintaining a posture in the early morning or for a long time usually cause stiffness in the lower back, and the pains will aggravate. Some patients are afraid of wind and cold, and the pains worsen after suffering from cold or dampness. In severe cases, the patients can’t get out of the bed and have difficulty turning around. Nocturnal rest pain is one of the indicatiors of disease activity.
In general, having rests will not relieve lower back pain or stiffness, but appropriate activities can alleviate the symptoms, which is the characteristic of inflammatory back pain and can be distinguished from mechanical waist pains. In the latter, activities or labor can worsen the symptoms, while resting can aggravate symptoms. But when the pain is so severe that not the patients can not move, this characteristic of Ankylosing Spondylitis(AS) is often overshadowed. So it needs to be carefully identified.

Some patients don’t pay attention to mild pains or discomfort. The patients only show a stiff lower back pain or lumbar pain, and tenderness or paravertebral is easily mixed with polymyalgia rheumatica , muscle fasciitis, fibrositis neuralgia pain or mental confusion. Pains in Ankylosing Spondylitis seldom rediate to joints below the knees.

Traditional Chinese Medicine Treatment for Rheumatoid Arthritis(RA)

In Summer, Rheumatoid Arthritis enters into a low onset period. The treatment effect is quite obvious in this season. In the research, 48 cases of patients with this disease treated by Chinese medicine method are surveyed. Among the 48 cases, there are 19 males and 29 females, the oldest is 64 years old, the youngest is 14 years old, and average age is 47 years old. Of the patients, 81 % are tested to have positive rheumatic factor, X-ray examination showed that 70% have varying degrees of osteoporosis, 36% appeared to have low hemoglobin and light anemia, and 18 % had interstitial lung disease. After the treatment, 42 cases achieved remarkable results, accounting for 87.5% of the patients. 6 cases showed ineffective treatment effects, accounting for 12.5% of the cases. More details are presented below.
Disease classification according to syndrome differentiation.
1.1 Dampness and heat blocking
It is more commonly seen in the early and active stages of Rheumatoid Arthritis. Joint swelling is visible, heartburn can be touched, and joint pains get increasingly obvious after activities. In the morning, the patients find joint stiffness without deformities. Occasionally, the patients are accompanied by fever, oropharyngeal dryness, mouth pain, scanty dark urine, red tongue and yellow greasy moss .
1.2 Blood and Qi stasis. Joint pains get severe, and are presented as pinching touch. Palpable subcutaneous nodules bone protrusions can be touched at bone apophysis. In addition, the patients experience morning joint stiffness and grew hot into the twilight. Dark red tongue with ecchymosis, dark lip color and astringen pulses can be seen.
1.3 Blocking caused by cold and dampness.
Severe joint pains which get aggravated after suffering from cold, and get relieved after returning warm. Local area is clammy when being touched. The limbs are not warm, bone & joint are deformed and stiff . The tongue is dull, pale and thin, and the pulse is tight .
1.4 Live and kidney deficiency. Deficiency of blood and Qi causes joint deformity. Wasit & knees are not easily extended. The patients get weaker and weaker, are afraid of cold, have pale face, light tounge color and thin weak pulse.
Treatment of the different types of Rheumatoid Arthritis(RA) with traditional Chinese medicine
Dredge collaterals, activate blood, remove evil factors and relieve pains. Prescription: honeysuckle vine 20g, acutum 20g, contact Ishido 20g, Millettia 20g, talc 15g, barley 15g, forsythia 10g, Gentiana 10g, red bean 10g, Treats 10g.
Blood stasis: I Huoxuetongluo , numbness and pain. Prescription: peach kernel 15g, safflower 15g, habitat 15g, Salvia 15g, Chuan Xiong 10g, Wulingzhi 10g, Xiang Fu 10g, myrrh 6g, Gentiana 15g, earthworm 10g, Cyathula 10g, Yuan Hu 10g.
Blocking caused by cold and dampness. Prescription: cooked tuber 9g, cinnamon 10g, Rehmannia 15g, Asarum 5g, soap thorn 10g, sea breeze rattan 15g, independent living, 10g, Astragalus 15g, licorice 6g.
Liver and kidney deficiency. Prescription: Rehmannia 15g, ginseng 10g, Astragalus 20g, white peony root 10g, Dipsacus 10g, Woodwardia 10g, Drynaria 10g, the Sub- 10g, mistletoe 15g, licorice 6g.
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Chinese Medicine Treatment of Rheumatoid Arthritis(RA)

Rheumatoid Arthritis (RA) is a common chronic systemic inflmmatory joint tissue disease [ 1 ] . Many studies suggest that [2-4 ] : The disease is induced by a variety of factors which cause the body's own immune response. The disease may invade multiple joints, with symptoms on hands, feet, small joints, mostly symmetrical, as the most common. In Pathology, it is a chronic synovial inflammatory disease characterized by cell infiltration, pannus formation, erosion of cartilage and bone tissues, leading to the destruction of joint structure and loss of functions. The lesions are not restricted to joint tissues and commonly lead to damage of other systems.

1.The pathogenesis of Rheumatoid Arthritis(RA) 

Modern medicine has not been fully elucidated the etiology of RA , currently considered the main genetic factors, environmental factors and certain other factors, such as hormone levels , stress response and so on. For a long time , that bacteria and viruses is to start the RA factor , a variety of pathogenic microorganisms or other antigens , namely evils, more performance for wind cold dampness evil , in RA always with musculoskeletal common in the disease process , the evils is an important condition for the onset of alien invasive in vivo antigen- induced immune response , immune complex formation is the starting point of pathological changes .
2.Treatment
RA is a debilitating autoimmune disease. The focus of prevention is early diagnosis and early treatment. Throughout the pathogenesis of Rheumatoid Arthritis, it is characterized by the vacuity and blood deficiency. The disease occurs due to wind and dampness intrusion. With the evil factors running deeper, it further damages liver and kidney blood. Dispelling evil factors, dreding channels and activating blood are the basic treatment rules of Rheumatoid Arthritis.

3.Early and acute onset of Rheumatoid Arthritis. In the early stage of the disease, it is characterized by evil factor invasion. At the beginning, the patients are found to have fever, chills, headache and sickness. If the patients experience fever, chills and headache at the early stage, if large wind-dispersing agent to dispel evil wet to the outside in a timely manner, the disease may develop into a chronic one. Therefore, it is better to expel wind and cold , relieve dampness, numbness and pain as the early time.

4 Delayed healing mostly indicate delayed healing so that the patients show varying degrees of blood deficiency syndromes. Because patients with recurrent illness condition are also commonly seen, it needs to increase the positive factor and get rid of the evil factors, which will improve blood circulation and increase disease-resisting abilities.

Summary

Rheumatoid Arthritis(RA) is a slowly progressing disease and is relatively difficult to be treated. Combing medication bath, acupunture and physical therapy will help to improve treatment effect. At the meantime, mental health education and functional exercise are also important.

Is Lupus Inherated

Is Lupus inherated? Lupus is generally considered to be multifactorial. Its may be related to genetics, hormones, environmental and other factors caused by the interaction of immune function disorders.
A lot of researches indicate that there are genetic predisposition and familial aggregation for Lupus. When a family member suffers from Lupus, the incidence of other members also increase. Human genetic research found that certain human leukocyte antigen (HLA) is related to the pathogenesis of Lupus. Lack of congenital complement C4 and C2 is also prone to Lupus. Currently, many of the world leading rheumatologists are looking for genes that can cause Lupus.
Lupus is more likely to occur in young women. The incidence of women of reproductive age males are 9-13 times more likely to get Lupus than their peers. A lot of researches suggest that females of childbearing age averagely have much higher estrogen levels than the general population. Clinical practice has also confirmed that estrogens also play an important role in the pathogenesis of Lupus. About one third of patients with Lupus has their disease activated during pregnancy or after childbirth.
Genetic factors as an internal and external factors also play a role in the onset of the disease. For example, infections, endocrine, etc. Lupus caused by endocrine factors is more prone to occur in women at childbearing age.

The above is about whether Lupus is an inherated disease. In conclusion, various causes will induce Lupus. Don’t worry too much. If you decide to have a child, talk with your doctors and take detailed tests. Be relaxed and keep positive.

Prognostic Factors of Children Systemic Rheumatoid Arthritis

Objective: To investigate clinical characteristics and prognosis factors of children systemic rheumatoid arthritis in order to raise awareness on children systemic rheumatoid arthritis.

Methods: statistics and analysis relevant information of 21 patients with children systemic rheumatoid arthritis.

Results:  methotrexate treatment is important for  complete remission of children rheumatoid arthritis; elevated C-reactive protein and platelet levels are not conducive to disease remission. Younger children and female patients have higher long-term disability rate.


Conclusion: Children systemic rheumatoid arthritis has poor prognosis. There is a higher mortality & morbidity in patients with recurrent disease for over 5 years. Early  treatment, including joint programs, including methotrexate, shortening glucocorticoid treatments and reducing dosage, monitoring various infections, is important  in order to improve the prognosis.

How to Effectively Treat Children Rheumatoid Arthritis

Children are the hope of parents. However, children arthritis seriously affect physical health of children. Well then, how to effectively treat Children Rheumatoid Arthritis?
We know that rheumatoid arthritis may last for several years and bring patients long-term pain and suffering. The treatment of the disease requires close cooperation of parents and children. The treatment goal is to eliminate the symptoms, maintain joint function and prevent joint deformities. Because the children are in the growth stage, many drugs such as hormones and cytotoxic drugs have an impact on their growth and development, so it is better to start with a simple, secure, and more conservative therapy, such as selecting non-steroidal anti-inflammatory drugs and so on.
Treatment for children with arthritis is usually much the same as for adults, but the problems which crop up in everyday life can be very different. Children with arthritis need to lead as ordinary and full a life as they can. Keeping school and social life going is extremely important, although there may be a need to find some alternative social activities.
In addition to targeted therapies, comprehensive care of children is also conducive to the children’s rehabilitation. Comprehensive treatment, proper rest, nutrition, encouraging children to participate in appropriate exercise, and physical are helpful to prevent muscle atrophy and joint dysfunction.

If not timely treated, rheumatoid arthritis may mental and physical development of children. Therefore, we should pay attention to active and effective treatment of children rheumatoid arthritis.

Causing Factors of Rheumatoid Arthritis (RA)

Rheumatoid Arthritis (Rheumatoid arthritis, RA) is a kind of arthritis characterized by chronic aggressive systemic autoimmune damage. Rheumatoid arthritis is characterized by lesions of synovitis, and the resulting destruction of articular cartilage and bones, and joint deformity .
Causing factors of Rheumatoid Arthritis
The etiology of rheumatoid arthritis is not clear. Generally it is believed that genetic , environmental, infection and other factors are closely related to the occurrence of the disease.
Genetic factors
First degree relatives of patients with rheumatoid arthritis are 1.5 times more likely to suffer from this disease than the general population. Studies on twins showed that genetic factors account for 50 % to 60% among all the causing factors of rheumatoid arthritis. Susceptibility genes associated with rheumatoid arthritis include HLA-DR, PADI4 and PTPN22 and so on.
Infectious factors
Certain viral and bacterial infections may act as initiating factors to activate immune response carrying susceptibility genes, thus leading to the onset of rheumatoid arthritis.
Pathogens associated with rheumatoid arthritis include EB virus, parvovirus B19, influenza virus and Mycobacterium.
Sex hormones
Incidence ratio of male to female ratio is 1:2 to 4, which suggests that sex hormones may be involved in the pathogenesis. In addition, the illness condition of women with rheumatoid arthritis during pregnancy can be relieved, but1 to 3 months after childbirth, the disease may recur, suggesting that the drop of progesterone or estrogen levels may be related to the pathogenesis of rheumatoid arthritis.
Other factors
Smoking, cold, trauma, mental stimulation and other factors may be associated with the occurrence of rheumatoid arthritis .

The above introduces the causing factors of Rheumatoid. Patients with this disease are suggested to actively treat it at early time so as to control the illness condition and improve the prognosis.