It hurts everywhere, is it rheumatoid or fibromyalgia?

Recently, a patient came to see a doctor in the outpatient clinic: Director Huang, I don’t want to do anything lately.
I always feel uncomfortable everywhere, joint pains, muscle pains.
.
.
I don’t sit or lie down, I feel so tired, and occasionally I can’t sleep.
Okay, am I suffering from rheumatoid arthritis ?

Recently, a patient came to see a doctor in the outpatient clinic: Director Huang, I don’t want to do anything lately.
I always feel uncomfortable everywhere, joint pains, muscle pains.
.
.
I don’t sit or lie down, I feel so tired, and occasionally I can’t sleep.
Okay, am I suffering from rheumatoid arthritis ? Rheumatoid Arthritis

 

(Source: Photograph Network)

(Source: Photograph Network)

 

If you have such symptoms, be wary of " fibromyalgia syndrome" at this time
.

If you have such symptoms, be wary of " fibromyalgia syndrome" at this time
.

Fibromyalgia syndrome"

What is fibromyalgia syndrome? How is it different from rheumatoid arthritis?

What is fibromyalgia syndrome? How is it different from rheumatoid arthritis?

Today, Dr.
Huang Runyue is here to talk about the difference between rheumatoid arthritis and fibromyalgia syndrome
.

Today, Dr.
Huang Runyue is here to talk about the difference between rheumatoid arthritis and fibromyalgia syndrome
.

The difference between rheumatoid and fibromyalgia syndrome The difference between rheumatoid and fibromyalgia syndrome 1.

Rheumatoid arthritis rheumatoid arthritis

Rheumatoid arthritis is an unknown etiology self- immune disease, which may be related to the etiology of infection related to the environment, immune, hormone levels, and other genes
.

Rheumatoid arthritis is an unknown etiology self- immune disease, which may be related to the etiology of infection related to the environment, immune, hormone levels, and other genes
.

Immune infection

Fibromyalgia syndrome

Fibromyalgia syndrome fibromyalgia syndrome

Fibromyalgia syndrome is a chronic extensive soft tissue syndrome, the cause of which is not completely clear
.

At present, many experts believe that genetic, immune disorders, and infections can all induce this disease

Fibromyalgia syndrome is a chronic extensive soft tissue syndrome, the cause of which is not completely clear

(Source: Photograph Network)

(Source: Photograph.
com) 2.
Different ages 2.
Different ages

Rheumatoid Arthritis

Rheumatoid arthritis rheumatoid arthritis

Rheumatoid arthritis can occur at any age .
It is more common in women, and the prevalence of women is 3 times higher than that of men;

Rheumatoid arthritis can occur at any age .
It is more common in women, and the prevalence rate in women is 3 times higher than that in men; at any age

Fibromyalgia syndrome

Fibromyalgia syndrome fibromyalgia syndrome

Fibromyalgia syndrome is more common in women over 40 years old
.

Fibromyalgia syndrome is more common in women over 40 years old
.

Women over 40 years old 3.

Rheumatoid arthritis rheumatoid arthritis

Rheumatoid arthritis is clinically characterized by pain, morning stiffness, swelling, movement disorders , and even joint deformities in the small joints of the limbs (wrists, fingers, and toes) .

Rheumatoid arthritis is clinically characterized by pain, morning stiffness, swelling, movement disorders , and even joint deformities in the small joints of the limbs (wrists, fingers, and toes) .

Fibromyalgia syndrome fibromyalgia syndrome

The most prominent symptom of fibromyalgia syndrome is diffuse pain throughout the body , which is what we often say "anywhere", such as repeated soreness and pain in the limbs, neck, waist, back, and hips (specific tenderness points) (As shown in the figure below), faintly, light and heavy; at the same time accompanied by sleep disorders, fatigue, anxiety, depression and other phenomena
.

The most prominent symptom of fibromyalgia syndrome is diffuse pain throughout the body , which is what we often say "anywhere", such as repeated soreness and pain in the limbs, neck, waist, back, and hips (specific tenderness points) (As shown in the figure below), faintly, light and heavy; at the same time accompanied by sleep disorders, fatigue, anxiety, depression and other phenomena
.

Diffuse pain throughout the body

 

 

How to treat rheumatoid and fibromyalgia syndrome? How to treat rheumatoid and fibromyalgia syndrome?

Rheumatoid Arthritis

Rheumatoid Arthritis Rheumatoid Arthritis 1 Western Medicine Perspective 1 Western Medicine Perspective

The purpose of treating rheumatoid arthritis with western medicine is to relieve pain or control inflammation, relieve symptoms, control the progress of the disease, maintain finger joint function as much as possible, prevent joint deformities and improve the quality of life of patients
.

The purpose of treating rheumatoid arthritis with western medicine is to relieve pain or control inflammation, relieve symptoms, control the progress of the disease, maintain finger joint function as much as possible, prevent joint deformities and improve the quality of life of patients
.

Rheumatoid arthritis quality of life

Common drugs for anti-rheumatic drugs and nonsteroidal anti-inflammatory drug slow-acting
.

Common drugs for anti-rheumatic drugs and nonsteroidal anti-inflammatory drug slow-acting
.

Non-steroidal anti-inflammatory drugs and slow-acting anti-rheumatic drugs 2 2 TCM perspective TCM perspective

Rheumatoid arthritis belong to TCM "Arthralgia" category
.

Traditional Chinese medicine believes that this disease is caused by the imbalance of the human body's camp and health, poor circulation of qi and blood, blockage of the meridians, and the combination of wind, cold and dampness

Rheumatoid arthritis belong to TCM "Arthralgia" category
.
Traditional Chinese medicine believes that this disease is caused by the imbalance of the human body's camp and health, poor circulation of qi and blood, blockage of the meridians, and the combination of wind, cold and dampness
.
It belongs to traditional Chinese medicine "Arthralgia" category

"Theories of various disease sources·Fengbi syndrome" says: "Arthralgia, wind, cold and dampness are mixed to form a syndrome
.
" TCM treatment of rheumatoid arthritis follows the principle of syndrome differentiation
.

"Theories of various disease sources·Fengbi syndrome" says: "Arthralgia, wind, cold and dampness are mixed to form a syndrome
.
" TCM treatment of rheumatoid arthritis follows the principle of syndrome differentiation
.

The acute attack stage is mostly damp-heat, which belongs to the category of "heat arthralgia".
The treatment principle is to clear away heat and remove dampness, and expel wind and dampness
.
Add and subtract Baihu Guizhi Decoction for the side
.

The acute attack stage is mostly damp-heat, which belongs to the category of "heat arthralgia".
The treatment principle is to clear away heat and remove dampness, and expel wind and dampness
.
Add and subtract Baihu Guizhi Decoction for the side
.
Acute attack stage

In the late stage, cold dampness enters the collaterals, liver and kidney deficiency, and belongs to the category of "bone palsy".
The treatment should be used to eliminate pathogenic factors and strengthen the body
.
Add and subtract Duhuojijie Decoction for the prescription
.

In the late stage, cold dampness enters the collaterals, liver and kidney deficiency, and belongs to the category of "bone palsy".
The treatment should be used to eliminate pathogenic factors and strengthen the body
.
Add and subtract Duhuojijie Decoction for the prescription
.
Late

 

(Source: Photograph Network)

(Source: Photograph Network)

 

Fibromyalgia syndrome

Fibromyalgia syndrome fibromyalgia syndrome

The main purpose of treatment of fibromyalgia syndrome is to improve the patient's symptoms and improve the quality of life
.

The main purpose of treatment of fibromyalgia syndrome is to improve the patient's symptoms and improve the quality of life
.
1 1 Western medicine perspective Western medicine perspective

At present, there are no specific drugs for fibromyalgia symptoms.
Generally, amitriptyline, pregabalin, duloxetine and other drugs are mainly used
.

At present, there are no specific drugs for fibromyalgia symptoms.
Generally, amitriptyline, pregabalin, duloxetine and other drugs are mainly used
.
Amitriptyline, pregabalin, duloxetine

For fibromyalgia syndrome, Western medicine focuses on symptom control, while traditional Chinese medicine has achieved good results with oral Chinese medicine and external acupuncture and massage
.

For fibromyalgia syndrome, Western medicine focuses on symptom control, while traditional Chinese medicine has achieved good results with oral Chinese medicine and external acupuncture and massage
.
Acupuncture 2 2 Medical angle Medical angle

From the perspective of syndrome differentiation and treatment, the pain, insomnia, and anxiety of patients are mostly caused by emotional insufficiency, chronic depression and liver injury
.

From the perspective of syndrome differentiation and treatment, the pain, insomnia, and anxiety of patients are mostly caused by emotional insufficiency, chronic depression and liver injury
.

The liver governs the tendons.
Once the liver is lost to dredging, the tendons and veins will be lost to nourish the muscles and veins, and the tendons and veins will be painful; if the liver contains blood, the liver is unbalanced, and the blood does not nourish the heart, the mind will be restless, see symptoms of insomnia, anxiety, etc.
, so treat Mostly to soothing the liver and nourishing blood , add or subtract Chaihu Shugan powder
.

The liver governs the tendons.
Once the liver is lost to dredging, the tendons and veins will be lost to nourish the muscles and veins, and the tendons and veins will be painful; if the liver contains blood, the liver is unbalanced, and the blood does not nourish the heart, the mind will be restless, see symptoms of insomnia, anxiety, etc.
, so treat Mostly to soothing the liver and nourishing blood , add or subtract Chaihu Shugan powder
.
Soothing the liver and nourishing blood

Acupuncture and Tuina are based on the theory of "the meridians go through, the main treatment is".
It selects points along the meridian at different pain points and nearby acupoints to adjust the balance of yin and yang in the human body, dredge the meridians and relieve pain
.

Acupuncture and Tuina are based on the theory of "the meridians go through, the main treatment is".
It selects points along the meridian at different pain points and nearby acupoints to adjust the balance of yin and yang in the human body, dredge the meridians and relieve pain
.

references:

references:

[1]Xu Xiaonan, Gao Ming, Gao Wei.
TCM treatment of fibromyalgia syndrome[J].
Chinese Medical Guide , 2013:547-548.

[1]Xu Xiaonan, Gao Ming, Gao Wei.
TCM treatment of fibromyalgia syndrome[J].
Chinese Medicine Guide , 2013:547-548.
Guide

[2] Chen Wenlong, Huang Ping, Chen Huan, Huang Zongju.
A case of fibromyalgia syndrome treated with integrated traditional Chinese and western medicine[J].
Modern Medicine and Health, 2019: 2757-2758.

[2] Chen Wenlong, Huang Ping, Chen Huan, Huang Zongju.
A case of fibromyalgia syndrome treated with integrated traditional Chinese and western medicine[J].
Modern Medicine and Health, 2019: 2757-2758.

[3] Zhang Qingli, Yang Weibin, Yang Jing, Hu Chunhua, Li Qian, Zhang Yumin.
Modern research on Chinese and Western medicine for rheumatoid arthritis[J].
Medical Review, 2015: 118-121.

[3] Zhang Qingli, Yang Weibin, Yang Jing, Hu Chunhua, Li Qian, Zhang Yumin.
Modern research on Chinese and Western medicine for rheumatoid arthritis[J].
Medical Review, 2015: 118-121.

[4] Ding Congzhu, Yang Weiping.
Clinical research on rheumatoid arthritis complicated by fibromyalgia[J].
Jiangsu Medicine, 1997:401-402.

[4] Ding Congzhu, Yang Weiping.
Clinical research on rheumatoid arthritis complicated by fibromyalgia[J].
Jiangsu Medicine, 1997:401-402.

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