How does Chinese medicine know the cause of rheumatism? Traditional Chinese medicine emphasizes the internal factors of human body in etiology, that is, "evil combination leads to qi deficiency." Similarly, the cause of rheumatism is mainly internal. For example, Neijing said, "Wind, rain, cold and heat cannot be empty, and evil cannot harm people alone." In Fang Jisheng, it is clearly pointed out: "It is all because of physical weakness, lack of energy, cold and humidity." That is, due to human weakness, lack of qi and blood, or overwork, skin pores are slack, camp and health are unstable, and exogenous pathogens take advantage of the situation and flow into meridians, muscles and joints, resulting in stagnation and obstruction of qi and blood, joint pain and unfavorable activities. As for external factors, it is related to climatic conditions and living environment, mainly the invasion of wind, cold and dampness. Neijing said: "Wind, cold and dampness are mixed, and they become arthralgia." It shows that the climate is changeable, hot and cold alternate, or the evil of wind, cold and dampness, such as living in humidity, cold, wading, rain, etc., invades the human body when the human body's resistance is low, injects into the meridians, stays in the joints, and blocks qi and blood. This is arthralgia syndrome. However, because everyone's physique is different and the disease is on the high side, Neijing also says: "The winner of its ethos is paralysis; The winner of cold is pain; The winner of moisture is to be paralyzed. " If wind-cold-dampness arthralgia cannot be cured for a long time, the pathogen turns to heat for a long time, or the pathogen of wind-heat is felt, or the body feels yang deficiency or yin deficiency with heat, after the pathogen is felt, the joints are easily cremated, making them red, swollen and painful, resulting in heat arthralgia. Neijing also said: "Those who remain ill for a long time must stay at home." That is to say, exogenous pathogens stay in the body, accumulate over time, and get sick from meridians and viscera, which will produce corresponding viscera arthralgia syndrome. Among them, palpitation, shortness of breath and chest pain are more common. How to treat rheumatism with combination of traditional Chinese and western medicine? In the treatment of rheumatism, the application of traditional Chinese medicine can be combined with the application of western medicine. Similarly, the application of western medicine can also be combined with traditional Chinese medicine. In this way, Chinese medicine and western medicine can develop their strengths and avoid their weaknesses, and achieve satisfactory results. For example, for patients with acute rheumatic fever, due to the urgency of the disease, penicillin and hormones can be used for anti-inflammatory and anti-rheumatic treatment while taking traditional Chinese medicines for clearing heat and promoting diuresis, expelling wind and dredging collaterals. Clinical practice has proved that many rheumatic diseases are treated with combination of traditional Chinese and western medicine, and the curative effect is much higher than that of single-line treatment with traditional Chinese medicine or western medicine alone. Treatment of rheumatism with combination of traditional Chinese and western medicine has broad prospects. What advantages does the combination of traditional Chinese and western medicine have in treating rheumatism? There are many advantages of treating rheumatism with integrated traditional Chinese and western medicine, which cannot be described. Only one or two can be listed here. (1) changed the western medicine's research method of focusing only on analysis and parts, and began to combine parts with whole, static with dynamic, analysis with synthesis to study the relationship between various organs or diseases of human body and the process of their changes and development, gradually revealing the inherent laws of human life and disease process. Systemic lupus erythematosus (SLE) is an autoimmune disease, in which multiple organs can be involved individually or simultaneously. Western medicine believes that its pathogenesis is related to hormones, environment, infection, immunity, heredity and other factors, and its main characteristics are hyperactivity of B cells and weakening of T cells. There are two kinds of views in Chinese medicine. One holds that the main causes and pathogenesis are congenital deficiency, deficiency of kidney essence, imbalance of yin and yang, and hyperactivity of yang due to yin deficiency. Another view is that qi stagnation and blood stasis are caused by disharmony between camp and health and disharmony between qi and blood. The combination of traditional Chinese and western medicine is beneficial to improve the curative effect, shorten the course of treatment and reduce the side effects. Generally speaking, high-dose glucocorticoid and immunosuppressant are used for shock therapy during acute attack, supplemented by drugs for clearing away heat and toxic materials, clearing away ying and cooling blood. Because the disease requires long-term use of glucocorticoids, in order to reduce the negative effects of Cushing's syndrome and neuroendocrine immune axis, nourishing yin drugs are given. Relieve the symptoms such as bone marrow suppression, gonad damage and gastrointestinal discomfort caused by immunosuppressants with drugs for invigorating spleen and tonifying kidney. Because the disease has been lingering for several years, the clinical manifestations are mostly qi stagnation and blood stasis, and the treatment methods are mainly regulating qi and soothing the liver, promoting blood circulation and removing blood stasis. When the disease is relieved, supplementing qi and nourishing yin and improving the immune state of patients are conducive to the steady decline of hormones, and ultimately tonifying the spleen and kidney to consolidate the curative effect. (2) The close combination with modern science and technology makes up for the deficiency of traditional Chinese medicine, opens up a new field of modern medicine and solves a series of major problems such as diagnosis, treatment and prevention. Make medical technology move towards the goal of automation, high speed, accuracy, high efficiency, simplicity and non-trauma. In the fifth century BC, arthritis or joint pain was divided into three types by Chinese medicine: joint pain, joint pain and joint pain. But until now, if we can't distinguish rheumatoid arthritis from gout only by TCM theory, we can't distinguish rheumatoid arthritis from ankylosing spondylitis. Although Hua Tuo's medical skill is brilliant, he wants to open Cao Cao's skull with a sword. Now it seems that it is unreasonable for Cao Cao to kill him. (3) Highly integrated on the basis of highly differentiated, showing a systematic trend. On the one hand, it analyzes and studies individuals, organs, tissues, cells, subcells, molecules and even quantum levels in detail, and uses it to explain the overall function and life activities and the nature of diseases; On the other hand, it has expanded from organism to all aspects, resulting in cosmology, environmental medicine, medical sociology, medical psychology, medical ethics, chronopharmacology and many other new disciplines. The organic combination of Chinese and western medicine has gradually revealed the dialectical relationship between different levels of the human body. For example, rheumatoid arthritis, from the microscopic point of view, people have studied the molecular structure of immune cell subsets and human histocompatibility antigen II. From a macro point of view, the researchers found that the incidence of certain races was high, and the incidence of poor people and people with low education was high. People have noticed the psychological and sexual barriers of patients with rheumatoid arthritis. And it is required that the treatment of rheumatoid arthritis should be carried out from multiple directions and angles. In addition to medical workers, social workers, psychologists, rehabilitation doctors, families and society all have the obligation and responsibility to treat patients, which fully embodies the overall characteristics of people. (4) The means and contents of disease diagnosis and treatment have been increased: it includes not only various treatment methods of Chinese and Western medicine, but also various non-technical treatment methods such as rational nutrition, physical therapy, stress control, psychotherapy, social adaptation and various health care therapies. (5) It has promoted the development of medical ethics: the treatment system of integrated traditional Chinese and western medicine places more emphasis on patients' medical rights, respects patients' medical needs and wishes to enjoy life and improve their quality of life, and regards patients as social people and complete people instead of "sick machines". For example, patients with systemic lupus erythematosus have been advised not to have children or even get married in the past, which is really against human nature. Systematic medicine guarantees patients' right to get married and have children through various measures. Many rheumatism patients have different degrees of joint muscle pain and disability, which makes their sexual life have different degrees of obstacles. Proper attention from systematic medicine can improve the quality of life of patients, increase the fun of life and harmonize the relationship between husband and wife.