(1) The patient takes a prone position, and puts the upper chest and thigh parts on two pillows respectively, so that the front chest is suspended, and the elbows of both arms are bent and placed beside the pillows. The doctor stood by, slapping the patient's back repeatedly with one palm along the spine and both sides, and pressing the patient's back with the other palm as he breathed, pressing down when exhaling and relaxing when inhaling. Then click the rank edge and the giant happy jump point with your finger joints in turn.

(2) The patient changes to a sitting position, and the doctor stands behind, clenching his fist on both sides of the neck and scapula with one hand, and the patient coordinates the neck to pitch and rotate left and right.

(3) The patient was still sitting, and the doctor used a thumb to face the food and middle finger, and applied the three-finger manipulation on the patient's Jianjing point and Fengchi point for 5 times.

(4) The patient bends his elbow and holds it on the occipital part of the back of his head, with his hands and fingers clasped. The doctor stands behind him, leans his knees on his back, and then holds the patient's elbows with both hands, doing chest expansion and pitching movements with backward traction and forward inclination. At the same time, the patient exhales when leaning forward and inhales when leaning back, which is repeated for 8 times.

(5) The patient leans forward, puts his hands behind his head, and the doctor stands aside, making a fist in one hand and applying it to both sides of the spine in turn according to the method. Finally, it is advisable to rub with the palm of your hand and rub with the palm of your hand, and the local fever is reddish.

The lesion site of scraping method is in the upper limb joint.

(1) Scrape the triple energizer meridian of Shaoyang in the hand, from Tianjing point down the middle of the back of forearm, and then scrape it to the fingertips through Zhigou, Xibuguan and Yang Chi points.

(2) Scraping the Yangming large intestine meridian of the hand, from Quchi point to Shangyang point along the points of Shousanli, Yangxi, Hegu and Erjian on the posterolateral forearm.

(3) Scraping Jueyin pericardium meridian, from Quze point to Zhongchong point along the anterior median of forearm through Neiguan, Daling and Laogong points.

(4) Scraping along the centrifugal direction of the diseased joint.

The lesion is located in the spine.

(1) Scrape the Du Meridian, from Fengfu point down along the center of the spine through Dazhui, Zhiyang point, Mingmen point and Yaoyangguan point.

(2) Scraping the Taiyang Bladder Meridian, from Tianzhu point down along both sides of the spine, scraping points such as Dashu, Fengmen, Shu Ge, Ganshu and Guanyuanyu to secondary points.

The lesion is located in the lower extremity joint.

(1) Scrape Yangming stomach meridian, from Liangqiu point to Neiting point along the lateral side of lower limbs, through calf nose, Zusanli point, Tiaokou point and Jiexi point, and along the instep.

(2) Scraping the bladder meridian of Taiyang, from Weizhong point down along the middle of the back side of the lower limb through Chengshan point and Kunlun point to the little finger.

(3) Scraping the Taiyin Spleen Meridian, from Yinlingquan and Ququan points to Bai Yin point along the inside of the calf via the ends of the earth, Sanyinjiao and Taixi points.

(4) Scraping along the centrifugal direction of the diseased joint.

Matters needing attention

(1) Rheumatoid arthritis has a long course and is easy to relapse. Scraping treatment should be persistent and combined with drug treatment.

(2) During acute attack, patients should pay attention to bed rest.