Rheumatoid arthritis

Chief Complaint: joint pain

Western diagnosis: rheumatoid arthritis

Medical History: Femal,34 years old, physical therapist. Joint pain since she was little. Has seen regular physician. Take low dose prednisone off and on.
Ankle, knee and hip jont pain bother her a lot. Recently the both knee swollen, pain, feeling warm and affecting function.

Questioning exam: like cold drink
feel warm
consipation
sore thorat

Pulse exam: slippery pauls
Both knee joint warm

Tongue exam: red tongue with thin yellow coating
both knee swollen

OM Diagnosis: Bi Syndroms ( heat & dampness)

Treatment Principle: clearing heat and removing dampness

Point Prescription: St.34 St.35 Xiyan(extra) G.B.34 G.B 33 St.36 Sp.9 L.I.11

Herbal Formula: Lian Qiao15 Chi Xiao Do30 Fang Feng 10 Gui Zhi5 Ci Shao10 Yin Dong Teng30 Seng Jiang3 Qiang Huo15 Seng Gan Cao3
(all unit is Gram)

Lifestyle prescription: rest, avoiding walking a lot.

Results: This patient has been seen me for a while, at beginning my treatment was for her joints pain. She got a lot of improvement from the treatment.

The knee swollen happened in July, just before I left California, I just know she was better, I have no following up with her. The reason I put this case for you is I would like people know how to treat this situation of rheumatoid arthritis. I don't think this kind patient will see us by themselves or be refereed by a regular physician. The reason she believe acupuncture with me is I cured her menstrual problem with herbs.