In many people's concepts, rheumatism is joint pain. The most familiar thing is rheumatoid arthritis . In fact, this is a folk name. It generally refers to joint pain caused by rheumatism. Many people also think that joint pain means rheumatism.
The classic Chinese medicine "Su Wen·Bi Lun" calls the disease that mainly manifests as joint muscle pain and swelling "Bi", and also says that "the three qi of wind, cold and dampness are mixed, and they are combined to form Bi", pointing out that the cause of Bi disease is the external evil qi of wind, cold and dampness, so joint pain is also called "rheumatism" and "Bi disease" in traditional Chinese medicine. Generally, physical and chemical examinations of this type of disease are normal, and the patient's subjective feeling is more obvious. It is a narrow sense of rheumatism. In order to distinguish it from the rheumatism mentioned below, it is sometimes called "Traditional Chinese Rheumatism".
But what we call rheumatism now is Western medicine rheumatism, full name is rheumatism immune disease. It has the characteristics of chronic gradual, recurrent, heterogeneous, multi-system, multiple organs, complex biochemical and immune abnormalities, including more than 200 diseases in 10 categories, common ones include rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, reactive arthritis , psoriatic arthritis, gout, systemic lupus erythematosus , Sjogren's syndrome , dermatomyositis, rheumatoid polymyalgia, scleroderma, vasculitis . You can tell that these diseases are not just arthritis, I don't know how many you have heard of, you can leave a message in the comment area.
Most of these diseases will show joint pain, but it is not just joint pain. Common rheumatisms with joint pain as the main manifestations include osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, reactive arthritis, and gout. Here is a brief introduction to you.
Osteoarthritis
Osteoarthritis is also known as degenerative joint disease and osteoarthritis. Many people have heard of bone hyperplasia, which is closely related to human aging. Many elderly people may be accompanied by bone hyperplasia, and naturally they are prone to osteoarthritis. Data shows that the prevalence of osteoarthritis in people under 45 is only 2%, while the prevalence of people over 65 is as high as 68%. Commonly found in the distal interphalangeal joints and the weight-bearing joints.
Rheumatoid arthritis
Rheumatoid arthritis often manifests as pain in small joints (such as proximal interphalangeal joints, wrist joints, etc.), and is mostly symmetrical, but early asymmetry is also more common. Rheumatoid arthritis occurs about 80% in people aged 35 to 50. Because its onset has a relatively complex relationship with heredity, environment, infection and immunity, it is currently in clinical practice and can only control the condition through drug treatment, maintain joint function, and prevent disability.
ankylosing spondylitis
ankylosing spondylitis mostly manifests as central axis joint lesions such as the spine and sacroiliac joints, and can also be seen in other peripheral joints such as knee joints and ankle joints. The cause of the disease is unknown at present, and it is generally believed that it is caused by the interaction of genetic and environmental factors. This disease is often found in men and occurs before the age of 40. In severe cases, it can lead to spinal and joint deformities, or even disability, which will affect the patient's daily life.
Reactive Arthritis
Reactive Arthritis is an inflammatory joint lesion triggered by extra-articular infection factors such as the intestinal system and urinary system. Therefore, reducing the incidence of infection and improving immunity have a certain effect on the prevention and treatment of the disease.
Gout
People who have suffered from gout will have unforgettable memories because it hurts so much. Gout is arthritis caused by urate crystallization. Most of them are acute single joint pain. The typical symptoms are sudden redness, swelling and pain on the big toe. The pain is "unexpected" when it is painful. The course of the disease can last for about a week and then relieve it and pass like a gust of wind. Therefore, it is called "gout", which is very easy to recur.
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