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Symptom family: Rheumatic and Arthritic Disorders
Parent symptom: Rheumatism
Sub-symptom(s): Rheumatic Waist Pain
Rheumatic pain is an umbrella term that encompasses the discomfort associated with rheumatic diseases. These conditions, which include a range of autoimmune and inflammatory diseases, primarily affect the joints, tendons, ligaments, bones, and muscles, causing chronic, often fluctuating pain. Rheumatic pain is characterized by inflammation and results in stiffness and aching, which can significantly impact mobility and quality of life. One common manifestation of rheumatic pain is rheumatic waist pain, reflecting the widespread nature of these conditions.
Traditional Chinese Medicine (TCM) interprets rheumatic pain as a symptom of energy pathways, or meridians, obstructed by pathogenic influences like Cold, Damp, Wind, and Heat. These influences disrupt the flow of Qi, the vital life force, and Blood through the body.
TCM does not view rheumatic pain as a singular disease but as a manifestation of imbalance within the body's internal landscape. Identifying the specific pattern of disharmony is crucial in TCM, directing the practitioner to a tailored treatment that restores equilibrium and alleviates pain.
In Traditional Chinese Medicine, the primary cause of rheumatic pain is identified as Painful Obstruction Syndrome, which is often the result of the invasion of External Evils – primarily Wind, accompanied by Damp, Heat, and Cold. Wind is considered the leading factor as it tends to move quickly and change directions, causing the sudden onset of pain that can shift from one location to another.
When Wind combines with Cold, it can lead to joint stiffness and pain; with Damp, it creates a heavy, aching sensation; and with Heat, it results in inflammation and redness. These interactions highlight the dynamic nature of rheumatic pain in TCM and the necessity for treatments that can expel Wind and its accompanying pathogenic factors.
To address rheumatic pain dominated by Wind, TCM practitioners often turn to herbs that specifically counteract this External Evil. Herbs that expel Wind and alleviate Painful Obstruction are central to these treatments. These may include plants like Wilford's Swallowtail Roots (Feng Fang), known for their efficacy in dispelling Wind and reducing inflammation, and Notopterygium Roots (Qiang Huo), which are used for their ability to expel Wind and Dampness from the upper parts of the body.
The chosen herbs work synergistically to restore the smooth flow of Qi, alleviate pain, and improve mobility, with a focus on combating the predominant Wind pathology present in the patient's specific presentation of rheumatic pain.
Rheumatic pain can be treated by these herbs when caused by internal wind from Liver disharmony, often manifesting in symptoms like spasms or tremors.
One such herb is Silkworms (Jiang Can), which is directly recommended for rheumatic pain.
Other herbs of this category are listed in the table below.
Herb | Formulas they belong to (if applicable) |
---|---|
Silkworms (Jiang Can) | Not applicable |
Centipedes (Wu Gong) | Not applicable |
Rheumatic pain can be treated by these herbs when it is due to the invasion or accumulation of wind and dampness, which often affects the muscles and joints.
One such herb is Paniculate Swallowwort Roots (Xu chang Qing), which is directly recommended for rheumatic pain.