Born in 1986, works on the northern coast, and usually likes sports. The doctor said that my knee problem is related to the cold and humid climate in the north. Please give me some advice, thank you

Food therapy for rheumatoid arthritis

1. Rheumatoid arthritis:

Arthritis is a general term for joint swelling, pain and other diseases. There are many types of arthritis, with symptoms ranging from mild to disabling.

Rheumatoid arthritis is a systemic connective tissue inflammation with a relatively complex etiology and pathogenesis. It is often a recurring process and its treatment time is relatively long. For its treatment, Western medicine generally treats it with salicylic acid preparations and glucosamine sulfate; Chinese medicine treats it based on syndrome differentiation, classifying it into the category of Bi syndrome, and there are many dietary prescriptions. In the process of dietary therapy, treatment should be based on the dialectical condition of the disease. According to the cause of the disease, methods such as dispelling wind, dispersing cold, dehumidifying, and clearing away heat should be used. In the later stage, if there is more blood stasis and deficiency, liver and kidney deficiency, it should also be used to nourish the liver and kidney, replenish qi and blood, and improve function. It is a combination of supplements and can be used to adjust the food according to the patient's taste and changes in tongue coating, guiding the patient to choose a suitable diet, so as to better exert the therapeutic and nourishing functions of the diet. Medicinal diet therapy is also a method to treat rheumatoid arthritis. In the process of clinical treatment, dialectical feeding: when preparing medicated diet for patients with rheumatoid arthritis, they should follow the basic principles of syndrome differentiation and treatment of traditional Chinese medicine. Use those who are deficient to supplement and those who are deficient to purge. , what is cold is hot, what is hot is cold, and so on. When preparing meals, different medicated diet formulas should be given according to the yin and yang, deficiency and excess, cold and heat of the "syndrome". When patients with rheumatoid arthritis take medicated meals, they should eat small amounts frequently and avoid eating too much at one time to avoid maldigestion and absorption.

2. What should patients with rheumatoid arthritis pay attention to in their diet?

1. Eat in moderation. Eating should be regular and quantitative, and the soft, hard, cold, and hot food should be appropriate. Don't overeat because you are worried about your weak constitution or insufficient nutrition, which will increase the burden on your spleen and stomach and damage your digestive function.

2. The diet should be light. Rheumatoid arthritis patients often suffer from pain and take medication for a long time. When the disease attacks, the food and tea are not fragrant, so the food should be light. On the one hand, it can maintain a better appetite, and on the other hand, it can maintain better transportation and transformation functions of the spleen and stomach to enhance disease resistance.

3. Don’t be partial to food. Chicken, duck, fish, whole grains, vegetables and fruits cannot be ignored and should be combined in a reasonable manner.

4. Treat dietary supplements and medicinal supplements correctly. Whether dietary supplements or medicinal supplements are beneficial to patients with rheumatoid arthritis, they must be taken according to the condition and the strength of the spleen and stomach's transportation and transformation functions. For example, although milk, soy milk, malted milk, and chocolate are good nutritional products, if you have dampness and heat in the body or sticky tongue coating, eating too much will cause abdominal distension and discomfort, and you will not feel like eating; although ginseng, white fungus, and donkey-hide gelatin can nourish qi and blood, they will not affect the spleen and stomach. If it is harmonious or has internal dampness and heat, taking it will block Qi and help dampness. Not only will the disease not be cured, but the pain will be aggravated.

5. Pay attention to dietary taboos:

⑴Taboos for patients with rheumatoid arthritis:

Every food has its nutritional properties, but with After a disease, due to different types of diseases, you must make certain choices about your diet, mainly considering whether there is any conflict between the treatment of the disease and certain foods. Therefore, the issue of taboos is actually not too mysterious. Some patients with rheumatoid arthritis have a long course of disease. If the diet is too strict and lasts for many years, it will affect the absorption of nutrients and be detrimental to the recovery of the disease. Generally speaking, patients with rheumatoid arthritis can eat any food without any dietary restrictions. Only in the acute phase or attack, when the joints are red, swollen and hot, it is advisable to avoid eating; once the condition stabilizes, the eating habits can be relaxed.

Generally, it is not advisable to eat during the onset of the disease:

① People with damp-heat paralysis should not eat spicy, warm and dry foods, such as onions, ginger, pepper, beef and mutton, etc.;

< p>② Avoid eating more fatty foods: eggs, animal offal, fat chicken soup, fat, cream and fried foods, "red meat" such as pork, beef, mutton, and sausages (maximum 1-2 times a week) ), greasy food should be removed when eating chicken (for wind-cold dampness, be careful when eating foods that are greasy and impede dampness, such as pig fat, crab meat, etc.);

Fatty foods are digested, absorbed, decomposed and other metabolic processes in the body , will produce many kinds of harmful metabolic wastes, toxins and other substances, causing the body's metabolic balance to become imbalanced, thus aggravating the disease. Don't just drink the soup, because there is oil in it.

③ Avoid eating more highly sweet foods: such as candies, cookies, ice cream, chocolate, etc.;

Eating too much sweets will also produce too many harmful substances in the body and aggravate joints. inflammatory condition.

④ Avoid eating more seafood: such as sea cucumbers, fish, kelp, sea vegetables, etc.

Modern medical research has proven that seafood contains a certain amount of uric acid. After being absorbed by the body, it can form uric acid crystals in the joints, which will aggravate the symptoms of arthritis. At the same time, eating nutrient-rich seafood will also produce a large amount of toxins when fermented and putrefied in the gastrointestinal tract, which can poison joints and aggravate arthritis.

⑤If the patient feels increased pain or allergies after eating a certain food, he should stop eating it;

⑥Patients with chronic illness and poor spleen and stomach function; chronic illness with gastrointestinal discomfort If you are sick, eat less raw, cold and hard food, such as raw and cold fruits, shrimps, crabs, bamboo shoots, etc.

⑦ If patients with rheumatoid arthritis have heat in the body, they should generally not take supplements such as red ginseng and velvet antler, and should not eat too much hot foods such as garlic, onions, leeks, peppers, etc.;

⑧If the stomach acid is too much or the abdomen is full, it is not advisable to eat more sweet and greasy foods and milk, soy milk, beans and other gas-blocking and bloating products;

⑨If the patient has a weak spleen and stomach, it is not suitable for transportation and transformation. Those who are weak should not take supplements such as white fungus and donkey-hide gelatin. It is better to eat less hard and cold foods and raw pears among fruits;

⑩If the patient has sticky tongue coating and excessive dampness in the body, then It is not advisable to eat greasy and thick-flavored products, such as hooves, claws, soft-shell turtles, etc. It should be light.

⑵ Food recommendations for patients with rheumatoid arthritis:

① People with migratory joint pain can eat more tempeh, silkworm chrysalis, loofah, etc.;

② Joints For those with severe pain, you can use more condiments such as fennel, cinnamon, and pepper;

③ For those with obvious joint fever, you can eat more cooling foods such as celery, green vegetables, and fruits.

④Patients with wind (traveling) paralysis should use onions, ginger and other pungent and damp products;

⑤Patients with cold (pain) paralysis should use pepper, dried ginger and other damp and hot products. , and should avoid eating raw and cold food;

⑥Patients with damp (suffering) paralysis should use poria, barley and other products that strengthen the spleen and remove dampness;

⑦Patients with heat paralysis generally have damp-heat syndrome The pathogenesis of intertwined evils, soybean sprouts, mung bean sprouts, loofah, winter melon and other foods should be used in the medicinal diet. Mutton and spicy and irritating foods should not be eaten.

⑧Patients with rheumatoid arthritis should generally eat high-protein, high-calorie, easy-to-digest foods.

⑨For wind-cold-dampness paralysis, they should expel wind and remove dampness, warm the meridians and dredge meridians, and eat more foods such as black Soybeans, onions, ginger, pepper, eels, snake meat, dog meat, mutton, etc. Be careful when eating foods that are greasy and damp-damaging, such as pork fat, crab meat, etc.;

⑩For those with damp-heat paralysis, eating them can help clear away heat and remove dampness. Foods that cause paralysis, such as bean sprouts, adzuki beans, lotus seeds, oyster mushrooms, winter melon, loofah, barley, mung beans, etc. Avoid spicy, warm and dry foods, such as onions, ginger, pepper, beef and mutton, etc.

6. Bee products:

A. Royal jelly:

(1) The mechanism of royal jelly in treating rheumatism and rheumatoid disease

① Nourishing and strengthening effect. Zhou Shaoci reported that royal jelly contains about 10 kinds of vitamins necessary for the human body: B1, B2, B6, B12, niacin, pantothenic acid, biotin, folic acid, etc. Vitamin B12, folic acid and niacin are all involved in growth in humans and animals. Pan-compounds and fat metabolism are essential. Therefore, just from the multiple vitamins contained in royal jelly, we can understand its nourishing and strengthening effects.

②Enhance joint vitality. Beijing Han Chensheng reported that royal jelly can help middle-aged and elderly people "rejuvenate" by preventing the degeneration of the body, because it can increase vitality, stabilize the mind, and restore joint elasticity. Pure royal jelly may be as heavy as gold and is effective in treating arthritis.

③Anti-inflammatory effect. Royal jelly has obvious anti-inflammatory effects. Japan reported that monthly intramuscular injection of 40 mg treated 27 patients with arthritis, of which 20 were effective. Some people in my country take 400 mg of royal jelly orally daily for 3-6 months to treat arthritis. They have cured 28 cases, 20 of which were effective. Zuo Yifei once used royal jelly to treat 77 cases of chronic rheumatoid arthritis, and the effect was best in the spinal type.

Royal jelly has long been used clinically to treat some stubborn diseases. It has a good effect on rheumatoid arthritis. The decenoic acid in royal jelly has strong bactericidal ability, but whether it can replace all anti-inflammatory ingredients remains to be further explored.

(2) The therapeutic effect of royal jelly:

Royal jelly is used to treat rheumatoid arthritis and bone and joint pain, and has been practiced at home and abroad. When introducing the treatment of arthritis with royal jelly, Shi Kanglin said that there are few clinical reports on the treatment of arthritis with royal jelly. A recent report in the Japan Science and Technology Document Express (1990), an article written by the Oita Prefecture Beekeeping Association in Japan, introduced that he himself had suffered from rheumatoid arthritis for 15 years and had difficulty walking. After taking royal jelly, I regained my health.

In the past, general literature believed that the daily dosage of royal jelly should be about 0.5 grams, while the daily dosage of Jin Teng Zhenghou was 5-8 grams. From this point of view, research on the uses and dosage of royal jelly continues to develop.

It has also been reported that royal jelly can be used to treat various types of arthritis and bone and joint pain through iontophoresis. It not only eliminates symptoms quickly and reduces pain effectively, but also improves and restores joint function.

Wuhan Zhu Li introduced that taking royal jelly can reduce pain in joints, waist and legs. Patients with rheumatoid arthritis took royal jelly for 9 months, and their rheumatoid symptoms disappeared and their physical symptoms improved.

B. Honey:

Honey can replenish qi, drive away cold and remove dampness, and is effective in the treatment of paralysis. Xiao Yuezhi from Hunan reported that using half maple honey to treat arthritis is effective. Ban Maple Lotus is a tree of the Araliaceae family, and its scientific name is Araliaceae. It has the effects of dispelling rheumatism, promoting blood circulation, dispersing blood stasis, reducing swelling and relieving pain. 8 patients with rheumatoid arthritis were treated successively, and except for 1 case with insignificant symptoms, the remaining 7 cases were cured.

Guizhou Yang Shiqing reported that one egg, 150-180 grams of vinegar, 150-120 grams of honey, soak the eggs in vinegar for 2-3 days, until the eggshell is soft. Take out the egg liquid and divide the smaller ones into 3-14 portions and the larger ones into 5-6 portions. Pour 1 part of the processed egg liquid into boiling water every morning, then add 30 to 40 grams of honey, mix well, and take it on an empty stomach.

It can treat chronic rheumatism, rheumatic sciatica, arthritis that cannot be cured in the elderly, etc. It is especially suitable for damp-heat type. Those with mild symptoms can take 15-20 eggs, while those with severe symptoms can take 40-50 eggs, which will have a certain therapeutic effect.

7. How to survive the winter with rheumatoid arthritis?

Rheumatoid arthritis is a manifestation of rheumatic disease. The main symptoms are redness, swelling, pain and limited movement of joints all over the body, especially larger joints such as knees, elbows, wrists, and shoulder blades. They are also accompanied by fever. The pain in the joints is not fixed, but wandering. Joint pain is obviously related to the darkness, humidity, cold climate, and continuous rain in the room. Therefore, patients with rheumatoid arthritis should pay attention to health care in winter.

Cold and humid climate and environment, as well as the constant stimulation of cold water, can induce rheumatoid arthritis or aggravate the condition, so they should be avoided as much as possible. Always pay attention to the weather forecast. When a cold wave strikes or the weather changes, strengthen protection against cold and warmth, and try not to come into contact with cold water. It is advisable to wear chlorine underwear. Polypropylene is a synthetic fiber with high electrical insulation and can generate a much larger charge than any other fiber upon friction. This charge gradually accumulates on the clothes. Even if the air humidity is as high as 80%, it is still difficult for electrons to flow and the charge to disappear. Polypropylene has low hygroscopicity and can resist water vapor. The water can easily evaporate. Friction with the skin can produce an "electrotherapy" effect, which is beneficial to the treatment of rheumatoid arthritis.

Control high-fat meals in your diet. Fat can produce a kind of ketone body during the oxidation process in the body. Excessive ketone bodies have a strong stimulating effect on joints. Someone has done an experiment: 16 arthritis patients were asked to eat fatty meals (fat meat, fried foods, etc.) every day. As a result, the symptoms of arthritis were significantly aggravated, and some even developed joint swelling, ankylosis, and mobility impairment. When you stop eating high-fat meals, the symptoms quickly ease or disappear. Later, the experiment was repeated and the same results were obtained. Therefore, patients with arthritis should control high-fat meals. However, you should have a wide variety of food choices, especially protein-rich foods such as eggs, lean meats, and soy products. You should also eat more fruits and vegetables rich in vitamin C. Vitamin C can inhibit inflammatory exudation and promote inflammation absorption. When rheumatism is active and joints are red, swollen, hot and painful, avoid eating hot and spicy ginger, peppers, onions, mutton, dog meat and the like.

Rheumatism is a systemic disease caused by hemolytic streptococci. Patients with colds, tracheitis, rhinitis, otitis media, and tonsillitis, especially those with existing tonsil enlargement, dental caries and other lesions, are more likely to induce rheumatism, leading to the onset or exacerbation of rheumatoid arthritis. The climate is cold in winter. If you don't pay attention to health care, colds, tracheitis, rhinitis, otitis media, and tonsillitis are all easy to occur. If these diseases are not actively treated, streptococci will inevitably further invade the joints and heart, causing the condition to worsen.

3. Diet therapy for patients with rheumatoid arthritis:

1. Clinical findings indicate that the patient’s staple food of rice should be adjusted to a medicated diet with therapeutic functions, which should be taken daily or every other day. Taking it and persisting for a long time will have a good effect on reducing recurrence or improving symptoms. Below we will mainly discuss the staple foods of arthritis for reference.

Ingredients: 10g papaya, 30g coix seed, 30g corn rice.

Preparation: Put papaya, barley and stem rice into a pot, add an appropriate amount of cold water, bring to a boil over high heat, then simmer over low heat until the barley kernels are crispy and ready to eat. Those who like sweets can add 1 spoon of sugar and should consume it every day or every other day.

Results: After taking the medicine, the patient's joint symptoms were relieved and he could move freely. After half a year of persistence, he did not have any other side effects and felt good.

2. It is beneficial for patients with rheumatoid arthritis to drink more soup:

Drinking soup can promote the digestion of food; Arthritis rehabilitation drugs, such as Yiyiren, papaya, Eucommia ulmoides, Acanthopanax bark, etc., are beneficial to the improvement of the condition; thirdly, patients can make soup and drink it at home, which is economical and practical. The methods of making soup are generally as follows:

(1) Lean chili meat soup: 100 grams of lean pork, 90 grams of chili root, boil the soup, season with flavor and then eat. Take once a day for 7-10 days. Suitable for wind, cold and dampness.

(2) Papaya soup: suitable for patients with rheumatoid arthritis with joint swelling and muscle and bone pain. 4 papayas, steamed and peeled, ground into puree, and refined with 1 kilogram of white honey. Mix the two ingredients thoroughly and put them into a clean porcelain vessel. Dissolve 1-2 spoons with boiled water every morning and drink.

(3) Pig trotters soup: 60 grams each of barley, papaya, musk grass, and millennium root. Wrap them in gauze and put them into the pot together with 1-2 pig trotters. When the torch is rotten, remove the residue and do not add salt. Drink soup and eat meat, divided into two meals.

(4) Beef tendon soup: decoct 50 grams of beef tendon, 15 grams each of Dipsacus and Eucommia ulmoides, and 50 grams of Millet Spatholobus in water, eat the tendons and drink the soup. It is mainly used for patients with rheumatoid arthritis and weak bones and muscles.

(5) White Fungus and Longan Soup: Soak 200 grams of White Fungus and remove the stems, bring to a boil, then simmer until semi-crisp, add 100 grams of longan meat, and then cook until the White Fungus is rotten and the longan meat The taste is the measure. Take two spoonfuls daily in the morning with heat. For patients with rheumatoid arthritis with mixed cold and heat

3. Tea drinking for patients with rheumatoid arthritis:

Drinking tea is a fine tradition of our Chinese nation. Drinking tea can not only clear the mind and improve eyesight, soothe the mind, regulate the spleen and stomach, but also help digest food.

Specifically, patients with rheumatoid arthritis drink more tea, which can accelerate the metabolism of substances in the body and promote food digestion. In particular, adding less drugs to dispel wind and remove dampness in tea will be of great benefit to the recovery of the disease. The specific methods of drinking tea are as follows:

(1) Chuanxiong tea: 3 grams of Chuanxiong, 6 grams of tea leaves, grind them into fine powder, mix well, brew with boiling water, and drink frequently instead of tea. Once a day, take it regularly.

(2) Honeysuckle and chrysanthemum tea: Grind 5 grams of tea into powder, 5 grams of honeysuckle, and 6 grams of chrysanthemum. Brew with boiling water and drink several times a day. Used for patients with joint pain, fever, and redness.

(3) Scrophulariaceae and Ophiopogon japonicus tea: 8 grams of Scrophulariaceae and Ophiopogon japonicus, mix with a little tea leaves, soak in boiling water for 10 minutes, and drink. It can be used for patients with senile rheumatoid arthritis who have dry mouth and are upset.

(4) Qisheng tea: 5 grams of astragalus and 5 grams of American ginseng, cut into thin slices, mix with tea leaves, brew in boiling water for 10 minutes, and then drink. One dose a day, can be drank 6-8 times. It is used for elderly patients with rheumatoid arthritis who have restless sleep at night and excessive sweating due to deficiency of Qi and Yin.

4. Nursing methods for rheumatoid arthritis:

(1) Joint immobilization: In the acute stage, the joints should be placed in a resting position and movement should be reduced.

(2) Local massage: After the joint pain is relieved, you can massage around the joints yourself.

(3) Joint gymnastics exercises: Practice different joint gymnastics for different joints, 30 minutes each time, 2-3 times a day.

(4) Joint fumigation with medicine: Prepare medicine for joint fumigation and washing. The water temperature should be kept at about 50°C, once a day for 20 minutes each time.

(5) Joint warm water bath: Soak the affected joint or the entire limb in warm water for about 20 minutes, once a day.

(6) Joint health moxibustion: Select 2-3 commonly used acupoints around the affected area and use moxa sticks for health moxibustion. Generally, once a day for 20 minutes

(7) During an acute attack of acute rheumatoid arthritis or chronic rheumatoid arthritis, those with obvious redness, swelling, heat, and pain should stay in bed and rest. After 2-3 weeks, after the inflammation is controlled, physical exercise can be gradually resumed; if accompanied by carditis, the rest time should be extended.

(8) If patients with rheumatoid arthritis have streptococcal infection, they should be actively and thoroughly treated. Among antibiotics, penicillin is the first choice. For repeatedly infected tonsils, surgical removal should be performed 2-4 months after the rheumatic activity stops to eliminate the hidden danger of recurrence of arthritis. Penicillin is given before and after surgery to prevent the onset of infection.

(9) The house you live in should be sunny, ventilated and dry, keep the indoor air fresh, the bed should be flat, the bedding should be light, warm and dry, and should be washed and dried frequently. Do not sleep on concrete floors or air vents.

(10) Use warm water to wash your face. Wash your feet at night. The hot water should be immersed above the joints for about 15 minutes to promote blood flow in the lower limbs.

(11) Those who sweat a lot should be wiped dry with a dry towel. Clothes and bedding should be changed and washed in time after they become wet with sweat to avoid getting cold and wet. For those who have night sweats, add gallnut powder and water. Mix thoroughly and apply it on the belly button before going to bed. People with constipation should eat more vegetables and fruits to keep their bowel movements smooth.

(12) Pay attention to climate changes and add clothes in time when the weather gets colder. Pay attention to keeping warm, avoiding wind, moisture, overwork and mental stimulation, and preventing colds to reduce the impact of natural factors on diseases.

(13) Patients with rheumatoid arthritis should eat high-protein, high-calorie, easy-to-digest foods, and eat less raw, cold, greasy, and spicy foods.

(14) Maintain a good mental state, treat the disease correctly, do not be anxious, impatient, depressed, or careless. Be good at self-control, study hard, work actively, and live happily. Keep an open mind.

(15) Keep exercising, strengthen your physique, and improve your ability to resist disease.

Tai Chi is one of my country’s precious sports heritages. Although Tai Chi in the early days focused on martial arts, in the past century it has developed in parallel to three aspects: martial arts, competition, and medical care. In particular, the creation of Yang Style Tai Chi has achieved good results in medical care. Therefore, as a fitness exercise to enhance physical fitness and an effective means to prevent and treat diseases, Tai Chi has been widely welcomed by people and is widely spread at home and abroad.

So, is Tai Chi good for rheumatoid arthritis? We know that rheumatoid arthritis is a type of disease characterized by joint pain, swelling and difficulty in flexion and extension. Tai Chi is a traditional fitness method characterized by movement. Its flowing and continuous movements play a multi-faceted role in health care for the human body.

Experimental research in recent years has shown that Tai Chi can promote blood circulation, reduce myocardial oxygen consumption, reduce heart burden, improve myocardial blood supply, increase cardiac output fraction, thereby enhancing cardiac gel function; increasing lung capacity, Enhance lung ventilation and ventilation functions; improve the function of the nervous system, especially the autonomic nerves, and enhance the coordination and balance of human movements; enhance gastrointestinal motility, increase the secretion of digestive juices and digestive enzymes; regulate the pituitary gland or higher Nerve and endocrine centers, improve target gland function, promote body metabolism, enhance human immunity, resist diseases, and delay aging. All the above items play a supporting role in joint activities, prevent joint disease, and promote the healing of diseased joints.

Simply put, "running water will not rot, and door hinges will not be beetrooted." Tai Chi exercise has a positive preventive and therapeutic effect on rheumatoid arthritis.