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| Li Dake’s experience in treating remitting seronegative symmetrical synovitis with pitting edema based on the theory of phlegm, fluid retention, water and qi disease |
| SUN Zirui1 LI Dake2 WANG Shiyuan3 |
1.The First School of Clinical Medicine, Shandong University of Traditional Chinese Medicine, Shandong Province, Jinan 250014, China;
2.Department of Rheumatology and Immunology, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Shandong Province, Jinan 250014, China;
3.School of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Shandong Province, Jinan 250014, China |
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Abstract As a rare rheumatic disease with no strict and unified diagnostic criteria, remitting seronegative symmetrical synovitis with pitting edema is characterized by sudden appearance of symmetrical edema at the end of the extremities. Currently, most modern physicians use drugs empirically, and think that the pathogenesis is arthralgia caused by damp-heat pathogen, but there are still some patients who have poor efficacy from the perspective of clearing heat and promoting diuresis. At present, Professor Li Dake analyzes the pathogenic characteristics of phlegm, fluid retention, water and qi disease, and tries to describe the pathogenesis of this disease with the theory of phlegm, fluid retention, water and qi disease. She maintaines that the pathogenesis of this disease results from the lung qi failing in dispersing and the fighting of wind with water; dysfunction of spleen in transportation and fluid-dampness stagnancy; deficiency of kidney yang and dysfunction of qi in transformation; dysfunction of sanjiao and imbalance of water qi. It can be treated by ventilating lung qi for diuresis to generate body fluid, invigorating spleen and eliminating dampness, to promote transportation, warming kidney yang to assist qi in transformation, and regulating sanjiao and smoothing waterway, so as to give full play to the role of traditional Chinese medicine in preventing and treating remitting seronegative symmetrical synovitis with pitting edema syndrome, and open up new ideas for clinical diagnosis and treatment and case specific diagnosis and treatment strategies.
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