TCM Differential Treatment Of Adult Onset Still's Disease

Objective:Adult-onset Still's disease is a cause not clear, long-term intermittent fever, transient polymorphous skin rash, arthritis or joint pain and sore throat are the main clinical manifestations, and accompanied by peripheral blood leukocytes and granulocytes increased and the impaired liver function and other systems involved in the clinical syndrome. Pathogenesis of this disease is generally believed that the infection is not known, genetic and immune abnormalities related to recurrence of the disease easily, course 2 more than one year multiple entry chronic disease process, even a small number of patients with severe joint destruction. Western medicine therapy to corticosteroids, non-steroidal anti-inflammatory drugs, immunosuppressive agents mainly because of long-term use, but most patients had serious side effects which can not adhere to medication, there are a small number of patients died during the course hormone therapy sepsis, tuberculosis, acute liver failure, life-threatening, with the introduction and application of biological agents, their treatment of adult Still's disease has brought a ray of light, but the biological agents on the therapeutic effects of this disease needs further investigation. The Chinese medicine in the treatment of this disease process may play an important role, for fever, rash, joint pain and other symptoms of the treatment has a unique perspective and a wealth of clinical experience, and reduce the long-term application of the negative effects brought about by western medicine. Therefore, actively explore a well-established Chinese medicine treatment is of great significance.Methods:Instructor Professor Song Shaoliang the nation of the first 200 outstanding Chinese medicine, one of the clinical professionals engaged in Chinese medicine clinical research in rheumatic immune disease more than 30 years in the treatment of rheumatic autoimmune diseases, has a wealth of clinical experience, this article focuses stressed from Professor Song Shaoliang of the identified disease, syndrome differentiation and disease differentiation point of view of places, from the etiology, pathogenesis, syndrome differentiation, and clinical aspects of cases of adult Still's disease.Result:The main symptoms of this disease from the point of view, should fall within the scope of Chinese medicine heat arthralgia, according to its transmission can be changed according to the laws of the Wei-Qi-Ying-Xue syndrome differentiation. Syndrome type are mainly four:1. Wind-damp-heat evil, first-time offenders Wei-phase syndrome; 2. Heat-toxin flourishing, Qi-Ying two burn syndrome;3. wind-damp-heat syndrome, residual evil at Shaoyang syndrome;4. yin deficiency and blood heat, residual poison outstanding syndrome. Therapy of dissipating heat and detoxification preferred treatment drugs, and must be reuse the main drugs in decoction of Yinqiaosan, White Tiger soup, Xiao Chai Hu Tang and rhino horn to yellow soup, and longer course of treatment. In line with the western medicine in the process of reducing hormones slowly to avoid rebound.Conclusion:Although the adult onset Still's disease is a cause and pathogenesis of autoimmune disease are not clear and may result in system involvement, but in the long run and disease resistance of the previous experience tells us that Chinese medicine in the treatment of the disease does have unique effection. Find a better way, TCM syndrome differentiation and herbal treatment with the Western symptomatic treatment remains the most effective method. TCM drugs systematic method of identifying targeted and effective drug treatment of the disease, for the treatment and prognosis of this disease has a significant advantage.