1 GENERAL OBJECTIVE
Rheumatoid arthritis is a very common chronic disease with an incidence of about 0.5% - 3% of the population over 15 years old. The disease is mainly seen in middle-aged women. The cause of the disease is unknown, the disease is classified as an autoimmune disease.
- Manifestations are progressive inflammatory episodes alternating with remission periods, sometimes with systemic manifestations. The disease is not fatal, but greatly affects the patient's motor function and life.
According to traditional medicine, rheumatoid arthritis belongs to rheumatic fever, usually caused by low temperature, causing blockage of blood and gas, causing pain.
2 SMALL INDICATIONS
- Rheumatoid arthritis of all ages, stages I, II, III.
3 CONTRAINDICATIONS
- Acute rheumatoid arthritis with joint effusion, high fever.
- Stage of exhaustion, accompanied by heart failure, arrhythmia, kidney failure.
4 PREPARATION
4.1. Executor: Doctors and medical practitioners trained in the specialty of traditional medicine shall be granted practice certificates in accordance with the law on medical examination and treatment.
4.2. Vehicle
- Standard operating room.
– Dissolved catgut thread, sterile lumbar puncture needle.
– Enamel tray, clip with clip, sterile cotton gauze, iodine alcohol, adhesive tape, sterile gloves.
- Anti-shock medicine box.
4.3. Patient
- Be consulted, explained before entering treatment
- To be examined and make medical records according to regulations.
- Posture exposes the area of the point where the thread is implanted.
5 PREVENTION STEPS
5.1. Diagram of acupoints
- Upper limb
+ Coke (GI4) + Bonded (TR5) + Khuc Tri (GI11)
+ Perseverance (GI15) + Perseverance (IG9) + Thien Tuyen (MC2)
+ Ty Nhu (GI14)
– Lower extremities
+ Tritone chord (RP6) + Thai pulse (F3) + Trung Do (F4)
+ Blood Sea (RP10) + Poisonous Tribe (E35) + Tuc Tam Ly (E36)
+ Duong Lang Tuyen (VB34) + Central Committee (V40) + Thua Son (V5)
+ Con lon (V60) + Hoan dance (VB30) + Discord (V54)
+ Grade (V23) + Armor (L3 – L4; L5; S1)
– Depending on the disease, choose the right implant point, usually choose from 2-4 acupoints only once.
5.2. Tips
- Wash hands and wear sterile gloves.
– Cut Catgut thread into pieces about 1cm. Thread the thread into the barrel of the needle.
- Determine the exact acupoint for thread implantation. Disinfection of acupoints
– Insert the needle quickly through the skin and push it slowly to the point.
– Push the barrel of the needle so that the thread stays in the acupoint.
– Gently pull out the needle.
– Place sterile gauze on the point just implanted.
- Secure gauze with adhesive tape.
5.3. Treatment course
– Each transplant of Catgut only works for about 20-25 days.
– After 20-25 days of implantation, only come back for a follow-up examination for further indications.
6 TRACKING AND TREATMENT OF HAZARDS
6.1. Monitoring: Patient's condition during each procedure
6.2. Handling accidents
– Bleeding: Use sterile dry cotton gauze to press on the spot, do not rub.
– Pain and swelling at the implant site: hot compress, anti-edema medication or oral antibiotics if infection is suspected.
