Polymyalgia rheumatica is a clinical syndrome characterized by stiff pain in neck

scapular and pelvic muscles. Arterial inflammation often occurs with vascular involvement as the disease progresses. Polymyalgia rheumatica can be classified as "muscle arthralgia" in traditional Chinese medicine. If the syndrome differentiation is accurate

the intervention effect will be satisfied in the early stage.According to the characteristics of polymyalgia rheumatica

our team can discuss its pathogenetic mechanism from the point of view "dampness-heat invading the channels at early stage

static-heat invading the collaterals at later stage". The main cause of polymyalgia rheumatica is the combination of internal and external pathogenic factors. Among them

the external evil qi invasion is the manifestation

and the internal dampness-heat is the root. All in all

when the evil qi invades the defensive qi

it can obstruct the skin surface. Hence

static-heat can’t be resolved

and then transfers into the ying blood gradually. Finally

it leads to the formation of static-heat invading the collaterals. In view of its manifestations and deteriorated cases

it can be treated in different stage from the following three angles. In the acute stage

venting the exterior and clearing out interior-heat should be chosen

in order to dispel the evil qi by decoction. In the stable stage

harmonizing the exterior and interior should be chosen in a gentle treatment way. And in the deteriorated stage

the treatment method should be based on the manifestations

so cooling the blood and dissolving stasis is necessary. In addition

rheumatism is chronic

recurrent and refractory. The most important thing is not to change the original formula after the formula takes effect.