Rheumatoid arthritis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1 The normal group (1) Age between 18 and 70, gender is not limited; (2) Deny the history of rheumatoid arthritis and immune diseases; (3) No relevant history of serious, acute or chronic diseases; (4) Informed consent, voluntary subjects. 2 Untreated group (1) It conforms to the Western medical diagnostic criteria of RA and the Chinese medical diagnostic criteria of Fengcold-dampness-Bi syndrome; (2) Age between 18 and 70, gender is not limited; (3) First diagnosis, no use of anti-RA drug therapy; (4) The disease was active, DAS28 > 2.6. 3 Treatment effective group (1) It conforms to the western medical diagnostic criteria of RA, the effective treatment criteria of ACR20 in 1995, and the traditional Chinese medical diagnostic criteria of Fengcold-dampness-Bi syndrome; (2) Age 18 ~ 70 years old, gender is not limited; (3) DMARDS-based drug treatment for more than half a year, no use of biological agents and hormones, the condition is in remission, does not affect the normal study and work, life can take care of themselves; (4) DAS28 2.6 or less; (5) Signed informed consent and volunteered to take the test. 4 refractory group (1) It conforms to the Western medical diagnostic criteria of RA and the Chinese medical diagnostic criteria of Fengcold-dampness-Bi syndrome; (2) Age 18 ~ 70 years old, gender is not limited; (3) Patients who have been regularly treated with 2 or more DMARDs for more than half a year and are still active, unable to study and work normally, even with difficulties in living by themselves; (4) DAS28 > 3.2; (5) Those whose symptoms do not meet ACR20 remission standard; (6) Signed informed consent and volunteered to take the test.
Exclusion criteria
Exclusion criteria: (1) Patients who do not use the medicine according to the regulations cannot cooperate; (2) Pregnant or lactating women; (3) People who are currently infected with bacteria or viruses, or who are mentally or legally disabled; People with allergies or allergies to drugs such as methotrexate; (4) patients participating in other clinical trials; (5) Patients with severe heart, liver and kidney dysfunction and accompanied by other malignant tumors; (6) Those who have used biological agents and hormones within the last 3 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| MRNA and protein expression levels of p-glycoprotein;Protein mRNA and protein expression levels in breast cancer;DAS28;Therapeutic Effect of TCM Diseases;TCM syndrome scores; | — |
Secondary
| Measure | Time frame |
|---|---|
| Rheumatoid factor;Anti-cyclic citrullinate peptide antibody;C-reactive protein;Blood sedimentation;Number of joint tenderness;Joint swelling number;Patients were assessed by VAS scale of pain;Patients were assessed for overall disease status VAS score;The overall disease status VAS score was assessed by the investigator; | — |
Countries
China
Contacts
Yunnan Hospital of Traditional Chinese Medicine (The First Affiliated Hospital of Yunnan University of Traditional Chinese Medicine)