Martin Brett R
Basic Science Department, National University of Health Sciences, Pinellas Park, Florida.
J Chiropr Med. 2020 Sep;19(3):194-200. doi: 10.1016/j.jcm.2019.12.005. Epub 2020 Dec 15.
The purpose of this case report is to analyze the treatment of a patient with psoriatic arthritis (PsA) using natural medicine.
A 73-year-old woman complained of PsA in her second and third digits with gradual onset over a 6-month period. PsA was manifesting as dactylitis with moderate to severe stiffness and edema in her proximal and distal interphalangeal joints and the surrounding soft tissue. A radiographic image revealed narrowing of the proximal and distal interphalangeal joints, mild erosion, and periosteal thickening.
Traditional Chinese Medicine-style acupuncture was combined with 500 mg of turmeric curcumin () with 3 mg of black pepper extract () that was standardized to contain 95% curcuminoids, 425 mg of sarsaparilla root () powdered capsules that were not standardized and 10,000 IU vitamin D3 as cholecalciferol oil capsules once a day. She received 2 acupuncture treatments in combination with the supplements. She experienced an increased range of motion and a reduction in edema and stiffness. She continued to experience a reduction in symptomatology while supplementing with turmeric curcumin, sarsaparilla root, and vitamin D, which might have helped to control her symptoms. Supplementation with these agents may have helped to maintain the swelling and stiffness at a tolerable level for the past year.
The natural modalities administered to the patient might have been able to reduce her symptoms of PsA and maintain them at a tolerable level. Acupuncture, turmeric, sarsaparilla root, and vitamin D could be viable natural alternatives for the treatment of PsA.
本病例报告旨在分析一名银屑病关节炎(PsA)患者使用天然药物的治疗情况。
一名73岁女性主诉其示指和中指患有PsA,症状在6个月内逐渐出现。PsA表现为指(趾)炎,近端和远端指间关节及周围软组织出现中度至重度僵硬和水肿。X线影像显示近端和远端指间关节变窄、轻度侵蚀以及骨膜增厚。
采用中医式针灸,同时每日服用一次500毫克姜黄姜黄素(含3毫克标准化为含95%姜黄素类化合物的黑胡椒提取物)、425毫克未标准化的菝葜根粉胶囊以及10000国际单位作为胆钙化醇油胶囊的维生素D3。她接受了2次针灸治疗并同时服用补充剂。她的关节活动范围增加,水肿和僵硬减轻。在补充姜黄姜黄素、菝葜根和维生素D期间,她的症状持续减轻,这可能有助于控制她的症状。在过去一年里,补充这些药物可能有助于将肿胀和僵硬维持在可耐受的水平。
给予该患者的天然治疗方式可能减轻了她的PsA症状,并将其维持在可耐受水平。针灸、姜黄、菝葜根和维生素D可能是治疗PsA可行的天然替代方法。