Treatment of Ankylosing Spondylitis in the “Huangdi Neijing

Detailed Treatment Plan

Ankylosing spondylitis (AS) is an inflammatory condition primarily affecting the spine, leading to stiffness and pain. In ancient Chinese medicine, it is believed that AS arises from deficiencies in kidney function and the invasion of wind, cold, and dampness into the body. The “Huangdi Neijing” emphasizes balancing the body’s energies, improving circulation, and expelling harmful influences to treat conditions like AS.

Main Herbal Ingredients and Dosage

1. Duhuo (Angelica pubescens) – 15g
   Expels wind and dampness, alleviates pain, and is effective for cold-induced joint pain.
2. Guizhi (Cinnamon Twig) – 10g
   Warms and unblocks the channels, relieves pain caused by cold, and is particularly effective for cold-type ankylosing spondylitis.
3. Duzhong (Eucommia Bark) – 12g
   Strengthens the kidneys and lower back, replenishes energy, and is beneficial for lower back pain caused by kidney deficiency.
4. Sangjisheng (Taxillus) – 15g
   Expels wind-dampness, nourishes the liver and kidneys, and strengthens the bones, commonly used for joint pain and stiffness.
5. Chuanxiong (Ligusticum) – 10g
   Promotes blood circulation, relieves pain, and is useful for inflammation and pain due to blood stasis.
6. Dihuang (Rehmannia) – 12g
   Clears heat, cools the blood, and nourishes the kidneys, particularly suitable for inflammation due to yin deficiency.
7. Fangfeng (Saposhnikovia Root) – 10g
   Expels wind and dampness, relieves pain, and is commonly used in treating wind-cold-damp bi syndrome.
8. Danggui (Angelica Sinensis) – 10g
   Tonifies and invigorates the blood, alleviates pain, and helps in improving blood circulation, relieving pain caused by blood deficiency.

Usage and Duration

All herbs should be combined and soaked in water for 30 minutes before simmering. After boiling, reduce the mixture to approximately 300ml of liquid. Drink one dose daily, split into two portions (morning and evening), for 30 days per treatment course.

Additional Recommendations

• Dietary Adjustments: Avoid cold and greasy foods, and incorporate fresh fruits and vegetables rich in vitamins and minerals.
• Lifestyle: Engage in gentle exercises like stretching and yoga to help relieve pressure on the spine.
• Mental Health: Since chronic pain from AS can lead to mental stress, meditation and deep breathing exercises are recommended to maintain a calm state of mind.