
Q I am a housewife in my 40s. What is the reason why multiple joints, such as my fingers, knees, and ankles, hurt simultaneously?
A Polyarthritis occurs when an immune system abnormality attacks one's own joint tissues, or when external pathogenic factors, such as wind, cold, and dampness, simultaneously invade multiple meridians. Like rheumatoid arthritis, systemic inflammation is often the cause, and it can also manifest as a reactive response following an infection. Immune and inflammatory mechanisms are the key, rather than simple degeneration.
Detailed Answer
Polyarthritis is a condition in which inflammation occurs simultaneously or sequentially in multiple joints (usually five or more) rather than in just one place. Autoimmune diseases such as rheumatoid arthritis, psoriatic arthritis, and lupus arthritis are the primary causes, and it is also triggered by an immune overreaction following viral or bacterial infections. If accompanied by morning stiffness, symmetrical swelling, and fatigue, autoimmunity is strongly suspected. In Korean medicine, this is classified as *Bi-jeung*, characterized by joint pain and numbness. The fundamental cause is viewed as wind, cold, and dampness invading the body's entire qi and blood pathways, thereby obstructing the circulation of qi and blood. The spleen, responsible for digestion and nutrition, governs the flesh and limbs; the kidneys, which store vital energy, govern the bones; and the liver governs the tendons. When these three functions weaken together, multiple joints become vulnerable simultaneously. At Dongjedang, we first assess the overall circulatory status of the body and approach treatment by using acupuncture and moxibustion to release accumulated waste and stagnant blood, thereby restoring weakened functions.
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