CHAPTER 1

What Is Arthritis?

1-1. Introduction

In this chapter, we will first describe arthritis from the point of view of both Western medicine and Chinese medicine. In the next section, we will briefly consider the possible causes of arthritis. Finally, we will review other means of preventing or curing arthritis.
Although both the Western and the Chinese systems of medicine describe arthritis in very similar ways, especially in regard to symptoms, there are a number of differences in how the two cultures approach the disease.

1-2. What Is Arthritis?

Western Viewpoints about Arthritis

Before discussing arthritis, we would first like to mention another popular, nonmedical term, rheumatism, which is commonly confused with arthritis. Rheumatism has come to mean so many things to so many people that it is almost impossible to give it a clear definition. The term rheumatism commonly refers to any of several pathological conditions of the muscles, tendons, joints, bones, or nerves, characterized by discomfort and disability. This includes variable, shifting, painful inflammation and stiffness of the muscles, joints, or other structures.
The term arthritis is also commonly misused to refer to any vague pain in the area of the joints. However, joints are complicated mechanisms made up of ligaments, tendons, muscles, cartilage, and bursae, and pain in them can have many different causes. Arthritis is specifically an inflammation of the joints. The word arthritis is derived from the Greek words arthron (joint) and itis (inflammation). Therefore, if you have pain or swelling caused by injury to the ligaments or muscles, it is not necessarily classified as arthritis. You can see that while arthritis is (in a popular sense) a form of rheumatism, rheumatism is not necessarily arthritis.
The symptoms or characteristics of arthritis are pain, swelling, redness, heat, stiffness, and deformity in one or more joints. Arthritis may appear suddenly or gradually, and it may feel different to different people. Some patients feel a sharp, burning, or grinding pain, while others may feel a pain like a toothache. The same person may feel it sometimes as pain and other times as stiffness. If we look more closely at these signs, we can detect certain characteristic physiological changes. These changes include dilation of the blood vessels in the affected area and an increase of blood flow at the site of the inflammation. In addition, there is increased permeability in these vessels, as white blood cells that fight infection infiltrate the diseased tissue. Finally, fluid from the blood can also leak into the tissue and generate edema or swelling. For these reasons, arthritis may affect not only the joints but also other connective tissues of the body. These tissues include several supporting structures, such as muscles, tendons, and ligaments, and the protective coverings of some internal organs.

Chinese Viewpoints about Arthritis

Although the symptoms of arthritis remain the same everywhere, Chinese physicians consider them from a different point of view. Like all other cases of illness, Chinese physicians diagnose by evaluating the imbalance of qi (which the West now calls bioelectricity) in the body, as well as by considering the actual physical symptoms.
Chinese medicine has found that before a physical illness occurs, the qi becomes unbalanced. If this qi imbalance is not corrected, the physical body can be damaged, and the physical symptoms of sickness will appear. The reason for this is very simple. Every cell in your body is alive, and in order to stay alive and functioning, each requires a constant supply of qi. Whenever the supply of qi to the cells becomes irregular (or the qi “loses its balance”), the cells start to malfunction. Chinese physicians try to intercept the problem before there is any actual physical damage and correct the situation with acupuncture, herbal treatments, or a number of other methods. In this way, they hope to prevent physical damage, which is considered the worst stage of an illness. Once the physical body—for example, an internal organ—has been damaged, it is almost impossible to make a complete recovery. This approach is the root of Chinese medicine. Chinese physicians try to diagnose arthritis in its earliest stages, before there is any physical damage. When the qi starts to become unbalanced, although there are no physical changes, the patient suffers from nerve pain. Because human qi is strongly affected by the natural qi present in clouds, moisture, and the sun (both day and night), the body’s qi is easily disturbed by changes in the weather, and arthritis patients will usually feel pain in the joints. When cloud cover is low and there is a lot of moisture in the air, the potential of the earth’s electromagnetic field is also increased, and your body’s qi balance can be significantly influenced. The other obvious symptom of this influence is emotional disturbance. In the West, as long as there is no symptom of physical damage, these feelings of physical and emotional pain are usually ignored, although sometimes drugs are prescribed to stop the pain. Even though Western physicians sometimes consider this an early stage of arthritis, Chinese physicians do not, and refer to it instead as “feng shi,” or “wind moisture.” This refers to the cause of the pain that the patients feel. Eastern medical dictionaries often translate “feng shi” as “rheumatism.”
Although countless arthritis patients regularly feel their pain worsen when the weather changes, scientists who conducted studies in an experimental climate chamber at the University of Pennsylvania concluded that there is no evidence that the weather affects arthritis.1 I believe that this is solely because Western medicine does not take qi/bioelectricity into account. When Western medicine starts to understand the relationship between environmental qi and human qi, then ample evidence of this association will emerge.
In China, when feng shi occurs, people will usually seek out a physician to correct the problem through acupuncture, massage, acupressure, herbal treatment, qigong exercises, or, most commonly, a combination of these methods. The specific treatment would, of course, depend on the symptoms of each individual case. For example, if the feng shi stems from an old joint injury, the treatment will be different than if it were caused by weak joints. The key to treatment is finding the root of the qi imbalance and correcting it. Only when this root cause is removed will the patient recover completely.
There are many possible causes of feng shi. The most common cause is a joint injury that never completely healed and caused a gradually increasing disturbance of the qi circulation. Fortunately, if the patient practices the correct qigong exercises, the joint can be healed completely and its strength rebuilt. Exercise stimulates the qi and increases its circulation, which removes stagnation and blockages and lets the body’s natural healing mechanism operate. Smooth qi circulation is the root of health and the foundation of healing.
Feng shi will frequently also be found in patients who were born with weak joints or deformities, such as having one leg significantly longer than the other. Naturally, the most common and serious cases of feng shi are caused by aging. As we grow older, the muscles and tendons degenerate and start functioning less effectively around the joints, a process that places more pressure on the cartilage, synovium (joint surface), capsule, and the bones. This is the main cause of arthritis in older people.
If a person with feng shi does not seek to correct the problem, or the physician fails to correct it, the feng shi may develop into an infectious joint problem (guan jie yan), which is what the Chinese call arthritis, and the joint will begin to suffer physical damage. The indications of an infectious problem are swelling, redness, pain, stiffness, sometimes fever, and deformity of the joint. This stage is already considered serious. Unlike Western medicine, traditional Chinese medicine does not differentiate among the various forms of arthritis, such as gout and osteoarthritis.

1-3. Causes of Arthritis

Although we understand how some forms of arthritis start, we are still in the dark about other forms. In this section, we would like to summarize the known causes and also contribute some ideas from Chinese medicine and qigong.

Weakness of the Internal Organs

We already know that the condition of the internal organs is closely related to our health. According to Chinese medicine, there are five Yin organs that are considered the most important for our health and longevity. These organs are the heart, liver, lungs, kidneys, and spleen. Whenever any of these five organs is not functioning properly, sickness or even death can occur. Furthermore, all of these five organs are mutually interrelated. Whenever there is a problem with one, the others are always involved too. For example, gouty arthritis is caused by the improper functioning of the liver and kidneys.

Defective Genes

It has been reported that some forms of arthritis are caused by defective genes inherited from one’s parents. According to Chinese medicine, genes are considered the essence of your being. This essence is responsible for the production of hormones, from which the production of qi can be enhanced. When this qi is led to the brain, the spirit is raised. When all of these conversion processes are functioning normally, the immune system is strong and sickness is less likely. One of the main goals of qigong is learning how to maintain the production of essence so the qi can be produced efficiently. The abundant qi can then be led to the brain for nourishment.

Weak Joints

Weak joints can come from heredity or from lack of exercise. The body is a living machine, so the more you use it, the better condition it will be in. Chinese medicine believes that even if you have inherited a weak joint, it is still possible to strengthen it through qigong. When you exercise, qi is brought to the joint by the movement of the muscles and tendons. This will nourish the joint and rebuild it.

Injury

According to modern medicine, some forms of arthritis are caused by injury to the joints. Although the injury may not be serious, it may have significant results. The injury can affect the muscles, tendons, ligaments, or even the cartilage and bone. Whenever any joint injury, even a minor one, is not treated, the normal smooth qi cir...