患者,女,58岁,10年前出现双手小关节及双膝关节疼痛,伴晨僵,逐渐出现双手掌指关节肿胀变形,双侧对称。我院风湿免疫科诊断为类风湿关节炎(RA)。院外用中药治疗,具体不详。2年前当地医院诊断为2型糖尿病,予格列齐特治疗,2月后改用胰岛素。入院后体格检查:体温36·5℃,血压120/80 Patient, female, 58 years old, 10 years ago, both hands and knees with small joints and pain, accompanied by morning stiffness, gradually palpation of both hands, swelling, bilateral bilateral symmetry. Rheumatoid Immunology Division of our hospital diagnosed with rheumatoid arthritis (RA). Hospital treatment with traditional Chinese medicine, specifically unknown. Two years ago, the local hospital diagnosed with type 2 diabetes, to gliclazide treatment, insulin in February after switching. Physical examination after admission: body temperature 36.5 ℃, blood pressure 120/80