The management insights presented in this book and patients’ case experience constitute the basis for self-management strategies of rheumatoid arthritis [12] [25]:

About Balance between pro-inflammatory cytokine and anti-inflammatory cytokine:

· Preventing skin injury and infection

· Not living in polluted environment

· In High disease activity state or moderate disease activity state not taking bath

· In Low disease activity or remission state taking tender bath

· Moderate outdoor activities under the sunshine

· Keeping your teeth healthy

· No smoking

· No drinking

About Balance between neuroendocrine system and immune system:

· Maintaining peace of mind

· Stopping work when necessary

· More high-quality sleep 

· Not taking sleeping pills

· Less sex life

· Take care of the hormone Balance in Pregnancy and menopause

About Balance between Th17 and Treg:

· Eating nutritious food

· Eating protein rich foods

· Eating food which is easy to digest

· Eating food which consists of probiotics

· Eating food which is not allergic

· Not eating greasy food

· No abuse of antibiotics

About Balance between body’s immune system and local joint inflammation:

· Keeping body warm

· Keeping fit

· Protecting joints from exercise trauma

· In High disease activity state or moderate disease activity state no massage

· In Low disease activity or remission state tender massage

· Drinking plenty of water

· When sleep more turning over

· Sleeping on a hard bed preventing the waist injury

About Balance between exercise and rest:

· More rest with lying down

· In high disease activity state or moderate disease activity state, having more rest, but also paying attention to exercise joints

· In low disease activity or remission state, doing more exercise gradually

· In remission state doing more aerobic exercise and Anaerobic exercise