How to lower elevated erythrocyte sedimentation rate (ESR) in rheumatism

Blood sedimentation rate (ESR) refers to the rate at which blood cells settle. Generally, the erythrocyte sedimentation rate measured over one hour is considered the standard. Many factors in daily life can lead to an elevated ESR. Some people who are less informed may mistakenly believe that a high ESR is representative of rheumatoid disease. So, how can one lower an elevated ESR associated with rheumatism?

How to Lower Elevated ESR in Rheumatic Conditions

An elevated ESR in rheumatic conditions can be reduced using non-steroidal anti-inflammatory drugs (NSAIDs), slow-acting medications, biologic agents, and external washes with traditional Chinese medicine (TCM). A significantly high ESR in rheumatoid arthritis serves as an inflammatory marker. A high inflammatory index indicates that the disease is unstable and still in an active phase. It's essential to control the underlying condition through anti-rheumatic treatment. If ESR increases during treatment, it’s important to investigate whether other conditions—such as bacterial infections—are contributing. Examples include bronchitis caused by upper respiratory tract infections or acute gastroenteritis due to gastrointestinal infections.

The above-mentioned medications are all methods for controlling the disease. With these approaches, more than 90% of patients achieve good disease control. Traditional Chinese medicine offers additional ways to reduce ESR, primarily through clearing heat and detoxifying. Herbs such as rhubarb (Dahuang), forsythia (Lianqiao), Oldenlandia diffusa (Baihuasheshecao), honeysuckle vine (Jinyinhua Teng), euphorbia (Daji), and Scutellaria barbata (Banzhilian) can all help lower ESR. Therefore, in addition to syndrome differentiation in TCM, these herbs can generally bring ESR back to normal levels.

It is also recommended to maintain a balanced diet. For those deficient in trace elements or vitamins, taking a supplement of multivitamins may be beneficial. Adequate rest is equally important. We hope this information is helpful. Wishing you good health and a happy life.