Under the influence of the theory of "kidney governing bone"

the discussion on the pathogenesis of bone damage of rheumatoid arthritis（ RA） is mainly about kidney. This paper combed the ideological context of traditional Chinese medicine（ TCM） treatment of bone damage of RA syndrome and the development and change of later generations

and expounded the syndrome differentiation thinking of multi-angle under the holism concept of TCM in various medical families. This paper put forward the view that "bone damage of rheumatoid arthritis is not only the cause by kidney". It is believed that dampness and heat stagnation

hidden pathogen

toxin

liver and spleen disorders are related to bone damage of RA. Treatment should be combined with multi-system

both treatments for deficiency and excess

the symptoms and the root causes

grasp the main pathogenesis

and resolve the main contradictions.