From a Chinese medicine perspective everyone has some combination of Excess (things we don't want around in the body) and deficiency (systems that should work better and for whatever the reason do not). I feel the Pediatric massage is so great at supporting and tonifying deficiency and acupuncture is really great at clearing the excess. The herbal formulas are able to do both and are generally designed that way- to take away what we don't want or need and support our energy for optimal functioning.
For JRA treated with methotrexate and remicade, Charlotte will best benefit from the massage and herbs combined, possibly the acupuncture. While she is still doing the drugs it isn't sensible to have her taking herbs to "benefit" her immune system. But when she gets off the drugs we will need to be ready to introduce the herbs right away. The massage will help her qi to build and improve her transformation and transportation process so that she can clear the excess that is called "Damp Heat" in Chinese medicine (and Rheumatoid arthritis in allopathic medicine) as well as develop healthy "defensive qi". Keep up with the massage!
The herbs will incorporate a two part strategy- adaptogenic herbs to help the immune system come out of their fog (suppression by drugs) unconfused and ready to calmly participate, and a formula designed to clear excess heat (which she still has) drain a little damp, and support better transformation and transportation. I have a formula in mind so let's meet after you go to Boston and get that input.
I hope this helps, and I am always open to discussion. Let me know how it is going.
All the best,
Andrea P. Fisk, MSOM, Dipl. OM, L. Ac firstname.lastname@example.org