Abstract: Autoimmune rheumatic diseases (ARDs) are often accompanied by multi-system involvement, and the pattern of visceral pathogenesis is closely related to the Gui Water and Central Earth in the circular movement theory. Based on the circular movement theory, this study explores the pathological evolution of multi-system involvement in ARDs. It proposes that the failure in the transformation and inadequate warm ascent of Gui Water serve as the common pathological foundation; the weakened transportation and transformation and impaired pivot function of the Central Earth represent the core lesion stage; while the mutual impairment of Water and Earth and the collapse of the four dimensions finally leads to multi-system co-disease.The treatment of multi-system involvement in ARDs with the "Assisting the Earth and Warming the Gui Method" includes: "Warming the Gui" through the combination of warming and nourishing herbs to promote the transformation and warm ascent of Gui Water; "Assisting the Earth" through the balanced use of sweet and pungent herbs to restore the transportation, transformation, and pivot function of the Central Earth; the synergistic action of "Assisting the Earth and Warming the Gui Method" while simultaneously addressing other organs, thereby achieving the circular movement of the five organs.