Under, Chinese medicine flavin

Chapter 100 Treating Diabetic Foot
After listening to Huang Su's simple and easy-to-understand explanation of the differences between Chinese and Western medicine in treating diabetes, Jiang Chengbin and his son became more convinced of Huang Su.

Jiang Chengbin quickly asked: "Doctor Huang, is there any hope for my foot to heal?"

"Yes!" Huang Su nodded and said, "Stick out your tongue, let me take a look at the coating on your tongue."

Jiang Chengbin stuck out his tongue, only to see dark red tongue with ecchymosis, greasy and slightly yellow tongue coating.

Combined with the pulse condition, Jiang Chengbin is a syndrome of qi and blood deficiency, yin deficiency with heat, blood stasis in the collaterals, and stagnation of heat and toxin.

Zhang Yuan walked in with a doctor.

"Old man, the emergency doctor is here. Let's take a look at your feet." Huang Su got up and asked again: "Old man, your foot is more serious."

Jiang Chengbin pointed to his right leg and said, "Right foot!"

Huang Su said to the emergency doctor: "Doctor, please check your right foot first."

Jiang Chengbin put his right leg on the stool, and the emergency doctor carefully untied the gauze on the old man's foot little by little.

As the gauze dwindled, everyone could smell a rotting stench.

The moment the emergency doctor removed the gauze, an indescribable stench suddenly hit the face from the entire right foot.

Huang Su is okay, he treated too many diabetic foot patients in his previous life, and he has long been immune to the smell of carrion.

Wang Xinlu and the emergency doctor had also practiced medicine for many years. They had never seen what kind of rot and abscess, and they were calm and natural. Only Zhang Yuan was retching non-stop due to the stench.

Jiang Chengbin's son looked at Zhang Yuan's embarrassed look, and looked at Huang Su's habit of checking the wound calmly. He had more confidence in Huang Su.

The soles of Jiang Chengbin's feet nearly doubled in size, and his five toes were swollen and blackened, forming an oval shape.

There are three large sores on the soles of the feet, revealing a pink flesh color, which should be the carrion just dug up.

Huang Su put on disposable medical gloves and pressed lightly on the feet, and yellowish black pus flowed out from the wound.

After the examination, the doctor in the emergency department disinfected Jiang Chengbin again, and carefully wrapped his feet with gauze again.

Patients with diabetic foot, their feet are very fragile, and doctors are as careful as possible when dealing with them.

After the right foot was bandaged, the doctor in the emergency department took off the gauze on the left foot. The condition of the left foot was much better than that of the right foot. There were only a few sores. The skin was black and red and swollen. The smell of rot was lighter than that of the right foot. A lot, there is no pus when pressed.

Huang Su took off the disposable gloves, threw them into the trash can, and waited for the emergency doctor to bandage Jiang Chengbin's left foot.

Huang Su sat back in his seat, took the prescription and wrote while explaining: "I will prescribe you Buyang Huanwu Decoction plus Simiao Yong'an Decoction for oral administration. Powder and gallnut powder, treat sores, detoxify, relieve itching, dry skin. After going to the hospital, first take it internally and externally for 30 days, take a dose of Huangqi Wumei Decoction every day to lower blood sugar, and stop all Western medicines for hypoglycemic drugs during the hospitalization.”

黄素在处方单上写道：黄芪30g、桃仁12g、红花9g、赤芍25g、白芍25g、川牛膝15g、怀牛膝15g、木瓜15g、玄参25g、丹参15g、鬼箭羽15g、淫羊藿10g、桂枝6g、银花25g、黄连6g、当归30g、甘草9g、水蛭15g、地龙15g。

Simiao Yong'an Decoction has the effects of clearing heat and detoxifying, promoting blood circulation and relieving pain.Indications for profuse gangrene with flaming heat and toxin.The affected limb is dark red, slightly swollen and scorching hot, festering and rancid, severe pain, or fever and thirst, red tongue and rapid pulse.It is commonly used clinically to treat thromboangiitis obliterans, phlebitis, lower extremity ulcers, sciatica, lower extremity deep vein thrombosis, etc. It is a good medicine for treating diabetic foot and body gangrene.

Huang Su handed the prescription to Wang Xinlu.

Diabetic gangrene includes dry gangrene, wet gangrene, and mixed gangrene. From the inspection of Jiang Chengbin's feet, he belongs to mixed gangrene.

It mainly occurs in vascular disease caused by high blood sugar, blockage of meridians, or mixed lesions of blood vessels and meridians, and has a very high disability rate.

It is caused by long-term diabetes, lack of treatment and wrong treatment, internal heat damages yin and consumes qi, or yin damages and yang, chronic illness enters the collaterals, collaterals are stagnant, and heat toxin or damp heat evil toxin is blocked.

Diabetic patients, before the occurrence of diabetic foot, often only focus on lowering blood sugar, but ignore promoting blood circulation and dredging collaterals. Qi deficiency leads to blood stasis, and diabetic patients often suffer from Qi deficiency to varying degrees.

Of course, Western medicine adults do not recognize this theory of Chinese medicine, and diabetic foot can only be a complication of diabetes.

Therefore, it is recommended that diabetic patients also pay attention to promoting blood circulation and dredging collaterals when lowering blood sugar.

According to traditional Chinese medicine for the three elimination syndromes of diabetes, the upper elimination of lung heat and injury of body fluid should be treated with nourishing qi, nourishing yin, promoting blood circulation and dredging collaterals; Yin helps yang, activates blood and dredges collaterals.

When using medicine, we should pay attention to the addition of insect medicines for wind dredging and collaterals, and rattan medicines for relaxing tendons and activating blood circulation.

If a diabetic patient already has diabetic foot, it is necessary to choose a corresponding treatment method according to the type of gangrene. Dry gangrene is mainly treated with detoxification, and wet gangrene is mainly treated with dampness and detoxification. Mixed treatment should consider clearing away heat and dampness detoxification.

Wang Xinlu took the prescription and looked at it for a long time. He felt that the longer he had been in contact with Huang Su, the less he could see through Huang Su. Even he himself could not prescribe a better prescription than this.

Wang Xinlu couldn't understand more and more how Huang Su could handle such difficult and miscellaneous diseases easily and just right at such a young age.

Wang Xinlu would not be surprised if Huang Su could prescribe Simiao Yong'an Decoction in the treatment of diabetic foot.

However, flavin can properly handle the relationship between heat-clearing and detoxifying and warming drugs in the prescription, the relationship between strengthening the body and treating the root cause and eliminating evils and treating the symptoms, and the relationship between internal use and external application, which absolutely requires many years of experience to take into account.

Jiang Chengbin's diabetic foot is caused by blood stasis in the collaterals and blockage of heat and toxin on the basis of Qi and blood deficiency, yin deficiency and heat generation.Therefore, on the basis of nourishing qi and nourishing yin, the treatment should add promoting blood circulation, removing blood stasis, cooling blood and detoxification.The prescription is based on Buyang Huaiwu Decoction and Simiao Yong'an Decoction.

Medicinal peony, papaya, Sichuan Achyranthes bidentata, Huai Achyranthes bidentata to relieve spasm and relieve pain, relax tendons and activate collaterals, Jiadilong, leeches and other insects to search wind and dredge collaterals, use large doses of Scrophulariaceae, Yinhua, licorice to cool blood and activate blood, clear away heat and detoxify , with astragalus, licorice, cassia twig, angelica, epimedium tonifying qi, nourishing blood and nourishing yin to treat the root.Finally, add external application medicine to detoxify, suppress sores, promote granulation, and dry out.

It can be said that all medicines are combined, both symptoms and root causes are treated, movement and stillness are combined, cool and warm are common, and internal and external are compatible.

While Wang Xinlu was signing the prescription form, he couldn't help looking at Huang Su a few more times.

I thought to myself: Is this Huang Su a person with extraordinary talent and amazing talents, and I can't help but envy Professor Sun again.

Huang Su also felt uncomfortable with Wang Xinlu's eyes, and thought: Today's hand is a bit big, it seems to arouse suspicion.

But if Huang Su hides his clumsiness, he can't do it himself. This is irresponsible to the patient, and he can't pass the test of his own conscience.

Wang Xinlu handed the prescription to Jiang Chengbin's son and said, "You can go through the hospitalization procedures now."

Seeing Huang Su's prescription and Wang Xinlu's approval, Jiang Chengwu's son became more confident, and hurriedly took it and thanked him: "Thank you, Professor Wang! Thank you, Doctor Huang!"

Wang Xinlu said to the emergency doctor who came to help: "Dr. Yang, I have to ask your emergency department for the daily care of the patient's diabetic foot."

Doctor Yang from the emergency department said: "Doctor Wang, what are you talking about? Our emergency department used to bother our colleagues in the internal medicine department."

Internal medicine is indeed inferior to colleagues in the emergency department in dealing with these external wounds.

(End of this chapter)