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Chapter 120 Three Eliminations of Diabetes
Bao Haizhong didn't notice the abnormality of Huang Su, and he continued to talk on his own: "Doctor Huang, since Lao Jiang told us the cause of diabetic foot that you said, I dare not eat it. Hypoglycemic drugs, and I have to take hypoglycemic drugs, I am afraid that one day I will get diabetic foot like Jiang. I also know that taking western medicine hypoglycemic drugs is equivalent to chronic suicide, but there is no way, if you don’t take it, you will die immediately. If you die, you can slow down."

"Doctor Huang, I saw that you cured Lao Jiang's diabetic foot and controlled his blood sugar with traditional Chinese medicine. You don't know that our circle of patients is blown up. Why don't we come here today to find you? Take a look, use traditional Chinese medicine to help us take a good look at how to treat this diabetes."

Bao Haizhong described the reaction of the circle of patients vividly, then picked up the handbag under his feet, took out his medical records from it and handed it to Huang Su.

Huang Su opened the medical record and looked at it. He didn't know if he didn't read it.

Although Huang Su is an expert in the treatment of diabetes in traditional Chinese medicine, he is also familiar with the blood sugar test report of western medicine.

However, Huang Su never looked at the values ​​of blood sugar, cerebroprotein, blood urea nitrogen, and creatinine when reading Western medicine reports, because these were of no use to Chinese medicine. He only looked at the plus sign of urine sugar to judge the severity of the condition.

In TCM theory, diabetes is a type of diabetes.

Diabetes is characterized by polydipsia, polyuria, polyphagia, weight loss, fatigue, and sweet urine. In the blood glucose test of Western medicine, the corresponding main features are high blood sugar and urine sugar, such as polydipsia and polyuria. , eating more, and fatigue are also symptoms of diabetic patients.

Huang Su put down Bao Haizhong's medical records and said, "Extend your right hand and I'll take a pulse."

Bao Haizhong stretched out his right hand, and Huang Su's three fingers rested on the pulse, the pulse seemed to have no support, like a piece of cloth pressed in the water, the pulse beat like rolling beads, small and weak, beating fast, this is a pulse that is slippery and slippery.

Zhang Yuan rested on Bao Haizhong's left hand and said, "The patient's left hand pulse is slippery, especially on the left foot."

Huang Su nodded, and carefully examined the pulse of Bao Haizhong's right hand. The pulse in the right hand was slippery and the pulse in the right foot was especially slippery.

The slippery number dominates dampness and heat, especially the slippery number on the right, indicating dampness and heat in the spleen and stomach, and in severe cases, dampness will block the middle burner.Rumai mainly refers to syndrome of deficiency and dampness. If it is floating and soft, it is called Rumai, which is the injury of essence and blood. Deficiency of yin cannot restore yang, indicating that kidney yin is insufficient.

Huang Su and Zhang Yuan exchanged arms, and the left hand was indeed as Zhang Yuan said.

Huang Su was very reassured about Zhang Yuan's pulse diagnosis.

Putting down Bao Haizhong's arm, Huang Su said, "Stick out your tongue, let me have a look at the coating on your tongue."

Bao Haizhong stuck out his tongue, and saw red tongue, white and greasy coating, bulging and cracked tongue, and thick and greasy root.

When Bao Haizhong put away his tongue, Huang Su asked: "Do you usually have neurasthenia, dizziness, palpitations, tinnitus and dizziness?"

Bao Haizhong nodded and said: "Yes, yes! I have no energy every day, my head is groggy, and I want to sleep every day. Sometimes I bend down, and when I stand up, I feel dizzy and faint. At night, I feel flustered. Can't sleep."

Combined with Bao Haizhong's tongue, Huang Su asked: "Do you feel thirsty and drink a lot of water, urinate frequently after drinking, and the urine is cloudy and thick. Do you eat a lot and eat frequently?"

"Dr. Huang, you are right. I feel thirsty all day long. I have to drink more than 20 cups of [-]ml cups of water every day. After drinking, I urinate, especially at night. I have to go to the toilet many times a night. It's as if the body can't hold water, and the urine is really cloudy, sticky, and sweet."

"I still eat a lot at every meal, but I still get hungry easily. I usually prepare some snacks for me at home. My son also often prepares sugar-free biscuits and sugar-free cakes for me, so that I can eat when I am hungry." Seeing that Huang Su was right about his symptoms, Bao Haizhong hurriedly asked after he finished talking about his illness: "Doctor Huang, what do you think is wrong with me?"

"Your kidneys don't take in water. No matter how much water you drink, most of the water can't be replenished in the body, and it will be excreted from the body along the lower Jiao bladder. This is why you urinate immediately after drinking water. This is also the main cause of diabetes. Symptoms. In the theory of traditional Chinese medicine, you belong to the syndrome of lower elimination, which is caused by the deficiency of kidney yin and the inability to pass water.” Huang Su continued to explain: “As for the large appetite and frequent eating, it is caused by the flaming stomach heat. In terms of the tongue, it is bulging with cracks in the tongue. In Chinese medicine, this belongs to the syndrome of middle elimination, and it is mostly caused by the flaming stomach heat. Your diabetes belongs to the syndrome of both middle elimination and lower elimination.”

The most commonly used method of syndrome differentiation in TCM for diabetes is the dialectical method of three eliminations.

Pulmonary heat injuring body fluid, thirst and excessive drinking are the upper symptoms, and symptoms include polydipsia and excessive drinking, dry mouth, and frequent urination.Red tongue with little fluid, thin yellow fur, rapid pulse.

Exuberant stomach fire, Xiaogu good hunger is Zhongxiao, the syndrome shows hunger easily after eating, emaciated body, and dry stool.The tongue coating is yellow and dry, and the pulse is slippery and rapid.

The kidney does not absorb water, and the frequency of urination is lower. The symptoms include frequent urination, turbidity like fat cream, sweet urine, dry mouth, dizziness, and sore waist and legs.Red tongue with little fluid, rapid pulse.

It can be seen that the main pathogenesis of diabetes is in the lung, stomach, and kidney.Long-term quenching thirst and out of control disease will lead to yin damage and yang, heat burning body fluid and blood stasis, resulting in damage to both qi and yin, deficiency of yin and yang, stasis of collaterals, loss of nourishment of meridians, and disorder of qi and blood.

Symptoms include furuncle, carbuncle, dizziness, chest pain, deafness, blindness, limb numbness, gangrene of lower limbs, kidney failure edema, stroke coma and other concurrent diseases.

Therefore, traditional Chinese medicine uses the traditional three-elimination syndrome differentiation in the treatment of diabetes to demonstrate.

However, the clinical treatment of traditional Chinese medicine shows that the symptoms of the vast majority of diabetic patients do not exist independently of the symptoms of Sanxiao, but often exist at the same time, only the degree of manifestation is different.

As a result, its classification is becoming more and more complicated, and precisely because of the complexity of diabetes classification, diabetes is also a very difficult disease for Chinese medicine with weak medical skills.

Bao Haizhong was dazed by the middle and lower Xiaoxiao, and asked, "Doctor Huang, do you think my condition is so complicated, is it easy to treat?"

"Your condition is actually not complicated. The pathogenesis lies in yin deficiency and kidney deficiency, and damp-heat in the middle burner is unclear. I will give you a prescription for nourishing yin and promoting body fluid, invigorating the spleen and kidney, and clearing away damp-heat."

黄素说着拿出处方单写道：苍术10g、白术15g、茯苓9g、黄连3g、黄芩6g、知母10g、葛根6g、天花粉12g、麦冬12g、杜仲10g、蒺藜10g、狗脊9g、鸡内金6g、佩兰12g、广藿香12g、六味丸12g（包煎）。

"Wonderful! Wonderful!"

Wang Xinlu took Huang Su's prescription, read it back and forth many times, and praised it again and again.

After signing, hand the prescription to Zhang Yuan, and let Zhang Yuan take a closer look.

After Zhang Yuan read it, he handed the prescription to Bao Haizhong, and Huang Su instructed: "Drink this medicine for fourteen times, and then you have to do a blood sugar test again. After two weeks, call me for a review. Take this prescription." Stop all western medicines at that time."

After seeing Bao Haizhong left, Wang Xinlu did not rush to ask Zhang Yuan to call the next patient, but looked at Huang Su and asked, "Huang Su, tell me about your thinking on prescribing this prescription."

"Actually, when I was a graduate student, I began to pay attention to how TCM treats diabetes. With the improvement of our living standards, high blood pressure, high blood fat, and high blood sugar will definitely be high-incidence diseases in the future. We can refer to the current three-high patients in Western developed countries. You can know the proportion."

Huang Su hastily made up a reason to explain why he is so good at treating diabetes. After all, today he has to see more than 20 diabetic patients. To be able to understand the intricate pathogenesis of diabetes is not something that can be prevaricated by a talented person.

Afterwards, Huang Su scratched her hair, pretending to be shy and said: "Fortunately, after four years of graduate school, I have a little insight. I found that most diabetic patients have different degrees of deficiency of spleen and kidney qi, so when treating diabetes, tonic Qi must be invigorated at the same time, so add qi-invigorating drugs such as Codonopsis pilosula into the prescription."

Deficiency of spleen and kidney qi, deficiency of spleen qi will lead to the accumulation of body fluid into phlegm, severe edema, and deficiency of kidney qi, that is, the kidneys will not absorb water, frequent urination, frequent urination or dripping, and frequent urination at night , Enuresis.

The supplemented water is either excreted from the body or accumulated into phlegm. Naturally, the body fluid circulating in the human body will be less, and the concentration of sugar will naturally increase when the water is less. This is the understanding of the pathogenesis of diabetes in traditional Chinese medicine.

As for obesity-type diabetes, Chinese medicine clinically shows that most of them belong to severe deficiency of spleen and kidney qi.

Huang Su saw that Zhang Yuan was writing hard to write down, paused for a while and continued: "Since diabetic patients are purely spleen-stomach qi deficiency, yin deficiency and damp-heat have become a more common syndrome in diabetic patients, so they need to be combined in the combination. A balance is needed so that nourishing yin does not impede dampness, and removing dampness does not damage yin."

Yin deficiency and damp heat have always been very difficult syndromes in the hands of many doctors who do not have a solid foundation in traditional Chinese medicine.

Deficiency of spleen and kidney qi, another common syndrome is that deficiency of spleen and kidney qi causes stasis, and deficiency of qi leads to blood stasis.

Huang Su waited for a while before Zhang Yuan said: "So I use Peilan and Huoxiang with a small amount of bitter and cold medicine to aromatize dampness and heat, so as to clear away dampness and heat without hurting yin. While nourishing the kidney with Eucommia and Gouji, Eucommia and Gouji are also good for removing dampness, so as to nourish yin without hindering dampness."

Wang Xinlu looked at Huang Su with the eyes of looking at rare treasures and asked: "This is not a little insight, you came up with it yourself?"

Even though Huang Su was a human being, when asked by Wang Xinlu, he couldn't help but blushed and nodded silently.

Seeing Huang Su blushing, Wang Xinlu thought Huang Su was shy and modest, and then asked: "Huang Su, you have never thought about developing diabetes. Guangqumen Hospital is also the first hospital in China to start researching diabetes in traditional Chinese medicine. As long as you want to If you develop in this area, you can become an expert in treating diabetes in Chinese traditional Chinese medicine in three to five years at your current level."

Now Wang Xinlu finally understands why Huang Su is so easy to use in treating Jiang Chengbin's diabetic foot. It turns out that Huang Su has formed his own theoretical system for the treatment of diabetes in traditional Chinese medicine, and he can't help but feel the high talent of Huang Su.

Huang Su refused: "If you don't have faith, you can't stand. Since I choose to study as a doctoral student of Professor Sun, I will not change it."

Wang Xinlu comforted with a disappointed look: "Huang Su, even if you are a doctoral student of Professor Sun, don't give up on the development of diabetes."

Huang Su said: "Professor Wang, I will."

But I thought in my heart: I still have a bloody debt to settle.

(End of this chapter)