Under, Chinese medicine flavin

Chapter 121 The wax torch will hurt the foundation (seeking subscription please monthly ticket please recommendation ticket)

"Zhang Yuan, call the next patient." Wang Xinlu ordered.

Soon, an emaciated man about 40 years old walked into the outpatient clinic with the help of a woman, who should be the man's wife.

Huang Su observed carefully and found that the man staggered when he walked, his legs and feet were inconvenient, and his steps were flimsy.Moving his eyes up, he saw that his face was dull and black, without luster.

With the support of the woman, the man sat down slowly.

At close range, Huang Su could clearly hear the man's short breathing, which was a symptom of qi deficiency and shortness of breath.

Huang Su asked, "What's your name?"

The man replied feebly: "My name is Zhou Guangzhi, and I am 42 years old."

Seeing that Zhou Guangzhi was weak, Huang Su turned to look at the woman and asked, "What's wrong with the patient?"

The woman moved a peeling and old satchel to her stomach, found a medical record in the satchel, and took out four or five laboratory reports and handed it to Huang Su: "My husband must have diabetes and nephritis."

Huang Su opened the medical record, glanced at the laboratory report hastily, and was startled when he didn't read it.

Regardless of other indicators, just three plus signs for proteinuria and four plus signs for urine sugar. From the perspective of Western medicine, this is diabetes combined with kidney disease.

"My husband was diagnosed with type 1 diabetes seven years ago, and he was diagnosed with nephritis two years ago. He is a high school teacher and is now in the sprint stage of the college entrance examination. Recently, he has been under a lot of work pressure. Two and a half months ago, he prepared lessons at night. When I was in the hospital, my condition suddenly worsened. We were admitted to the Friendship Hospital closest to our home."

"After two months of treatment, my husband not only showed no signs of improvement, but also spent all the savings of the family for so many years. Our family's economy is really unable to support the high cost of treatment. He is determined to be discharged from the hospital. He said that the family All the money can’t be spent on him, the child will have to go to college next year.”

Speaking of this, Zhou Guangzhi's wife was sobbing and unable to speak.Even Zhou Guangzhi, a seven-foot-tall man, silently lowered his head and clenched his fists tightly.

Type 1 diabetes is insulin-dependent diabetes and type 2 diabetes is non-insulin-dependent diabetes.

In the explanation of the pathogenesis of Western medicine, the main cause of type 1 diabetes is that the body cannot produce insulin or produces a small amount, which is called insulin deficiency.And type 2 diabetes patients have insulin in their bodies, and even in the early stage of type 2 diabetes, the level of insulin in the body is relatively high, but with the development of the course of the disease, the amount of insulin produced by type 2 diabetes patients will also be partial due to pancreatic failure in the middle and late stages. few.

The onset of type 1 diabetes is relatively young, such as 10-20 years old. The age of onset of type 2 diabetes patients is relatively old, that is, there are more middle-aged and elderly patients. Although there are people like Zhou Guangzhi who developed type 30 diabetes in his 1s, it is rare.

In [-], insulin for diabetes, diuretics for nephritis, and drugs for suppressing proteinuria were all unaffordable for the working class in this era. Moreover, teachers’ salaries had not been reformed in [-]. Teachers were among the working class. Always belonged to the low-income group.

Now basically all drugs are imported, and the price is very expensive.In addition, the social medical security system during this period was not perfect, and medical expenses were basically borne by themselves.

Huang Su could imagine that when Zhou Guangzhi gave up treatment, he actually chose to wait for death.

Zhang Yuan took out two tissues and handed them to Zhou Guangzhi's wife to calm her excitement.

After a long time, Zhou Guangzhi's wife wiped away her tears, and when she calmed down, she continued: "My husband is also a patient in Lao Jiang's circle of friends. We all heard that Dr. Huang has cured Lao Jiang's diabetic foot. Why don't we discuss it and come to you together?" Register here."

Zhou Guangzhi's wife was emotional again and said: "Doctor Huang, you are my husband's last hope for survival. He is still young and has a lot of time in his life. I haven't seen him take the students for three years to the university. I haven’t seen my child go to college yet.”

At this time, Zhou Guangzhi also suddenly choked up: "It's all my fault. I fell behind at the most critical moment in their lives. I am sorry for my students. If their lives are changed because of me, I can't rest in peace even if I die."

While talking, Zhou Guangzhi covered his face and burst into tears.

Huang Su could feel that Zhou Guangzhi, as a people's teacher, was struggling at the most important crossroads in students' lives, but he was unable to help the students because of his illness.

"Mr. Zhou, you should not be excited about your condition now. In order to send your students to university, you must maintain a happy mood. Only by keeping a happy mood can we maximize the efficacy of the medicine." Huang Su also began to comfort Zhou Guangzhi .

Seeing Huang Su and Zhang Yuan comforting the couple respectively, Wang Xinlu showed a gratified smile on his face.

Waiting for Zhou Guangzhi to calm down, Huang Su said: "Teacher Zhou stretched out his hand, I'll take a pulse."

Huang Su placed three fingers on Zhou Guangzhi's wrist. Zhou Guangzhi's wrist was cold. Only when the three fingers were pressed heavily against the bone did he feel the pulse was thin and weak, especially when the right was closed, and the right foot seemed to have no pulse. The pulse condition is also heavy and thin, especially at the ruler part.

Pulse sinking is the main interior syndrome, which proves that the pathogenic stasis in the body is the manifestation of interior syndrome. Youguan and Liangchi are especially the manifestations of spleen and kidney qi and blood weakness.The fine veins govern the syndrome of deficiency, either yin deficiency or blood deficiency.

Generally speaking, a deep and thready pulse indicates that the patient's qi and blood are not sufficient. Zhou Guangzhi's lack of breath, shortness of breath, cold limbs, dark complexion, and physical exhaustion have already appeared.

Huang Su let go of Zhou Guangzhi's wrist and said, "Stick out your tongue, let me see the coating on your tongue."

Zhou Guangzhi stuck out his tongue, and saw that the tongue was dark red and thin, half the size of a normal person, and the tongue was swollen, indicating that there was a blockage in the body.The tongue coating is white and dirty, and the tongue coating sticks to the tongue like scale.

A dark red and dry tongue is a manifestation of yin deficiency. A thin tongue indicates qi deficiency, while white scales on the tongue indicate a large amount of moisture accumulation in the body.

Huang Su asked Zhou Guangzhi to put away his tongue, glanced at him and asked, "Where is your body swollen?"

Zhou Guangzhi and his wife saw that Huang Su was able to tell the illness just by feeling the pulse and sacrificing his life. They looked at each other, and hope was rekindled in their eyes.

Zhou Guangzhi's wife quickly said: "My husband's lower limbs had edema three years ago, and it is very serious now, but the doctor said it was caused by nephritis, but my husband had edema without nephritis, but it got worse after he got nephritis. "

"Come and take off your pants, and let me check on the bed." Huang Su stood up and walked towards the bed. Wang Xinlu and Zhang Yuan also stood up.

Zhou Guangzhi's wife helped Zhou Guangzhi to the bedside.

Zhou Guangzhi began to take off his trousers. The waistline of the trousers was obviously two circles larger than his own, and the waistband made several folds on the trousers waist.

Zhou Guangzhi's wife explained: "His legs are swollen and he can't fit in the pants with a normal waist size, so he can only buy one size up."

After Zhou Guangzhi took off his pants and shoes, Huang Su and his wife worked together to help him onto the bed and lie down.

I saw that Zhou Guangzhi's two thighs were swollen together and were much thicker than his waist and abdomen. Both legs were glowing from top to bottom, and the skin was no longer radiant. The calf and feet had already turned purple. , which is a symptom of blood stasis and obstruction, and if it develops further, it will be gangrene of the lower extremities.

Huang Su stretched out his hand and pressed Zhou Guangzhi's thigh and calf a few times with his thumb, leaving deep fingerprints. When he touched his legs, his legs felt extremely cold.

"Put on your pants."

After walking back to her seat and sitting down, Huang Su asked, "Do you feel numbness in your lower limbs?"

Zhou Guangzhi's wife hurriedly said: "Yes, his legs have been numb for more than a month, and now he can't walk easily. Doctor, what is the reason?"

Huang Su replied: "The numbness of the patient's lower limbs is caused by blood stasis blocking the collaterals."

But I thought in my heart: the last patient mentioned the spleen and kidney qi deficiency and stasis, and now I met a diabetic patient with spleen and kidney qi deficiency and stasis.

Huang Su continued to ask: "When your husband urinates, the urine is red and cloudy, and he urinates frequently and profusely."

"His urine is very yellow, but it is still very cloudy. He urinates every day after drinking, especially at night." Zhou Guangzhi's wife continued to ask: "Doctor, is my husband's edema related to frequent urination? Does it cause excessive urination, is my husband's edema caused by nephritis?"

"No, your husband's dark urine and frequent urination are mostly caused by spleen and kidney qi deficiency." Huang Su paused slightly and continued: "As for the edema caused by nephritis, on the contrary, your husband's kidney disease is caused by edema. Water and blood stasis form turbidity and poison, and the kidney body is damaged by the erosion of turbidity, resulting in the kidney not absorbing water, and the kidney not absorbing water will aggravate the edema of the limbs, thus forming a vicious circle."

Hearing that her husband had fallen into a vicious circle, Zhou Guangzhi's wife asked anxiously, "Then doctor, is my husband still saved? Is there any hope for a cure?"

"It can be cured!" Huang Su picked up a pen and began to write a prescription on the prescription list, and explained to the patient: "Your husband's diabetes and kidney disease are caused by deficiency of spleen and kidney, deficiency of yin and qi, and stagnation of poison and blood. A formula that nourishes yin and invigorates qi, cools and invigorates the spleen and kidney, detoxifies and removes blood stasis, drink fourteen doses first, and then call my number for a follow-up visit after two weeks."

黄素在处方单上写道：生地15g、熟地15g、淮山药40g、五味子10g、黄芪40g、白术20g、苍术20g、土茯苓30g、黄连15g、大黄10g、丹参24g、水蛭10g、白僵蚕12g、车前子20g（包煎）、半夏12g、蝉蜕10g、肉桂6g。

Huang Su handed the prescription to Wang Xinlu, and Wang Xinlu signed his name after confirming that it was correct.

Due to Zhou Guangzhi's long-term deficiency of qi and yin, Huang Su increased the dosage of yam and astragalus, and then used Smilax tuckahoe and rhubarb together with salvia miltiorrhiza, leech, silkworm, and cicada slough to promote dampness, activate blood and detoxify.

Huang Su handed the prescription to Zhou Guangzhi's wife, and the couple got up and bowed to Huang Su, Wang Xinlu and Zhang Yuan to thank and leave.

Zhang Yuan sent the two out and called the next patient by the way.

(End of this chapter)