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Chapter 99 The Difference Between Chinese and Western Treatment of Diabetes
After Yan Mingzhong, Shi Jun, and Xiaoling were discharged from the hospital one after another, only Zou Wenzhi remained in Huang Su's hands.

In the past two days, Huang Su just followed behind Wang Xinlu, checking the patients that Wang Xinlu had in his hands.

Today is Wednesday, the day of Wang Xinlu's consultation, and also the day of Huang Su's first consultation at Guang'anmen Hospital.

Huang Su and Zhang Yuan walked into the internal medicine clinic together with Wang Xinlu.

Wang Xinlu looked around the consulting room, and said to Zhang Yuan: "Zhang Yuan, go back and get another chair."

During the time when Zhang Yuan was holding the chair, Huang Su sat in Zhang Yuan's position, facing Wang Xinlu, and the consultation room fell into silence for a while.

Wang Xinlu saw Huang Su holding his hands tightly, with various complex expressions of excitement and anxiety on his face, thinking that Huang Su was nervous.

In order to help Huang Su relax, Wang Xinlu joked: "I'm nervous, it's not like you who are calm about things. This place is no different from the traditional Chinese medicine department in Grassland City. They are all four-diagnosis combined with ginseng, and prescriptions are prescribed based on syndrome differentiation."

Ah!
Hearing Wang Xinlu's words, Huang Su shook his head and explained: "That's different. This is one of the best Chinese medicine hospitals in the country. How can our Chinese medicine department with only three people compare?"

In fact, Huang Su's complex expression is lamenting himself. A year ago, I was still here for consultation, and I came here again for consultation.

It's just that Wang Xinlu misunderstood.

Wang Xinlu smiled and said, "Finally, you look a little young. Every day, seeing your calm and sophisticated manner, I thought you were an old Chinese medicine practitioner who has been practicing medicine for many years."

While the two were chatting, Zhang Yuan walked in with a chair.

Wang Xinlu got up and took the chair, put it next to his chair and sat down, pointed to his seat and said, "Huang Su, you will be sitting here from today on."

Turning to Zhang Yuan again, he said: "Zhang Yuan, you should observe and study carefully to see how Huang Su dialectically treats diseases."

As soon as the voice fell, the door of the outpatient clinic was pushed open, and it was time for consultation.

A family of three came in. An elderly man was sitting in a wheelchair, followed by a middle-aged man pushing a wheelchair, followed by an old woman, who should be the old man's wife.

Huang Su carefully observed the old man in the wheelchair, and saw that the old man was thin, with thin belly and thighs, and saw that the old man had two bare feet, both of which were wrapped in gauze.

Seeing the old man's appearance, Huang Su probably guessed that the patient might have diabetic foot.

The middle-aged man sat down, looked at Wang Xinlu, and began to tell about the patient’s condition: “Doctor, my father was diagnosed with diabetes ten years ago. I started to take hypoglycemic drugs, and my feet developed slight ulcers last year. We went to the hospital to see them, and they said it was a diabetic foot, which was a complication of diabetes. We spent more than 5 yuan to cure it, but the ulcers became more and more serious. In the end, the doctor ordered my father to amputate his leg. We went to the Chinese Medicine Hospital to see if there is any treatment available.”

"Zhang Yuan, go and call the doctor in the emergency department. He said that there is a patient with diabetic foot here, and ask him to come over and help remove the gauze." Wang Xinlu ordered, and took another look at Huang Su.

Huang Su understood what Wang Xinlu meant by looking at him, and said softly: "Professor Wang, I can still handle this patient, as long as you check it out for me."

In my previous life, I was a diabetes expert, and I was also experienced in treating diabetic feet. Huang Su didn't expect that she would meet her own strength on the first day of consultation.

When the middle-aged man heard that it was this young doctor who was treating his father, he immediately asked anxiously: "Doctor, can he do it at such a young age? You can't make fun of my father's illness."

Wang Xinlu quickly explained: "Patient's family members, don't think that Dr. Huang is young, he is a very capable doctor in our hospital, and you don't have to worry, I will check and make up for the omissions."

The middle-aged man was relieved after listening to Wang Xinlu's explanation.

Huang Su said to the old man: "Old man, stretch out your arm and let me check the pulse."

The old man stretched out his left hand, only to see that the old man's hand was like dead wood, the blood vessels were not visible, and the nails were withered.In Chinese medicine, there is a special name for this disease called claw nail tolerance, which is a manifestation of blood deficiency.

Huang Su asked: "What's your name, old man? You've lived a long life this year."

The old man said: "My name is Jiang Chengbin, I am 72 years old this year."

Huang Su felt the pulse with his left hand, and recorded the patient's name and age in the medical record with his right hand.

Huang Su's three fingers pressed against the old man's wrist to feel the pulse. The pulse was like rolling beads, beating weakly and slightly faster.

Huang Su let go of the old man's wrist and said: "The old man stretched out his other hand, I'll check the pulse again."

Jiang Chengbin's son saw that Huang Su only took the pulse but didn't mention the condition, so he didn't trust Huang Su, so he hurriedly asked: "Doctor, what is the matter with my father's diabetic foot, you can tell us about it."

Wang Xinlu also looked at Huang Su, and also wanted to know how Huang Su should understand the difference between Chinese and Western medicine in the treatment of diabetes.

Huang Su replied while checking the pulse: "This starts with the different thinking of Chinese and Western medicine in treating diabetes."

"Western medicine believes that the cause of diabetes is that the pancreas cannot decompose sugar, which leads to an increase in the amount of sugar in the body and elevated blood sugar. Their treatment method is to use antihypertensive drugs to burn the sugar in the body, but there will always be residues when burning sugar. Since the residue cannot circulate in the blood, it will eventually accumulate in the feet, and over time, these residues will block the meridians, leading to gangrene and festering of the soles of the feet."

"Even if the limb is amputated, if the use of hypoglycemic drugs is not stopped, the residue will continue to accumulate in the calf, and then new gangrene will appear in the calf, just like drinking poison to quench thirst, until there is no amputation."

This is why all kinds of glucose measuring instruments only allow patients to stick their fingers to measure blood sugar.

Because if you have taken hypoglycemic drugs, if you measure blood sugar on your feet, the blood sugar value will definitely be much higher than your fingers.Friends who have diabetes at home and are taking hypoglycemic drugs can test it and compare the blood sugar level on their hands with the blood sugar level on their feet.

Due to the huge interests involved behind it, Western medicine has never admitted that hypoglycemic drugs are the cause of accelerating the onset of diabetic foot, and has been emphasizing that diabetic foot is only a complication of diabetes.

In the previous life, Huang Su also touched their fundamental interests, and they were ruined in the end.

After hearing Huang Su's explanation, Jiang Chengbin and his family opened their mouths so wide that a peach could be stuffed into them.

Jiang Chengbin's son was afraid for a while, and asked eagerly: "Doctor Huang, since you know the truth here, there must be a way to save my father's feet, right?"

Jiang Chengbin's son was looking at Huang Su where there was still distrust just now, and there was a burning desire in his eyes, as if he had grasped a life-saving straw.

Huang Su continued: "This is about the principle of treating diabetes in traditional Chinese medicine. Diabetes in Chinese medicine is a type of diabetes. It is easy to understand from the literal sense. The loss of water in the human body will lead to thirst. I wonder if your father is urinating a lot and thirsty."

Jiang Chengbin's son nodded hurriedly and said: "Dry mouth and thirst, every time I drink water in big gulps, and pee very frequently."

Huang Su said: "That's right. Traditional Chinese medicine believes that diabetes is caused by the body's inability to hold water. No matter how much water is added, the water will be excreted from the body, and the body cannot wait for the water to be replenished. Let me give you an analogy, the same sugar, Half a glass of water is sweet, or a glass of water is sweet. Therefore, Chinese medicine treats diabetes based on nourishing yin, and nourishing yin can produce fluid and dilute the sugar in the body.”

Relying on Huang Su's decades of experience in treating diabetes, Jiang Chengbin judged from his body shape that he is a typical type of diabetes, which belongs to Xiaolu.

And along with the change of modern people's lifestyle and eating habits, in addition to disappearing rash, spleen rash also appeared.The physical characteristics of this type of people are obesity, overeating fat and sweet food, sedentary and less moving as the initiating factors, and internal heat as the core pathogenesis.

However, regardless of whether it is a rash or a spleen rash, the core of the treatment is to nourish yin and promote body fluid, which can dilute the sugar in the body. As for how to treat it, it is necessary to treat it based on syndrome differentiation.

(End of this chapter)