3 stages of diabetic foot
TCM believes that the course of diabetic foot is longer, the pathogenesis is complex, according to the evolution and symptoms of the disease machine is divided into the following 3 stages.
Early: Qi and yin deficiency and obstruction of collaterals. The etiology of diabetes mellitus with the passing of time, gas consumption injury Yin, deficiency of Qi and blood line of weakness, deficiency of thermal burns Tianjin, blood Sezhi can lead to blood stasis, stasis context, blood impassability, Yang, acral local dystrophy and cold limbs, numbness, pain.
Medium: Damp heat and toxin, decay into gangrene. If hot flashes within the knot, Ying Yin was burning, collateral stasis; or limb breakage, exogenous pathogenic poison, toxic heat accumulation; or liver classics damp and hot accumulate, damp, block thread or context congestion heat, excessive gas to tendons, at the end of the pier, acral gangrene and caused meat rot, rotten ribs, bone off. If the poison attack is high fever coma, viscera, sinister disease.
Advanced: if a protracted, Haoshang blood, positive imaginary evil love, refractory wound. Performance deficiency syndrome, yin deficiency of liver and kidney or spleen kidney yang deficiency with phlegm and blood stasis of dampness. The progression of the disease to the late is sinister and Yang, deficiency of both yin and Yang, Yang can not compress the Wen Xi, causing acromegaly stagnation of Yin cold, blood stasis blockage and. If treated properly, Qi Fu, Wang Qi and blood, toxin, can heal.
Syndrome differentiation and treatment of traditional Chinese Medicine
The basic principle of Chinese medicine treatment of diseases is syndrome differentiation and treatment, that the same disease in different stages of development, can be different types of syndrome, but also to take different treatment methods. According to the development of diabetic foot disease from mild to severe divided into 6 syndromes.
1, blood deficiency cold coagulation syndrome context
Clinical manifestations: limb cold pain, swelling and numbness, a long line of pain drama, slightly rest pain reduction, color invariant or pale, chills like warm, dark complexion without China, tastelessness not thirsty. Pale tongue, white coating thready pulse astringent, Fuyang weak pulse.
Treatment principle: warming yang to dispel cold, blood stagnation.
Recommended oral medicine: Angelica four inverse soup. Commonly used drugs: Angelica, cassia twig, peony, licorice, jujube, ginger, rice etc.. Yinxue deficiency significantly add cooked rehmannia root, fleece flower root, Caulis Spatholobi; lower limb micro swelling and Achyranthes root, Herba Lycopi; both blood stasis as plus peach kernel, safflower, cold pain significantly with aconite, cinnamon; fatigue and shortness of breath plus Astragalus, Codonopsis.
Lotion: cold dispelling, promoting blood circulation and removing dampness by gentle washing with Chinese herbs. The prescription of cinnamon, aconite, dried ginger, asarum, processed Atractylodes rhizome, tuckahoe, Radix clematidis.
2, Qi deficiency and blood stasis syndrome
Clinical manifestation: lower limb weakness, soreness and numbness, feeling dull or disappeared, pricking pain as the needle bayonet, intermittent claudication, rest pain, aggravated at night. Local color is dark purple or ecchymosis. Less gas is weak, low mood, fatigue. Purple tongue or petechiae, pulse fine astringent or tight.
Treatment law: Qi and blood circulation.
Recommended recipe: Yang also five soup. Commonly used drugs are Astragalus, Radix Angelica sinensis, Rhizoma Chuanxiong, peach kernel, red peony root, earthworm, safflower etc.. Qi reuse of Astragalus, Codonopsis; blood stasis obviously reuse Angelica tail, radix paeoniae rubra, Rhizoma Chuanxiong, peach kernel, safflower, plus leech; blood Gadama; pain and numbness in the limbs are obvious and Rhizoma Corydalis, Zaocys dhumnades, centipede, Achyranthes bidentata.
Lotion: lotion prescription with blood deficiency cold coagulation vein syndrome ".
3, damp heat syndrome block channels
Clinical manifestations: suffering from limb local swelling and heat pain, severe pain, ulceration decay, muscle break bad, pus odor, body heat, dry mouth, hi cold, anorexia, fatigue, constipation sou red, the tongue is dark red or reddish purple, yellow greasy moss, slippery pulse number or astringent.
Treatment rules: clearing heat and toxin, promoting blood circulation to relieve pain.
Recommended prescription medicine: four Miao Yong An Decoction Combined with the decoction of the decoction of rhizoma. Commonly used drugs of honeysuckle, figwort root, gardenia angelica, liquorice, Rhizoma Coptidis, Radix Scutellariae, phellodendron bark. Humid like obvious, tongue red, yellow greasy moss, pulse number, reuse of Scutellaria, Coptis, phellodendron, Zhuojia forsythia, dandelion, Chinese violet; blood stasis obviously, or dark purple tongue with ecchymosis, pulse string Shibuya, action add Xiong, red sage root, Caulis Spatholobi, semen persicae; Qi weakness Tuodu out, plus astragalus; deficiency of Yin with rehmannia root, Dendrobium; yellow tongue greasy and Agastache rugosa, Perrin.
Lotion: to heat dampness, blood circulation and detoxification of traditional Chinese medicine. The prescription of rhubarb, Coptis, phellodendron bark, flavescent sophora root, alum, paris rhizome, Cortex Moutan, dandelion, Chinese violet.
4, poison Yin Syndrome
Clinical manifestations: suffering from limb local red heat is painful, break less pus, dry skin, dull skin, muscle atrophy, dry mouth thirsty to drink, restlessness, then dry oliguria. Dry red tongue red, moss Huang Shaojin, string pulse count, Fuyang pulse weak or not touch.
Treatment principle: detoxification, nourishing yin and promoting blood circulation.
Recommended prescription medicine: Gu Bu Tang addition and subtraction. Commonly used drugs are Astragalus, ginseng, Dendrobium, angelica, honeysuckle, chrysanthemum, licorice root, Achyranthes root, dandelion, purple, etc.. Yin is very, thirsty reuse trichosanthin, Ophiopogon japonicus, polygonatum odoratum; work unintelligible with figwort, Rehmannia glutinosa; blood stasis is more severe and Caulis Spatholobi, Salvia miltiorrhiza; ache is acuteness person and Rhizoma Corydalis, scorpion.
Lotion: lotion prescription with damp heat block channels permit ".
5, yin deficiency and blood stasis
Clinical manifestations: limb ulcer for a long time not healing, color dark red, dry without pus or purulent, dry mouth and throat, dryness of the eyes, Yaoxisuanruan, dizziness, tinnitus, Fanre, hot flushes and zygomatic red, night sweats weight loss, skin armour fault, red tongue, little coating or ecchymosis, thready pulse astringent.
Treatment principle: Nourishing Yin and promoting blood circulation.
Recommended prescription medicine: Six Wei Di Huang pill combined with blood stasis soup. Commonly used drugs of Radix Rehmanniae Preparata, Fructus Corni, Chinese yam, Poria, Cortex Moutan, Oriental waterplantain rhizome, angelica, rehmannia root, peach kernel, safflower, Fructus aurantii, radix paeoniae rubra, Radix Bupleuri, Glycyrrhiza uralensis, Platycodon grandiflorum, Rhizoma Chuanxiong, Radix Achyranthis Bidentatae, etc.
Lotion: Nourishing Qi, activating blood flow by washing with Chinese herbs. Choose medicine astragalus root, Chinese angelica, rehmannia root, red peony root, white peony root, peach kernel, safflower, earthworm, Achyranthes root, Caulis Spatholobi, Passepartout.
6, Yang deficiency and phlegm coagulation syndrome
Clinical manifestations: limb ulcer for a long time not healing, pale flesh, thin pus, aversion to cold, Shenpi burnout, complexion? White, chest tightness, pan evil, jiuxie Jiu Li, soreness and weakness of waist and knees, oliguria and swollen limbs, pale tongue, moss white slip, pulse Shen slow and weak.
Treatment rule: Warm Yang and eliminating phlegm.
Recommended recipe: Shenqi Pill Decoction and Heyang. Commonly used drugs, Ramulus Cinnamomi, Radix Aconiti Lateralis Preparata, Radix Rehmanniae Preparata, Fructus Corni, Chinese yam, Poria, Cortex Moutan, Rhizoma alismatis, ephedra, deerhorn glue, white mustard seed, cinnamon, liquorice, Rhizoma Zingiberis Preparata carbon etc.. Face China spleen deficiency of Yang, deficiency of Qi and blood and Guiqi Jianzhong Decoction, white peony root, cassia twig, licorice, ginger, jujube, maltose; Yang deficiency and severe reuse monkshood, cassia twig, psoralen plus, Cibotium barometz; phlegm Sheng and Bighead Atractylodes rhizome, Atractylodes rhizome, cardamom, grass leaved sweetflag.
Lotion: can be with "Yin deficiency and blood stasis syndrome" lotion prescription.
External washing daily smoked wash 1 ~ 2 times, every 20 to 30 minutes, treatment for 2 months, fumigation should pay attention to the liquid temperature should be lower than 37 DEG C, so as not to burn.