Under, Chinese medicine flavin

Chapter 122 Spleen Acne (please subscribe for monthly ticket for recommendation ticket)

Soon, Zhang Yuan brought an obese middle-aged man into the consultation room.

Huang Su looked at the figure of the middle-aged man. The man has a very common feature of obese diabetic patients, with a big belly and thin lower limbs.

The two patients that Huang Su had just diagnosed and treated belonged to Xiaoyu, and the obese man who just came in had a spleen rash.

As soon as the middle-aged man sat down, he talked about his illness: "My name is Zeng Guowei. Two years ago, I was found to be diabetic during the physical examination of the employees of the company. I took glibenol and Jiangtangling in the first year and could control it." Blood sugar, glyburide and Jiangtangling last year failed. I switched to Novolin insulin and injected 24 units at the beginning, and I was able to control blood sugar. This year, I don’t know why, and suddenly the insulin didn’t work. It’s been a year My insulin dosage has been continuously increasing, and the units of insulin have been increased from [-] units to [-] units, but I still can’t control my blood sugar. Now I have a very heavy headache every day, and I just want to sleep every day.”

Huang Su used to be an expert in diabetes in traditional Chinese medicine, and is naturally very familiar with diabetes medicine in western medicine.

Novolin is preprandial insulin. Moderate patients are injected with 24 to [-] units at a time, and severe patients are injected with [-] to [-] units at a time. Injecting [-] units is already seriously exceeding the standard, and blood sugar is still uncontrollable. Belongs to refractory diabetes.

Ha ha!This is the right to speak under the control of western medicine. There is no problem with overdosing yourself, but if you Chinese medicine dare not follow the pharmacopoeia, you can try it. Believe it or not, I will prevent you from being a doctor. In the same line.

It is said that Chinese culture is very inclusive, and Western medicine has been in China for more than 100 years, so how could they not tolerate their inferiority of arrogance and prejudice in their bones.

Western medicine believes that refractory diabetes is generally caused by a lack of insulin, which in turn leads to abnormal glucose metabolism in the body, or it is caused by unrestrained diet.

Western medicine has no effective treatment for this, and only advises patients to pay attention to diet and exercise more.

"Stretch out your hand, I'll take a pulse."

Huang Su's three fingers rest on the three parts of the patient's Cun Guan Chi, and the pulse is like a rolling bead, which should be smooth and smooth. This is a sign of slippery pulse, especially on the right Guan Chi.

Huamai governs phlegm retention, food accumulation, and excessive heat. Looking at the patient's obesity, it should be a syndrome of phlegm retention and dampness-heat, and phlegm-dampness is blocked in the middle and lower energies.

There are many records in medical books: "Fat people are more wet."

Huang Suyou continued to feel the pulse of Zeng Guowei's left hand, and asked, "Do you usually like to eat sweet things?"

Zeng Guowei replied: "I used to like to eat sweets very much. I was eating donkey rolls, aiwowo, and kidney bean rolls with sugar. But now I dare not eat any sugar. Why is my blood sugar still high? No, I have taken oral medicine and insulin, but I can’t control my blood sugar. Doctor, tell me why, I am really afraid that one night my blood sugar will suddenly rise, and I will never see the sun again the next day. I heard you It can cure diabetic foot, so I’ll come and see if it can lower my stubborn blood sugar.”

Thinking of how close he was to death, Zeng Guowei couldn't help feeling sad.

"Patient, please don't get excited. I have to check the pulse and tongue to confirm your condition." Huang Su comforted Zeng Guowei and continued to ask: "Do you usually like to be quiet and not active, and do not exercise for a long time?"

Zeng Guowei excused himself with some embarrassment: "Doctor, my head is as heavy as a bucket this day. I'm so drowsy that I don't have any mental exercise. I'm in charge of a company's finances. I'm so busy every day that I don't have time to exercise." .”

The pulse of Zeng Guowei's right hand is also the image of Hua pulse, especially Guanchi, which shows that the damp heat is blocked in the middle and lower energies.

Huang Su put down Zeng Guowei's wrist and said, "Stick out your tongue, let me have a look."

Zeng Guowei stuck out his tongue, only to see dark red tongue, ecchymosis on the edge of the tongue, white and greasy tongue coating, no coating on the front of the tongue, thick and greasy in the middle and root of the tongue.

Seeing ecchymosis around Zeng Guowei's tongue, Huang Su said: "Pick up your tongue, let me have a look."

Zeng Guowei raised his tongue, only to see that the two veins on the bottom of the tongue were dark in color, and the two veins were in a state of anger and tension.

After looking at Zeng Guowei's tongue coating, Huang Su picked up his medical records and looked through them, and found that his urine sugar was only three plus signs, and it stands to reason that intractable hyperglycemia should not occur.

When Huang Su saw Shenqi Jiangtang Granules in the prescription, he suddenly asked, "Which hospital did you treat your diabetes in? Why did you still prescribe Shenqi Jiangtang Granules?"

Zeng Guowei replied: "I was treated at the Hospital of Integrated Traditional Chinese and Western Medicine in the college area. They said that the Shenqi Jiangtang Granules are very effective in lowering blood sugar. It's getting heavier."

The main ingredients of Shenqi Jiangtang Granules are ginseng, schisandra, astragalus, yam, rehmannia glutinosa, raspberry, Ophiopogon japonicus, Poria cocos, trichosanthes, Alisma, and medlar.The main effect is to nourish yin and generate essence, nourish the spleen and kidney.It is often used in the treatment of diabetes and type [-] diabetes.Among them, Rehmannia glutinosa and Ophiopogon japonicus are good medicines for nourishing yin.

Huang Su smiled coldly in his heart. The combination of traditional Chinese and Western medicine has never let him down. Zeng Guowei's diabetes was caused by stagnant phlegm dampness, and he was prescribed nourishing yin and promoting body fluid.

This is because Zeng Guowei doesn't have enough phlegm dampness in his body, so add more.It is worthy of the combination of Chinese and Western medicine, and everyone is really talented.

Seeing the effect of Shenqi Jiangtang Granules on diabetes, he prescribed the medicine without asking the patient's diabetes type.It's also because they don't understand the combination of four diagnostic methods, and they don't know what syndrome types are. They believe in science and the data detected by machines.

When you see diabetic patients, you will prescribe a copy for all of them. If you encounter diabetes with both qi and yin deficiency, the medicine will cure the disease.

But I often walk at night, and when I finally meet a ghost, isn't this meeting a ghost?

This also explains why Zeng Guowei's urine sugar has only three plus signs, but he has become obstinate hyperglycemia.It stands to reason that even if Western medicine does not understand syndrome differentiation and treatment, relying on hypoglycemic drugs and insulin to quench thirst by drinking poison can control blood sugar, and stubborn hyperglycemia will never occur.

"Don't take Shenqi Jiangtangling after you go back." Huang Su instructed.

Zeng Guowei asked: "Why is Dr. Huang? Could it be that they prescribed the wrong medicine!"

"You are right. Your diabetes belongs to the type of phlegm-dampness in Chinese medicine. Shenqi Jiangtangling is used to treat both qi and yin deficiency. It has the effect of nourishing yin and promoting body fluid. Continuing to take it will only increase the phlegm-dampness in your body. Your headache is heavy." Such as fighting, dizziness and drowsiness are all caused by phlegm dampness in the body covering the clear orifices." Huang Su explained his symptoms to Zeng Guowei.

"Huangdi Neijing" has a saying: "Injured by dampness, the head is like a bundle."

Now that he knew Zeng Guowei's pathogenesis, Huang Su continued to ask: "Do you have chest tightness, rib pain, frequent urination, and dry stool?"

Zeng Guowei's eyes lit up and he said, "Doctor, you are amazing. You are right. Usually, as long as I eat something, I will have stomach bloating, which makes my chest tight and my ribs hurt on both sides. I am thirsty and I don't want to drink water every day, but I urinate But it is very frequent, and the stool is only once every three to five days, and the stool is very dry and hard."

Zeng Guowei asked anxiously again: "Doctor, what's the matter with my diabetes? All the patients around me eat a lot, drink a lot of water, and urinate a lot. Why am I different from them? I don't like to drink water or drink water. Eat, but urinate a lot every day."

Huang Su explained: "You belong to spleen lumps, and your obesity is caused by the accumulation of phlegm dampness. You have taken too much medicine for nourishing yin, which helps dampness and hurts the spleen and stomach. , stagnation of qi movement, dampness in the spleen and stomach, and abnormal appetite in the stomach, so chest tightness and rib pain."

"Dampness obstructs qi stagnation, the qi will not transform into body fluid, and if the body fluid is not supplied, you will be thirsty and will not like to drink water. If phlegm dampness accumulates in the middle and lower energizers, you will urinate frequently."

This is due to the stagnation of phlegm dampness in the spleen and stomach in the middle energizer, liver and kidney in the lower energizer, resulting in obstruction of the three energizers, and the yin and fluid in the body cannot circulate normally. The appearance of the tongue is that the front of the tongue is smooth without coating, the tongue is thick and greasy at the base of the tongue, and in the pulse condition The upper part is the two guan chihua pulses.In addition, prolonged stagnation of phlegm and dampness will lead to blood stasis, and the appearance of the tongue will have ecchymosis on the edge of the tongue, and the veins on the bottom of the tongue will be dark and distended.

The upper energizer is blocked, resulting in thirst and dislike of drinking water, and the inability to replenish body fluid through drinking water, resulting in all the nutrients in the yin fluid accumulating in the middle and lower energizers, forming stubborn hyperglycemia.

After listening to Huang Su's explanation, Zeng Guowei asked: "Then doctor, how should I treat this?"

"You are suffering from phlegm-damp stagnation, stagnant blood stagnation, and obstruction of the triple energizer. I will prescribe a prescription for you to dispel dampness and resolve phlegm, invigorate the spleen and activate blood circulation, and benefit the triple energizer."

说着，黄素拿出笔在处方单上写道：佩兰10g、藿香10g、大黄12g、黄芩10g、当归10g、川穹10g、郁金15g、泽泻20g、鬼箭羽20g。

Huang Su handed the prescription to Wang Xinlu, and Wang Xinlu carefully examined the prescription.

The prescription uses Peilan, Huoxiang, and Atractylodes atractylodes to promote qi, dry dampness and strengthen the spleen.Coptis chinensis, Scutellaria baicalensis, and rhubarb are used for bitter cold and hard yin, clearing away dampness and heat, combining bitterness and acridity, promoting pungentness and subduing bitterness, regulating Qi movement, and sorting out the triple burner.And because of blood stasis due to dampness for a long time, angelica, Rhizoma Chuanxiong, and Guijianyu are used to promote blood circulation and remove blood stasis.

Wang Xinlu saw that this prescription is pungent and warm without hurting the stomach, taking into account both the specimen and the root, dispelling dampness and promoting blood circulation, invigorating the spleen and harmonizing the stomach, and benefiting the triple energizer.Nodding in satisfaction, he took out a pen and signed his name.

Huang Su took the prescription, handed it to Zeng Guowei, and said: "Remember to stop taking Shenqi Jiangtang Granules after you go home. Take 14 doses of this medicine first, and then come back for a review."

"Understood, doctor!" Zeng Guowei took the prescription and read it carefully, and continued to ask: "Doctor, should you continue to inject insulin?"

Huang Su said: "Your diabetes is called intractable hyperglycemia in Western medicine. After you go home, you will continue to inject insulin. After taking the medicine, you can quickly feel the reduction in insulin consumption."

After hearing Huang Su's words, Zeng Guowei seemed to have taken a reassurance, stood up and bowed: "Thank you, Dr. Huang! Thank you, Dr. Huang!"

Then happily left the consulting room.

According to ancient records of traditional Chinese medicine, diabetes mellitus is mainly caused by diarrhea, which is also known as emaciated diabetes in Western medicine.

With the improvement of living standards and the entry of Western culture, the diet structure of Chinese people has also quietly changed. Sweetness, coldness and good oil have become the mainstream of diet. Coupled with the change of working style, sedentary and no exercise has become the preference of most people. living habit.

Eating sweets, sitting for a long time and moving less, and staying up late at night will increase the burden on the spleen and stomach. Deficiency of the spleen will cause dampness, dampness and heat generation. Obese diabetes has become the mainstream of diabetes.

Western medicine has also done clinical research and concluded that the probability of Chinese people suffering from obesity and diabetes is higher than that of Westerners.

This has a lot to do with the body shape of the Chinese. The distribution of body fat in obese people in China is quite different from that in obese people in Europe and America. When Chinese become obese, the fat is mainly concentrated in the abdomen, which directly affects internal organs.Europeans and Americans are obese all over the body, and the fat mainly accumulates in the buttocks and thighs.

In Western medicine, obesity where fat mainly accumulates in the abdominal cavity is called visceral obesity, while obesity with thicker thighs and buttocks is called subcutaneous fat obesity.Studies have found that visceral obesity is more likely to suffer from metabolic diseases such as diabetes.

Let’s compare the above to see your usual bad living habits, which will bring you a few steps closer to diabetes.

After Zeng Guowei left, Zhang Yuan got up and went out to call the next patient.

The next patient who came in was still a diabetic.

Time passed quickly, the last patient was sent away, Huang Su looked at the wall clock on the wall, and it was time to rest at noon.

Huang Su stood up and did a few chest expansion exercises to move her sedentary body.

"Huang Su, I think it's almost becoming a diabetes clinic today." Zhang Yuanwang joked to Huang Su, then gave Huang Su a thumbs up and said, "Huang Su, you are really like this in terms of diabetes."

Zhang Yuanwang looked to Wang Xinlu to hear what his mentor had to say.

Wang Xinlu also praised: "Huang Su, you are indeed very accomplished in treating diabetes."

"Professor Wang, please stop praising me. I was more interested in diabetes when I was in school, so I put more thought into it." Huang Su pretended to be embarrassed to explain, and then changed the subject: "I have a stomachache now. I'm a little hungry, Zhang Yuan, where shall we eat today."

It seems that what Bao Haizhong said was not wrong, this really gathered the patients around him, and organized a group to ask him for consultation.

It is indeed a bit too eye-catching to see more than 20 diabetic patients in one morning.

(End of this chapter)