Inside and outside to treat diabetic gangrene 
 
 
Cui Yan Liu Hui Wu Jianping Henan college of traditional Chinese medicine YiFuYuan 
 
 
China's traditional Chinese medicine to 

        Diabetic gangrene is limb atherosclerosis and microvascular lesions and thrombosis, vascular stenosis and occlusion, cause blood circulation and microcirculation disorder, limb necrosis occurs even a chronic ischemic diseases, belong to the traditional Chinese medicine "gangrene", "/", "jin carbuncle" and "pulse bi" category. Song "shares of health", "till death do diabetes patients foot knee evil sores, save". Early Cui Gong let professor thinks the disease pathogenesis based on Yin deficiency, hot and dry for the standard; Yin deficiency, dry heat, air loss of Yang, eventually to Yin deficiency; Yang can't encourage blood, qi and blood stasis due to; Vein obstruction and blood stasis long hot, hot, meat, and gangrene. To sum up, Yin deficiency, qi deficiency, Yang deficiency, blood stasis for this disease is the main pathogenesis. Treatment should concentrate on review or insufficiency of Yang, promoting blood circulation to remove blood stasis. Follow "element asked, regulate the menstrual function theory" of "disease in the vein, adjust blood; disease in blood, adjust the venation" principle, at the same time should pay attention to the control of blood sugar and wound cleaning and dressing change on a regular basis. 
 
        Parting syndrome differentiation 
 
        Cold dampness resistance type winding 
 
        Clinical manifestation: limb chills to the cold, the skin temperature is low, acromegaly pale or flush, numbness, pain in cold pain, limping, steps. Face, chills to the cold, thin and skin, the ulcer surface ichor quantity is little, granulation tissue color light, slow growth. Tongue light or dark, thin white coating on the tongue, pulse heavy astringent or delay. 
 
        Therapeutic principle: explored, cold qushi t2dm. 
 
        Syndromes: Yang and monkshood asarum soup or mahuang decoction and invigorate the circulation of tonga unclogged arteries. 
 
        Drugs: ephedra 9 grams, 15 grams of lateral root, 10 grams of cinnamon, asarum 15 grams, 15 grams of astragalus, angelica 20 grams, 30 grams of salvia miltiorrhiza, 30 g suberect spatholobus stem, huang jing 20 grams, jade bamboo 20 grams, 30 grams of coix seed, liquorice 10 grams. 
 
        The spleen kidney Yang deficiency significantly can add astragalus, codonopsis, cornus, cultivated land, etc.; Blood stasis obviously can add red paeony root, cannon mountain, leeches, etc. 
 
        Blood stasis resistance type 
 
        Clinical manifestation: limb pain fixity, such as acupuncture, especially at night. Acromegaly, dark red/purple, bruises or petechiae. There will be intermittent claudication. Red tongue or dark petechiae, moss thin white, pulse count or heavy fine acerbity. 
 
        Therapeutic principle: promoting blood circulation to remove blood stasis, only strengthen the pain. 
 
        Syndromes: invigorate the circulation of tonga unclogged arteries. Drug composition: angelica 20 grams, 30 grams of salvia miltiorrhiza, 30 g suberect spatholobus stem, cannon mountain 12 grams, huang jing 20 grams, jade bamboo 20 grams, 30 grams of dried tangerine or orange peel, semen coicis 30 grams, liquorice 10 grams. 
 
        Qi deficiency and astragalus, codonopsis, atractylodes; Pixu (spleen deficient) and dangshen, poria, atractylodes, yam; The person that weigh blood stasis and leeches, peach kernel, cannon mountain, the centipede; Pain is weighed and frankincense, myrrh, asarum, notoginseng; Stasis and fever plus honeysuckle, radix scrophulariae, caulis dendrobii, Dan skin; Yin deficiency and radix rehmanniae, rhizoma anemarrhenae, rhizoma polygonati, jade bamboo; And add dried tangerine or orange peel, combination, etc. 
 
        Toxic heat flourishing type 
 
        Clinical manifestations: plantar local invasion is swollen, heat, pain, flush or purplish, though full with the touch of skin temperature is high, the ulcer surface exudate dirty smelly, around a solid diffuse swelling, pathological changes rapidly, serious when can affects the whole foot and leg, hair black hair and dark skin, the body heat, god faint delirious speech. Red crimson tongue, yellow greasy moss or yellow dry, flood control and pulse number or string. 
 
        Therapeutic principle: dispelling dampness. 
 
        Syndromes: four wonderful yong Ann tonga subtraction. 
 
        Drugs: angelica 20 grams, 30 grams of honeysuckle, xuan 30 grams, liquorice 10 grams. 
 
        Toxic heat flourishing and radix rehmanniae, buffalo horn, forsythia, rhizoma coptidis; Thirst for drinkers plus pollen, cogongrass rhizome, rhizoma anemarrhenae, radix ophiopogonis; Wet poison the person that weigh, tuckahoe, alisma, rice bean; Constipation is more yellow, orange, glauber's salt, hemp kernels. 
 
        Qi deficiency and blood stasis type 
 
        Clinical manifestation: limb numbness, pain, especially at night, the foot skin dark red or purple, with intermittent claudication. Face, mental fatigue, thin, valley, limb skin is dry, desquamation, onyx, muscle atrophy, granulation gloomy, slow growing, pus thin, thin white coating on the tongue, tongue dark, pulse unable or fine acerbity. 
 
        Therapeutic principle: nourished qi, promoting blood circulation to remove blood stasis. 
 
        Syndromes: ginseng tonic soup or rong eight Jane tonga subtraction. 
 
        20 g of drugs: 30 grams of astragalus, codonopsis, poria cocos 20 grams, 20 grams angelica, salvia miltiorrhiza 30 grams, 30 grams of caulis spatholobi, atractylodes 15 grams, 20 g of rehmannia, cannon mountain 12 grams, 30 grams of coix seed, liquorice 10 grams. 
 
        Yin fluid loss, caulis dendrobii, radix ophiopogonis in Yin "clear heat, benefit stomach fluid. Thermal image obviously can add water buffalo horn, radix paeoniae rubra heat cool blood detoxification. Lower limbs cold chills, like clear of the Yang deficiency plus system attached to the piece, ephedra asarum to explored only strengthen; Of qi deficiency, now or as obvious can share four gentlemen tonga solomonseal, jade bamboo.
 
 
Unfinished, full text links: http://www.cntcmvideo.com/zgzyyb/html/2013-12/09/content_80424.htm