Patients with combination of traditional Chinese and western medicine keep frostbite legs

ZhaoJiRong SongYuan WangYu LiYan HeZhiJun Gansu institute of traditional Chinese medicine

China's traditional Chinese medicine to

        On November 14, 2010 SuNaXian patients in gansu province xing so-and-so, male, 38 years old, for more than 18 hours frostbite feet, double foot frostbite serious, a local hospital advice double lower limbs amputation surgery. Patients on November 14, gansu province hospital of traditional Chinese medicine to the brotherhood of minimally invasive orthopaedic treatment, hope I can keep double lower limbs. Gansu province health department director LiuWeiZhong instructions play traditional Chinese medicine advantages, and actively limb-salvage treatment, the final success. The doctor of traditional Chinese medicine in the treatment of the disease about some of the experience to carry on the analysis summary, for everybody reference.

        Frostbite is damage that happens in certain conditions due to cold role in human body, cause local and systemic damage. Damage degree and the strength of the cold, wind speed, humidity, frost time, and local and systemic state has a direct relationship. Frostbite in four degrees. The first once frostbite the most light, i.e. common "frostbite", damaged in the epidermis layer, frost site skin irritation congestion, the determination heat, itching, burning pain, symptoms in a few days later disappear, the except the exfoliation outside, leave scar. Bis frostbite injury and dermal shallow, after injury except red outside, accompanied by blisters, blister inside for hemorrhagic fluid, deep can appear edema, pain, skin feel dull. Three degrees of frostbite injury and skin full layer, appear black or puce, the pain of loss of sensation. After the wound is healed, in addition to the left a scar outside, can have long-term hyperesthesia or pain. Four degrees frostbite injury and the skin, subcutaneous tissue, muscle and even bone, can appear necrosis, loss of feeling. For severe frostbite treatment, modern medicine clinical reports in treatment of western medicine, and combining traditional Chinese and western medicine treatment is rarely reported, is now the cases with severe frostbite (four degrees) combine traditional Chinese and western medicine treatment is introduced as follows.

        To begin with spirit of patients with poor, double foot skin dark purple, gangrene obvious, feeling to disappear, double digits end acupuncture no bleeding, no plantar flexion activities, foot back moving not touch the pulsation. X-ray shows: double foot bone not seen abnormal changes obviously. After admission to anti-inflammation, shock and improve microcirculation and other drugs, local warm, wounds to the two cleaning fluid dressing cover, daily dressing 2 times. Positive treatment blister and necrotic tissue, keep the wound clean. Two weeks later, necrotic tissue boundary obviously before the double foot frostbite necrotic tissue removal technique, postoperative to anti-inflammatory, invigorate the circulation of blood drug therapy, wound sterile jade red oil yarn dressing to wound fresh, granulation tissue growth good, double leg flap transfer prosthesis, postoperative 4 weeks off speed, flap survival, wound good recovery, patients can turn on the earth walk, double foot skin feel recover gradually, peripheral blood supply is good, poor ankle activities.

        The treatment of traditional Chinese medicine after:

        On November 14, 2010 the first diagnosis: god qing, spirit is poor, Mr, night insomnia not beautiful, urinate adjusted, defecate is not the solution, numbing cold feeling, color of skin dark purple, tongue mass lilac, moss thin white, vein string fine. To WenTong meridian, qi and promoting blood circulation of the agent, the prescription as follows: cassia twig 10 grams, asarum 3 grams, 20 g angelica sinensis, rhizoma ligustici wallichii 10 grams, angelica dahurica 10 grams, suberect spatholobus stem 10 grams, main radix astragali 30 grams, 10 g dried tangerine or orange peel, 15 g of rhizoma atractylodis macrocephalae, poria cocos 10 grams, perrin 10 grams, red 10 grams, red paeony root 10 grams, liquorice 5 grams, sanqi (panax notoginseng) powder from Fried particle 15 grams, water frying clothing, daily 1 agent, points 2 times clothing.

        On December 3rd, 2010: god qing, spirit is compatible, Mr, night fair insomnia, ErBian adjusted, frozen damage sore broken, wound around red, associated with fever, red tongue moss yellow, pulse number. To tonifying qi and blood concretion run smoothly, the agent, prescription as follows: red 10 grams, dangshen 20 grams, red paeony root 10 grams, angelica 10 grams, perrin 10 grams, dragon's blood 1.5 grams, radix astragali 30 grams, 10 g of rhizoma atractylodis macrocephalae, poria cocos 10 grams, forsythia 10 grams, raw radix rehmanniae 10 grams, liquorice 5 grams, 30 grams of dandelion. Water Fried points clothing, daily 1 agent, points to take 2 times.

        In January, 2011 the day: god qing, spirit is compatible, NaCha, fatigue, insomnia night fair, ErBian adjusted, tongue qualitative light, moss white greasy, vein string slide, to the spleen to change the wet agent, prescription as follows: dangshen 15 grams, radix astragali 30 grams, 10 g of rhizoma atractylodis macrocephalae, poria cocos 10 grams, rhizoma atractylodis 10 grams, cortex phellodendri 10 grams, Fried YiMi 10 grams, rhizoma alismatis 10 grams, forsythia 20 grams, coke divina commedia 10 grams, coke hawthorn 10 grams, salvia miltiorrhiza 20 grams, water frying points clothing, daily 1 agent, points 2 times take sooner or later.

        January 18, 2011: god qing, spirit is compatible, fatigue, NaCha, night insomnia, ErBian adjusted, tongue mass light fat, moss thin white, vein heavy fine. Cure to kidney tonic. Herbs are as follows: cortex eucommiae 30 grams, radix achyranthis bidentatae 30 grams, mistletoe 15 grams, radix dipsaci 10 grams, 15 g angelica sinensis, rhizoma ligustici wallichii 15 grams, asarum 5 grams, radix paeoniae alba 10 grams, poria cocos 10 grams, cultivated land 10 grams, dangshen 10 grams, rhizoma atractylodis macrocephalae 10 grams, liquorice 10 grams, water frying points clothing, daily 1 agent, points 2 times take sooner or later.

        According to traditional Chinese medicine will frostbite called "frostbite," the doctor of traditional Chinese medicine to frostbitten causes, pathogenesis and early symptoms were described. The surgical authentic "said:" muscle cold pole, not the beginning of qi, purple spot, long, black, decay for pus." The YiZong gold or "load:" this card by the bitter cold of the gas, injury and flesh is frozen, so that the blood coagulation, muscle hard swollen, stiff wood don't know hurts.... jun storm frozen namely the hot... light is sore, heavy then bone pathway of reinforcement even."

        Frostbite total by cold injury in flesh, stroke "in blood, sun be the spirit loss of Xu, qi and blood caused by rickshaw. This case early because of cold evil around fierce, the injury in the sun be the spirit, blood coagulation acerbity, qi and blood can't keep body temperature, the wounds color of skin dark purple, numbness cold feeling; Tongue mass lilac, moss thin white, vein string fine for haemorrheological nature of blood stasis like. Cure to WenTong meridian, qi and promoting blood circulation. But because patients frostbite is heavier, injury and bones and muscles, cold evil turn heat, heat put meat rot, chilblain dyke break, wound around red, red tongue, moss yellow, pulse number for cold evil change hot, damp and hot accumulate knot of the elephant, treat to concretion run smoothly, tonifying qi and blood. For the patients after hot poison gradually except, dampness evil does not remove, treat the spleen to change wet, wet to go after kidney tonic to the agent, the patients gradually complex. Inside and outside the pathogenesis, Chinese and western pay equal attention to, the operation of traditional Chinese medicine combined with the essencial etiopathogenesis, has obtained the good curative effect.