Deficiency and blood stasis causal treat ecthyma based on different stages (two) 
 
 
Que huafa Xu Jie male Zhang Zhen XingJie Wang Yunfei ChanWei XiaoWen Tang Hanjun
Longhua hospital affiliated to Shanghai university of traditional Chinese medicine surgery 
 
 
China's traditional Chinese medicine to 

        Guggenheim surgical think, ulcer in the lateral, belong to the three Yang meridians of foot, more gas blood should be reused invigorate the circulation of t2dm with gas, as the attached, triangular, etc; Hair on the inside, is much less blood gas foot three Yin meridians, appropriate weight for reasons air righting, invigorate the circulation of t2dm with medicine, such as radix astragali. In the muscle Cou plus astragalus, ephedra, etc; In Riga sijunzi decoction, puerarin, etc.; In the blood and herba schizonepetae, Chinese honeylocust spine; In the Hindu kush and radix bupleuri, malt and so on. 
 
        Chronic lower limb ulcer 1 generally can be divided into pus corrosion layer, stasis, normal layer. The stasis layer development and change of the local tissue is a key to treatment. And evil drugs and blood beat each other knot, meridians and blood stasis resistance is a key layer stasis pathogenesis. Only local blood running normally, meridian dredging, can restore vital qi, poison out of rotten abscess. 
 
        Wound, parts and meridian syndrome differentiation 
 
        Guggenheim surgical attention to local syndrome differentiation, in order to further improve the clinical curative effect, shorten course of treatment. To the local administration of wound ulceration color guide. Wound color pink, pale, thin secretions for the weakness of qi and blood, the additive suberect spatholobus stem, salvia miltiorrhiza, benefit qi and blood; Wound dark purple color, skin and blood stasis, or have the veins stood out engorgement, stasis for collaterals, additive leech, ground beetle, earthworm and so on insect insect pick t2dm. 
 
        Wound green dark color and ichor thin, boils weeks not lukewarm, AnHei, though for the spleen kidney decline or Yang has a cold, can add epimedium invigorate the kidney and nourishing essence, prepared rehmannia root, cornel, yellow yi jing, or of aconite and cinnamon and cassia twig isothermal Yang t2dm; Wound color dark, partial granulation edema, zi water dripping wet and not smelly, sores weeks edema, many are the origin, add yi, rice bean, alisma lishi detumescence; Wound color dark, zi water dripping wet, or on the attached pus moss, or have a bad smell, sores week red hot, or with blisters, eczema, for the hot and humid poison evil lingers collaterals, additive glabrous greenbrier rhizome, Bi Xie, giant knotweed been detoxification, etc. 
 
        In addition, can according to the head, the shape, color, smell, combined with pus culture as a result, selects the pus, remove rotten medicine. Pus, color yellow and thick, such as staphylococcus aureus, hemolytic streptococcus gram-positive bacterial infection, can use this, BaEr Dan Dan; Pus, color, green, black, thin like water, or air bubbles, or red in their stench, much as pseudomonas aeruginosa, e. coli and other gram-negative bacteria, and anaerobic bacteria and mold growth, antibiotics are often not sensitive, and can use 5, 4, Dan Dan, or solidago canadensis, humulus scandens, purslane, rhizoma coptidis, fleas, such as Fried soup, stay warm soaking wet apply affected part, often takes effect. 
 
        Guggenheim surgical think, ulcer in the lateral, belong to the three Yang meridians of foot, more gas blood should be pay attention to the application of invigorate the circulation of t2dm with gas, such as attached, rhizoma sparganii, rhizoma zedoariae, etc; Hair on the inside, is much less blood gas foot three Yin meridians, should pay attention to the application of yiqi centralizer, invigorate the circulation of t2dm with medicine, such as the reuse of raw radix astragali. In muscle Cou, astragalus, ephedra, radix platycodi, radix angelicae; In the meat, add sijunzi decoction, pueraria lobata; In the veins, herba schizonepetae, Chinese honeylocust spine; In the Hindu kush, radix bupleuri, malt, root of herbaceous peony medicine; In bone, malaytea scurfpea fruit, rhizoma drynariae. 
 
        The integrated use of external treatment in stages 
 
        Chronic lower limb ulcer location shallow, so the main treatment method for local drug use. Guggenheim surgical claim refinement of wound local syndrome differentiation, according to what rotten meat organization and fall off easily, wound pus form quality, color, smell, and the amount of how many, boils the tissues inflamed hot pain and ulcer of colour and lustre, granulation growth and gen weeks epithelial climb conditions, the characteristics of different stages of the local wound, dynamic application and remove rotten remove stasis syndrome differentiation tonify deficiency, invigorate the circulation of raw flesh outside of the sequential therapy. 
 
        Remove decaying stage, to pull out poison pus, remove corruption in litres of Dan preparation for external use, or heat-clearing and detoxifying herbal decoction with wet wet apply, Ta stains or fumigation, external treatment of heat-clearing and detoxicating detumescence ointment is given priority to mention pus remove rotten, remove stasis rot, simmer pus remove corruption, cooperate with eating into therapy, etc. 
 
        Stage, the production of muscle in muscle skin long life etc. For external use only, or the centralizer rong, invigorate the circulation of muscle decoction of Chinese medicine fumigation, wet apply, apply the centralizer invigorate the circulation of the production of ointment is given priority to simmer pus, the production of matching tie tied therapy, hot drying therapy, moxibustion therapy, etc.
 
 
 
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