537 Tongbi Decoction combined with Aitong Prescription

Su Yang immediately entered the system space for experimental treatment.

He plans to use Tongbi Decoction and Aitong Prescription for treatment for this patient.

In the first step, he prepared medicines and instruments first.

First of all, there are drugs. There are many sources of traditional Chinese medicine, but the properties of the medicine are not stable. In some places, the quality of traditional Chinese medicine is worse, and in some places it is better. Therefore, the first step is to choose traditional Chinese medicine.

Astragalus, origin: Minxian County, Gansu; Angelica, origin: Minxian County, Gansu; Chicken Blood Vine, origin: Baoji, Shaanxi; Raw Place, origin: Jiaozuo, Henan; Sandwich, origin: Bozhou, Anhui...

This time the treatment was extraordinary, so he was very cautious. He spent a lot of effort on choosing Chinese medicine alone. After choosing, he personally conducted an appraisal to ensure the quality of the medicine.

Secondly, prepare the instrument, Keypoint   -Workstation     (      MEB    -  2306C) full-function electromyography/evoked potentiometer, Nikkei Co., Ltd. product.

The Chinese medicine and instruments were ready soon, but the relevant preparations were not over yet. Su Yang then began to boil Chinese medicine, etc.

First, make a recipe for making Tongbi Decoction: take 50     g of Astragalus, 10     g of Angelica sinensis, 30    g of Chicken Blood Vines, 10     g of Raw Rehmannia, 10     g of Frostworm, 10     g of Earth Dragon, 10        g of Psorala, 10    g of Eucommia, 10 g of Eucommia, 10 g of Sichuan, 10        g of Chuanxiong, 10    g of Pueraria root, 10                                                                                                                                   �

Secondly, prepare a prescription for Aitong: take safflower    15    g, moxa leaves     15    g, frankincense     15    g, myrrh     15    g, roadways     15    g, decoction with clean water     250    mL.

Afterwards, Su Yang began treatment.

The patient gave Tongbi Decoction 150 mL each time, 1 time in the morning and evening, and then took orally, and then gave Aitong prescription for staining. The dosage was 250 mL, and fumigated with external fumigation and washing, 1 time a day.

Before and after treatment, the motor nerve conduction velocity and sensory nerve conduction velocity were detected using a full-function electromyography/evoked potentiometer. Observe and record the occurrence of adverse drug reactions in the patient.

In order to accurately evaluate this treatment, Su Yang decided to evaluate the efficacy of the treatment according to the literature method, which was divided into cure, obvious effect, effective and ineffective.

Recovery: clinical symptoms, physical signs disappear, and the nerve conduction speed is normal;

Significant effects: clinical symptoms, signs are significantly improved, clinical symptoms points are reduced by ≥70%, and nerve conduction speed is increased by ≥10%;

Effective: clinical symptoms, signs improve, clinical symptoms points are reduced by ≥30%, and nerve conduction speed is increased by ≥5%;

Ineffective: There is no change or worsening in clinical symptoms and signs.

Neurological symptoms score: Needle-like pain, knife-cut pain, abnormal cold and burning sensation, and any symptom is 1. The aggravation at night is 2. The total score exceeds 3. It is divided into abnormal neurological symptoms.

Neurological sign score: Normal knee reflex is 0 points, enhancement elicitation is 1 point, physical sign disappears 2 points, total score is 5 points, above are neurological sign abnormalities.

Results After treatment, the patient's motor nerve conduction velocity, sensory nerve conduction velocity, clinical symptoms and sign scores were greatly improved.

In other words, after treatment, the motor nerve conduction velocities and sensory nerve conduction velocities of the median nerve, ulnar nerve, tibial nerve, and peroneal nerve of the patient's median nerve, ulnar nerve, and peroneal nerve were significantly better than before treatment, and the incidence of adverse drug reactions of this treatment was 0    .

Therefore, Tongbi Decoction combined with Aitong Prescription for treating lower limb numbness caused by diabetic peripheral neuropathy is accurate. It can significantly improve the patient's lower limb numbness and nerve conduction function, and the incidence of adverse drug reactions is low.

It is especially effective for the patient, Mr. Yang.

After exiting the system space, Su Yang's confidence increased greatly and immediately gave the patients corresponding treatment.

Because this is the first time to undergo treatment, the effect is still very significant. The patient's numbness in the lower limbs has been greatly relieved. Of course, once the medicine is effective, the symptoms may recover a little, but all of this is within the acceptable range. As long as two courses of treatment are maintained, the patient's condition can be completely reversed.

The patient felt very good and was very satisfied with Su Yang's diagnosis and treatment.

However, Su Yang had three patients today, not only one, so after the treatment of the first patient, he immediately started the treatment of the second patient.

At this time, several pairs of eyes were looking at him. Because of the precedent of Mr. Yang, everyone began to trust Su Yang a little, and they couldn't help but have ideas in their hearts, hoping that Su Yang could cure himself.

Su Yang began to diagnose the second patient.

The same procedure is still holding a tablet and checking the patient's relevant information one by one.

The symptoms of the second patient and the first patient are basically the same, both with numbness of the lower limbs. However, after watching for a while, Su Yang intuition told him that the causes of the two people are likely to be different. Although the patient is also full of problems, there are all kinds of diabetes, hypertension and cervical spondylosis, but the cause of numbness of the patient's lower limbs should not be the neuropathy caused by diabetes.

Su Yang carefully diagnosed and carefully analyzed.

After looking at it for a while, he came to the conclusion that this was due to numbness of the lower limbs caused by herniated lumbar disc.

Clinically, the pain symptoms of lumbar disc herniation are easier to treat and improve, but the symptoms of numbness in the lower limbs are extremely difficult to cure.

Numbness was called "stubborn" and "unkind". Numbness is the feeling of skin and ants walking, or like electric shock; wood is the feeling of intangible skin and flesh as thick as wood. Magnolia is the gradual flow of wood, and wood is the extreme of numbness. "Danxi Xinfa·Jue57" says: "Hands and feet are qi deficiency, while those with hand and feet have damp phlegm and blood death"; "Zhang's Medical Tong" says: "Materials are phlegm and deficiency, while wood is phlegm and blood death death" and it can be seen that numbness is mostly a symptom of deficiency and excess, deficiency of qi and blood is the basis, and phlegm and dampness and blood stasis are the criteria.

After confirming the cause, Su Yang quickly began experimental treatment.

This time, he used another method to treat it, with instantaneous strong electric acupuncture combined with lumbar lateral pulling method.

The first is instantaneous strong electroacupuncture treatment.

Acupoints: Shenshu, Qihaishu, Datangshu, Guanyuanshu, Huantou; because the patient is mainly numb on the posterior side of the lower limbs, the affected side is Chengfu, Weizhong, Chengshan, and Kunlun are added.

After the patient's acupuncture points are routinely disinfected, the acupuncture points on the waist and hips and lower limbs are selected respectively.    0.35   mm×75    mm or 0.35   mm×60          Disposable sterile acupuncture needles are used, and each acupuncture point is directly punctured.

Insert the needle at the waist acupoints   45~60    mm                                               

Su Yang slowly inserted the needle and performed a slight lifting, inserting and twisting technique to encourage the patient to get angry; the needles in the buttocks and lower limbs were 35-50 mm. The depth of the needles in the waist, buttocks and lower limbs was based on the patient's qi. The feeling of qi was better because the patient felt that there was a significant discharge inductance in the numb areas of the lower limbs (or not) involuntarily twitching and beating the lower limb muscles.

After getting the air, remove the needle slightly, and use the HANS-200A type electric needle instrument, using a continuous wave, connect the large intestine and the rank edge, and slowly increase the current intensity to 10-20 mA to make the patient have a slight sense of air, and then quickly increase the current intensity to 50 mA. When the patient has a clear feeling of electric shock in the lower limbs, the lower limbs are unconsciously flexed and bounced up, quickly reduce the current intensity to 0 mA. Repeat this 3 times, each time interval is 10-20 s, and finally adjust the current intensity to the patient tolerable intensity, lasting 15    min, and add TDP                                                                                                                                                                   
Chapter completed!