TCM Health Family

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Therapeutic Principle:
Individual and Comprehensive Therapy
According to individual conditions of patients, we treat foot gangrene patients
comprehensively by combination of internal treatment and external treatment of Traditional Chinese Medicine.
We can offer home treatment for diabetic foot paitients, but if you can come to our hospital to accept
treatment face to face, it will improve much more success.
For Stage I and early Stage II in every category,acupuncture and moxibustion are taken as the only
method. For Stage II and Stage III acupuncture and moxibustion are only taken as the secondary therapy.

Blockage of the collaterals by phlegm and blood stasis
(It is more often seen at the early stage of gangrene.)
Clinical manifestations. Heaviness and weakness of lower limbs, aversion to cold, intermittent claudication, pricking pain and numbness at the terminal ends of limbs, poor sensation or loss of sensation of the limbs with feeling like walking on cotton or something else, pale foot or dark foot with ecchymosis, skin hair loss, thickening of toe nails, dark pale tongue with white coating, deep thready or deep hesitant pulse. Pathogenesis: Persistent diabetes leads to deficiency of both qi and yin. Deficiency of qi fails to promote blood circulation and water metabolism. Blood stasis, phlegm and damp are mixed together to block the meridians in the lower limb, resulting in malnutrition of skin, tendons and bones. Principle of treatment: Strengthen the spleen, resolve damp, eliminate phlegm and remove obstruction from the meridians. Points and manipulation: Apply reinforcing method by lifting and thrusting the needle slowly and rapidly or warm reinforcing method on Zusanli ( ST 36), Yinlingquan (SP 9) and Sanyinjiao (SP 6) ; reducing method by lifting and thrusting the needle slowly and rapidly on Xuehai (SP 10), Diji (SP 8), Taixi (KI 3) and Chengshan (BL 57) ; blood-letting method on Bafeng (EX-LE 10); even method on Quchi (LI 11), Taichong (LR 3), Jiexi (ST 41), Xuanzhong (GB 39) and Kunlun (BE 60). Retain the needles for 30 minutes and give the treatment once or twice a day. Explanation: Zusanli (ST 36) is the He-Sea Point of Stomach Meridian of Foot-Yangming, needling the point with reinforcing method may strengthen the spleen and stomach, promote transportation and transformation, benefit qi and nourish blood. Yinlingquan (SP 9 ) is the He-Sea Point of Spleen Meridian of Foot-Taiyin, needling the point with reinforcing method can strengthen the spleen, resolve damp and dry the origin of phlegm-damp. Sanyinjiao (SP 6 ) can regulate qi of Spleen Meridian. It can not only strengthen the spleen to control blood, activate blood and resolve blood stasis, but also strengthen the spleen to promote transportation and transformation, resolve phlegm and eliminate the turbid. Xuehai (SP 10) and Diji (SP 8) are effective in activating blood and resolving blood stasis, needling the points with reducing method can resolve blood stasis and remove obstruction from the meridians. Quchi (LI 11) is characterized by promoting constantly; Taichong (LR 3) works to regulate liver qi; and Jiexi (ST 41) is good in promoting qi of Stomach Meridian; the three points aim to promote qi, activate blood and remove obstruction from the meridians. Pricking Bafeng (EX-LE 10) to cause bleeding is done for driving wind off from blood. The combination of all the points above can make qi and blood circulate smoothly in the various parts of the body, keep the meridians free and supply nutrition to the tendons and vessels.
Retention of cold due to yang deficiency
(It is more often seen at the first half of middle stage of gangrene.)
Clinical manifestations: Numbness, pain and cold feeling in the toe, aggravated by cold, aversion to cold, pale skin or blue purple skin on the local area, pale tongue with white coating, deep slow or deep thready pulse. Pathogenesis: In persistent diabetes, yin may affect yang, yang deficiency produces internal cold, failing in warming the limbs. Retention of cold in tendons and vessels causes blood stasis, and pain appears because of obstruction. Principle of treatment: Warm yang, disperse cold and remove obstruction from the meridians with warming method. Points and manipulation: Apply warm reinforcing method on Zusanli (ST 36), Chongyang (ST 42), Guanyuan (CV 4) and Qihai (CV 6), or add moxibustion after needling; apply reinforcing method by lifting and thrusting the needle slowly and rapidly on Yinlingquan (SP 9), Sanyinjiao (SP 6), Quchi (LI 11), Hegu (LI 4), Taixi (KI 3), Rangu (KI 2) and Xuanzhong (GB 39). Retain the needles for 30 minutes and give treatment once or twice a day. Explanation: Zusanli (ST 36 ) is the He-Sea Point of Stomach Meridian; Chongyang (ST 42) is the Yuan-Primary Point of Stomach Meridian; GuanYuan (CV 4) and Qihai (CV 6) are the seas of original yang and original qi; the combination of four points can warm yang and benefit qi. Application of warm reinforcing method or moxibustion is to warm yang, disperse cold, and remove obstruction from the meridians. Reinforcing Yinlingquan (SP 9), the He-Sea Point of Spleen Meridian, can strengthen the spleen, resolve damp, raise yang and push the sinking upward; reinforcing Taixi (KI 3), the Yuan-Primary Point of Kidney Meridian, Xuanzhong (GB 39), the influential point of marrow, and Rangu (KI 2), the Ying- Spring Point of Kidney Meridian, can nourish yin, get yang from yin to maintain endless inter-transformation between yin and yang. Taichong (LR 3), Xuehai (SP 10) and Diji (SP 8) are selected to regulate qi, activate blood, resolve blood stasis, remove obstruction from the meridians, and eliminate blood stasis to get fresh blood.
Downward flow of damp-heat
(It is more often seen in localized infection. )
Clinical manifestations: Infection and ulceration of the foot, local swelling and pain, stick pui-ulent exudates, low grade fever, white greasy or yellow greasy tongue coating, rolling and rapid pulse. Pathogenesis: Damp-heat flows downward to block the meridians and collaterals, excessive heat rots the flesh. Principle of treatment: Clear damp-heat, push the interior outward and dissipate pus. Points and manipulation: Apply reducing method by lifting and thrusting the needle slowly and rapidly on Zhongwan (CV 12), Yinlingquan (SP 9), Sanyinjiao (SP 6), Zhongji (CV 3), Fenglong (ST 40) and Neiting (ST 44); add moxibustion after needling Zusanli (ST 36) and Jiexi (ST 41). Retain the needles for 30 minutes and give treatment once or twice a day. Explanation: Zhongwan (CV 12), the Front-Mu Point of the Stomach, has the effect of strengthening the spleen and stomach, benefiting transportation and transformation, and regulating ascending and descending functions. Yinlingquan (SP 9) and Sanyinjiao (SP 6) can strengthen the spleen, benefit transportation and transformation, and resolve damp. Zhongji (CV 3), the Front-Mu Point of the Bladder, together with Zhongwan (CV 12), Zusanli (ST 36), Yinlingquan (SP 9) and Sanyinjiao (SP 6 ) may effect transformation of qi, promote water metabolism and clear damp. Fenglong (ST 40), the Luo-Connecting Point of Stomach Meridian, can drain heat outward, eliminate damp and resolve phlegm, if reducing method is applied. Neiting (ST 44) is the Ying-Spring Point of Stomach Meridian; it is effective in reducing heat. Use of moxibustion after needling Zusanli (ST 36) and Jiexi (ST 41) is to raise yang, push the sinking outward and dissipate pus. The combination of these eight points may eliminate and drain damp-heat. In addition, there are another two types of diabetic foot: excessive toxic heat and remaining of pathogenic factors due to deficiency of qi and blood. They are not discussed here, because they are not the indications of acupuncture and moxibustion treatment.

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