"Dynamic-Preface to Fan Fan's Eight Methods" to help patients "end" the history of ten years of diabetes

Author:Guangdong Provincial Hospital Time:2022.08.01

Open bar:

"Dynamic-Fan Fan Guan Fan's Eight Dharma" is the theory of traditional Chinese medicine proposed by Professor Fan Guanjie. For many years of research and practice of the team, the book "Philosophy Traditional Chinese Medicine-" Moving-Preface to Fan Fan's Eight Laws "and the clinical thinking of Chinese medicine use philosophy to interpret Chinese medicine and verify philosophy through traditional Chinese medicine. Through the push of this column, it is hoped that Chinese medicine practitioners will develop their thinking and improve the clinical level.

Medical Guidance: Director of the Department of Endocrinology of the Department of Endocrinology of Guangdong Province, Fan Guanjie, an academic leader

introduction

Diabetes is a chronic metabolic disease caused by long -term common effects of genetic factors and environmental factors. It is characterized by increased blood sugar, and is accompanied by typical symptoms such as drinking, urine, more food and weight loss. As the course of disease progresses, the difficulty of blood glucose control in patients has increased, and the risk of complications has increased. In traditional concepts, diabetes is a lifelong disease. Therefore, sugar friends are pessimistic that they need to take drugs for life, and drugs and insulin will not stop drugs after the disease is more and more. In recent years, the "relief" of diabetes has become a hot spot in modern medicine. However, as early as ten years ago, Professor Fan Guanjie had tried to use traditional Chinese medicine for sugar friends ". In addition to the superb medical skills, Chinese medicine overcome diabetes, but more importantly, the doctor of the big -bearing lover is kind, gives patients consolation, gives patients confidence, and gives patients hope.

Case

Patient Mr. Jiang, 49 years old, was diagnosed on November 2, 2021.

First diagnosis:

Prosecution: 10 years with a history of type 2 diabetes. On October 9, 2021, inspecting glycated hemoglobin: 10.3%, blood glucose (0H, 2H): 17.18mmol/L, 23.81mmol/L. Hypogenous drugs gradually increased from the initial oral hypoglycemic to a variety of oral drugs combined with four insulin. The tedious hypoglycemic solution seriously affects life and work. The empty blood glucose 8mmol/L has not yet reached the standard.

Seeing the symptoms of the doctor: the expression is dignified, tired, dry, drinking more, and bitter. Self -prosecution is worried, easy to be nervous, irritable, nan Ke, poor sleep, yellow urination, and poor stool. Red tongue, thin white moss, pulse strings.

Diagnosis: Chinese medicine -thirst (liver stagnation fire, internal blood stasis resistance)

Western medicine -type 2 diabetes

Governance: Differential liver and depression, clearing heat and diarrhea, promoting blood circulation and removing blood stasis

Treatment measures:

Prescription of Chinese medicine: 10g of Bupleurum, 30g of white peony, 10g of mint (latter), peony skin 30g, tulip 10g, red peony 30g, system far as 15g, raw ground yellow 30g, licorice 5g, Yanhu cable 15g, forsythia 30g, light bamboo leaves, light bamboo leaves, light bamboo leaves, light bamboo leaves, light bamboo leaves, light bamboo leaves 10g, Danshen 15g.

Professor Fan Guanjie asked the patient's symptoms and needs in detail. After checking the results of the previous test and inspection, it was recommended that the patient discontinued all insulin first, and then changed the hypoglycemic western medicine to the gifuma (2mg twice a day). (0.5g twice a day). Faced with hesitant patients, Professor Fan Guanjie can improve blood sugar like Chinese medicine comfort. Although the course of the disease is long, as long as you persist in taking Chinese medicine and actively cooperate, there are still the opportunity to reduce sugar -hypoglycemic medicine and even "picking hats". Professor Fan Guanjie explained the patient's diet, exercise and decoction methods in detail.

Second consultation:

On November 30, 2021, after the insulin was discontinued, the blood glucose blood glucose was 5.7mmol/L.

The patient's mental state was in good mental state, and the brows were unlocked. The symptoms of dry mouth and drinking were significantly improved. There were still suffering, occasionally upset, improved sleep, clear urine, and stool. The tongue is red, the moss is yellow and greasy, and the pulse strings.

After Professor Fan's system evaluates the blood sugar situation, only the di metarium mittering tablets of hydrochloric acid (0.5g twice a day) are retained. In terms of traditional Chinese medicine, the patient has a long liver qi and depression, and it turns into heat.

Three consultations:

On January 04, 2022, the current empty abdomen peripheral blood glucose is 6.7mmol/L. Patients have nothing to do with drinking and drinking, bitter mouth, no annoyance and anger, occasionally insomnia, and rotten stool. Tongue red, thin yellow moss, pulse strings.

The patient's liver stagnation and fire are significantly reduced, so they went to forsythia to reduce the amount of peony skin, red peony, raw ground yellow, and white peony. And continue to use dual -dual -naphthalin to reduce sugar.

Fourth consultation:

On February 15, 2022, venous fasting blood glucose 7.31mmol/L, an empty stomach C peptide: 0.31nmol/L, glycated hemoglobin: 5.2%. Patients have increased diet during the Chinese New Year. The tongue is red, the moss is yellow and greasy, and the pulse strings are slippery.

Considering the repeated condition of the patient due to the loss of diet, the internal and humid internal container, the Gaotian base yellow 30g, and the chicken bone grass 30g clear the liver and gallbladder dampness and heat.

Five consultations:

On March 15, 2022, the current empty abdomen peripheral blood glucose is 6-7mmol/L. The patient is clear, spiritual, without dryness, drinking, bitter mouth, slightly itchy, sputum in the throat, nanian, two stools. The tongue is red, the moss is yellow and greasy, and the pulse strings.

After the five consultations, the patient's blood sugar stabilized. Orange Red 10G Yiqi Qi and spleen and phlegm.

Follow -up:

Patients have continued to treat diabetes for more than March, and the symptoms have disappeared. Tongue red, thin yellow moss, pulse strings. On July 12, 2022, the empty stomach C peptide was reviewed: 0.31nmol/L, an empty blood glucose 6.9 mmol/L, and glycated hemoglobin: 5.8%.

note

Professor Fan Guanjie believes that liver qi depression is closely related to the development of thirst. Emotional disorders, then liver qi and stagnation, depression for a long time, and fire, hot internal rumors, leading to a series of pathological changes such as yin deficiency, heat, and blood stasis, which affects the three organs of the lung and spleen and kidney, and it is easy to cause thirst. At the same time, the dysfunction of thirst and long viscera and the whole body qi and blood will also cause the liver excretion function.

It is the so -called "five ideas can make fire". The patient is in the middle of the age. As the pillar of the family, the pressure of work and life is high, plus 10 years with type of diabetes, and the disease torture. , Jiu Diicen became stasis, and it was for this disease. Liver depression is both "cause" and "fruit". Professor Fan Guanjie captured the core diseased machine -liver depression and fire, internal blood stasis resistance, to relieve liver skewers (Chaihu, Baiji, Mint, peony skin) The machine adjusts smoothly, qi and blood and tunes; the red, yellow, forsythia, light bamboo leaf cooling and heating fire; control the far -sightedness and calmness; Activating blood circulation and dispersing stasis; licorice tunes. For the combination of various medicines, to play the effect of relieving liver and relieve depression, clearing heat and diarrhea, promoting blood circulation and removing blood stasis.

For such patients, humanistic care is also very important. Professor Fan Guanjie emphasizes heart disease to need heart medicine, and "benevolent lover" is the core content of Confucian cultural care. During the diagnosis and treatment process, Professor Fan Guanjie enlightened and supported the patient from spiritual and emotion to meet the health needs of patients. From the problem that the patient wanted to solve the old, boldly abandon the old concept of taking medicine for lifelong medicine in the past. Then use the effective effect to bring confidence and hope to patients, and reflect humanistic care everywhere. Professor Fan Guanjie used the "Dynamic-Preface to Eight Dharma" to regulate diabetes as a whole. Lottery lasted in just April. Miao Zhi is stubborn, with significant effects!

Medical Guidance:

Fan Guanjie, a provincial -level famous Chinese medicine medicine, a professor of clinical talents in the country's outstanding Chinese medicine, the seventh batch of academic experience inheritance of academic experience in the academic experience of old Chinese medicine experts, chief physicians, doctoral supervisors, and postdoctoral cooperative professors.

Good at: integrated Chinese and Western medicine to treat diabetes, diabetic peripheral neuropathy, diabetes and nephropathy and other diabetes complications, as well as endocrine metabolic diseases such as hyperthyroidism, hyperthyroidism, thyroid gland nodules, nailitis and other thyroid diseases, gout, obesity, and hyperlipidemia.

Diagnosis time

Location of the diagnosis

Tuesday afternoon (13: 30-16: 00)

Dade Road General Hospital

Thursday afternoon (13: 30-15: 30)

Fangcun Hospital

Sunday afternoon (13: 30-15: 00)

Gu Shengtang Clinic

Dade Road General Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine: No. 111, Dade Road, Guangzhou City

Fangcun Hospital, Guangdong Provincial Hospital of Traditional Chinese Medicine: No. 36 Yong'an Street, Guangzhou

Gu Shengtang Yuexin Clinic: 4th Floor, Moon Jinyu, Changyong Road, Changdi Road, Yuexiu District, Guangzhou

Traditional Chinese medicine is an excellent representative of traditional Chinese culture. The book "Philosophy Traditional Chinese Medicine-" Dynamic-Preface to Fan Fan's Eight Laws "and the clinical thinking of Chinese medicine" uses various mainstream philosophical thinking methods of ancient and modern Chinese and foreign And building is a new attempt for breakthroughs in the theory of Chinese medicine, and it is also a lively example of self -confidence in Chinese culture. The theory of "Chinese Medicine" comes from clinical, and it is higher than the clinic, and instructs clinical use. This book systematically describes Professor Fan Guanjie's clinical medicine ideas and is also a summary of Professor Fan's clinical experience.