? Dialectical analysis: According to the symptoms, signs and tongue picture of the patient, the pathogenesis of the patient is phlegm-dampness block, stagnation of heat impairing yin and kidney-yang deficiency. Patients usually like to eat fat, sweet and greasy, which leads to excessive phlegm in the body, obstruction of phlegm and stagnation of the spleen and stomach. Therefore, the arm is full of phlegm, eczema and itching, and the tongue coating is yellow and greasy; Depression turns into heat for a long time, which hurts yin and body fluid, so the patient is thirsty, the tongue coating is dry and there are a lot of cracks in the middle of the tongue; The phlegm in the middle jiao is wet and coagulated, and the kidney-yang in the lower jiao can't replenish the spleen, and the kidney-yang is insufficient, so the patient feels cold, prone to cold sweat and fat tongue.
? Treatment principle: resolving phlegm and eliminating dampness, dredging fu-organs and regulating qi, warming and nourishing lower energizer, and harmonizing liver, spleen and kidney.
Teacher Jingjing's scheme after dialectical analysis:
1, Yin San Meridian of Hand, Sanjiao Meridian, Branches, Houxi, Proper Size, Quchi, Big Bone Hollow, Small Bone Hollow.
2. Head and neck, wind pool, wind house, Tianzhu, Dazhui, sleep, carotid artery, vertebral artery and skull base bone are scraped.
3. Back, Du Meridian, Bladder Meridian, Liver, Spleen and Kidney Region, Section 6.7.8 of Thoracic Vertebra, Subaxillary Big Bag Incision, Upper Abdominal Xiashu, Big Bag, Sun Moon and Blood Sea.
4. Thyme Chong Ren Er Mai, Li Anquan, Tiantu, Yunmen, Zhongfu, Taiyi and Sliding Door.
5. The stomach, gallbladder and spleen channels below the knee are detoxified, and the middle part of tibia, the ends of the earth, Gu Ran, Zusanli, Sanyinjiao, Fenglong, Shangjuxu, Zhao Hai, Chongmai, Gongsun, Yongquan, Kunlun and Taichong are full of tears.
This scheme focuses on the Sanyin Meridian and Sanjiao Meridian of the hand stably, and resolves the stagnation of liver-qi and blood stasis. The Du meridian and bladder meridian on the back open the yang pulse, which enhances the yang of human body. Section 6.7.8 of thoracic vertebra corresponds to spleen and stomach and pancreas, combing the middle energizer. Liver, spleen and kidney treat liver and spleen, and the three organs treat it together. Thymus enhances human immunity. The stomach meridian, gallbladder meridian and spleen meridian below the knee are ground to eliminate toxins. The middle tibia, the big bone point, the small bone point, the upper abdomen Xia Shu, Gu Ran and the ground ridge are the key parts and acupoints for treating diabetes. Big bone void, small bone void, Tianzhu and light are the key points to improve eyesight. Quchi, Fengchi, Taichong, crying at the foot, calming the liver, calming the wind and lowering blood pressure. Dazhui clears heat. Taiyi, Slippery Meat Gate, Zusanli and Fenglong regulate the stomach with great deficiency, and reduce phlegm and turbidity.
Scraping effect: After the first scraping, the patient felt a lot less sputum in his throat and his voice was clearer. The itching at the eczema of the triple energizer channel disappeared, and the whole person felt relaxed. I agree with the effect of Li's method very much, so I have been scraping, and I have scraped more than 20 times so far.
Comparison of pictures, 1 and the 20th comparison.
On the left is the first picture, and on the right is the 20th picture.
From the image, the patient's congestion has been reduced a lot, the muscles have become flat, the stiffness has decreased, and the whole back has lost a big circle.
In contrast, the bruises on the hands are reduced, and the black eczema on the feet is changed from difficult to black eczema for the first time.
According to the patient's tongue picture, dryness, yellow and dryness are relieved, body fluid and tongue coating are restored, cracks on the tongue surface are gradually shallow, and sublingual collaterals are clear.
Therapeutic effect: After scraping for more than 20 times, the patient stopped taking hypoglycemic agents, and the blood sugar before meals was controlled at 6-7mmol/L, and the body weight was reduced from the highest of 202 kg to 185kg (the highest was 177kg). Because of his busy business, he didn't come to shave for more than 1 month, and he didn't pay attention to dinner and diet.
Ocular oct examination (May) showed that the patient had macular edema.
Oct reexamination in September showed that macular edema disappeared.
Patient, male, diabetes, hypertension for 3 years, high triglyceride, blood sugar above 7mmol/L after taking hypoglycemic drugs on an empty stomach, usually lack of energy, poor mental state, shallow sleep, usually prone to cold sweat, sticky sweat, greasy face, usually flustered, depressed, easily aggravated after meals, frequent nocturia, 3-4 times a night, waist and knees ache, and memory loss. The tongue is dull, the coating is white and greasy, the tongue is toothed, the tongue body is hypertrophy, and there are cracks in the middle. The sublingual collaterals are blue and knotted.
Dialectical analysis: According to the symptoms, signs and tongue picture of the patient, the patient belongs to spleen deficiency and dampness excess, phlegm turbidity transformation and kidney yang deficiency. Deficiency of spleen qi, abnormal transport, Shui Gu subtle substances can not nourish the whole body, so patients with deficiency of qi and weakness, spleen deficiency and dampness, phlegm turbidity into phlegm, blocked in the head and face, so greasy face, poor mental state, poor memory, dirty eyes; Being blocked by the heart, so flustered and depressed, you will not sleep well; There is obstruction in the stomach, so the stool is loose. Stagnation of blood stasis in the middle energizer, adverse qi movement, and deficiency of kidney qi and kidney yang in the lower energizer, so the patient has soreness of waist and knees, nocturia and numbness of feet. Yang deficiency, warmth, lack of discipline, irrational, prone to cold sweat.
Treatment principles: resolving phlegm and descending turbidity, invigorating spleen and benefiting qi, calming the heart and calming the nerves, warming the kidney and restoring yang.
Teacher Jingjing draws up a plan after dialectical analysis:
1, palm wrapping, heart meridian (calming the heart and calming the nerves), large intestine meridian (eliminating excessive heat) and triple energizer meridian (relieving depression and transforming the liver). The small intestine passes below the elbow joint (coordinating the heart meridian), Chise, Quchi, Qingling, Shaohai (calming the heart and dredging the collaterals), Taiyuan, Shenmen (improving sleep), Houxi and Yanggu.
2, head and neck, carotid artery, Baihui, Fengfu, Fengchi, Tianzhu, behind the ear, hurricane, sleep, lack of basin, air shed. (dredge the head and neck meridians to improve sleep)
3. Full back, Du meridian, bladder meridian (Kaiyang pulse), thoracic vertebra 4-5 (regulating heart), liver and spleen region, lumbar vertebra 2-3 (improving renal urine), Xinshu, plaster, Shentang (Anxinshen), Zhiyang, Ranjian, Jingmen, Zhangmen, Dabao and Stomach meridian.
4. Thymus, Chongren Ermai, Zhongshan (broad chest, regulating qi and dredging collaterals), Zhongwan, Rugen, Qimen, Shu Tian, Taiyi, and Slippery Stomach (regulating stomach and intestines, eliminating fat and removing turbidity).
5, the inner thigh, treating liver three points (treating liver disease).
6. Four wells below the knee detoxify, spleen meridian, stomach meridian, liver meridian, middle and upper tibia (lowering blood sugar), Fenglong, Shangjuxu, Zusanli (invigorating spleen and resolving phlegm), Yinlingquan, Diji (diuresis and eliminating dampness), Gu Ran (lowering blood sugar), Zhao Hai, Kunlun, Xu Qiu, Gongsun and Taibai (tonifying spleen).
The first time it looked like bruises, with more bruises and less black feet.
12, the image is light, and there is no blood and bruises, but a large number of black bruises can be scraped on the feet, and the qi and blood of the lower coke have recovered.
Compared with the tongue picture, the tongue surface becomes fresher, the crack in the middle of the tongue becomes shallower and the blue veins under the tongue decrease.
Scraping effect: The patient scraped 12 times before and after * *, and the fasting blood sugar was controlled at 7mmol/L to 5.5-7 mmol/L. At present, the dosage of hypoglycemic agents has been reduced. Other symptoms: palpitation has improved, the frequency has decreased, there is no sense of oppression, sleep and mental state have improved, shortness of breath, fatigue, cold sweat, excessive canthus, soreness of waist and knees, decreased memory, numbness of feet, fear of cold in lower limbs, oil stains on face and other symptoms have been alleviated, stool formation and nocturia have decreased from 3-4 times to 65,438+0-2 times, and the origin of blood pressure.
As can be seen from the figure, blood sugar can drop a lot after each scraping.
Diabetes is also called "spleen abscess" and "thirst quenching" in traditional Chinese medicine. Modern medicine regards diabetes as a common endocrine and metabolic disease characterized by persistent hyperglycemia, and its typical symptoms are "three more and one less" syndrome such as polydipsia, polyphagia, polyuria and emaciation. It can be seen that diabetes in modern medicine is very similar to diabetes in traditional Chinese medicine, but why are many diabetic patients diagnosed in modern medicine overweight?
In fact, this kind of patients are closer to the spleen abscess disease discussed in Huangdi Neijing. "Huangdi Neijing Suwen Strange Diseases": "The emperor said: What is the name of the disease if the mouth is sweet? How to get it? Qi Bo said: Overflow of five qi is also called spleen arthralgia. The five flavors of husband are hidden in the stomach and the spleen is doing it. Its essence is in the spleen, so it makes people sweet. This fat beauty is also caused. This person must eat sweet and fat. The fat person is hot inside, and the sweet person is full, then the gas overflows and turns thirsty. " Furuncle means heat, and spleen furuncle is a disease of spleen heat, that is, overeating is sweet and greasy, which leads to heat accumulation in the spleen and spleen qi overflowing in the mouth, resulting in sweet mouth symptoms, which can be transformed into diabetes over time. Spleen abscess is a prelude to quenching thirst. Clinically, this kind of obese diabetic patients should be regarded as spleen abscess disease and treated according to its etiology and pathogenesis.
Overeating is fat, sweet and greasy, resulting in phlegm-dampness evil, phlegm-turbidity trapping the spleen, and the function of spleen and stomach transport is reduced, which is the main pathogenesis of diabetic patients. To treat diabetes, it is necessary to eliminate phlegm and dampness, strengthen the spleen and regulate the stomach. This is true for both types of patients shared. They are fat, like to eat fat, sweet and delicious, with thick and greasy tongue coating. Therefore, we should pay attention to the combing of qi and blood in the spleen and stomach during scraping. If phlegm-dampness is blocked for a long time, it will inevitably lead to qi stagnation and blood stasis, and the liver belongs to the middle energizer like the spleen, and the function of the liver itself is to relieve the qi of the human body. Since phlegm and dampness are blocked, the function of liver qi will be affected. Both patients have high blood pressure and blurred eyes, so we should also pay attention to soothing the liver and regulating qi when scraping. Both the liver and spleen in the middle energizer are affected, and the spleen loses health and the liver loses qi and blood circulation, which will inevitably lead to insufficient qi and blood production and poor qi and blood circulation, such as fatigue, mental fatigue, metaplasia and blood stasis. If the qi and blood functions of the kidney, liver and spleen are not improved for a long time, the qi and blood obtained by the lower jiao will be insufficient and warm, so deficiency and cold will appear in the lower jiao. This is the case for both patients. The whole body is afraid of cold, especially the lower limbs, which are prone to cold sweat and nocturia, so the problem of lower jiao kidney should also be taken into account. Therefore, in the treatment of diabetes, special attention should be paid to harmonizing the liver, spleen and kidney, strengthening the spleen and eliminating dampness, soothing the liver and activating qi, and warming the kidney and restoring yang. In the scraping scheme, the liver, spleen and kidney reflex areas can be scraped again.
In addition to the primary consideration of liver, spleen and kidney, we should also consider the remaining two organs of heart and lung according to the symptoms of patients. For example, patients always feel phlegm in their throats, which is a lung problem. The lung is a device for storing phlegm, and the throat is its portal. This symptom shows that the pathogen of phlegm-dampness has invaded the lung, so there are cold springs in the lung meridian, ruler and neck and sudden changes in the meter. Another example is that patients are flustered, depressed and have poor sleep. This is because phlegm disturbs the heart and the mind has no nutrition. Therefore, in the plan, 4-6 thoracic vertebrae are scraped on the back, Xinshu, plaster and Shentang enhance the heart function, the pericardium and heart meridian of arm, Qingling, Shaohai and Shenmen soothe the nerves and help sleep, and the thymus is widened to regulate qi and dredge collaterals. Similarly, other symptoms can also increase the corresponding meridians and acupoints with the symptoms.
In the process of scraping, the scraping images of the two patients changed from bright red and bruised to pale. The more they scraped, the more fat they scraped on their feet, and the darker they scraped. Guo Zhijia's book "Zhang Yu Heng" divides scabs into skin scabs, flesh scabs and organ scabs. These scabs gradually spread from the skin surface to the tendons and veins, and finally spread to the bone marrow of organs, with a deeper and deeper degree. At first, because patients have skin lesions, there will be more skin lesions after scraping, but the skin lesions will subside after scraping, so we should pay attention to scraping organ lesions. Many patients always ask how many times scraping can be done, and whether scraping is not necessary after scraping. I replied that scraping can impact the focus and achieve the purpose of conditioning the viscera. The scraping time varies from person to person, depending on the patient's condition and the rise and fall of qi and blood. In the process of scraping, the channels and acupoints of scraping are slowly combed, and the blood stasis is gradually running, so the toxins, garbage and impurities contained in the body will be slowly discharged from the open channel, so the two patients have more and more chapped fat and black chapped feet, and the corresponding patients' conditions and many symptoms have also been improved.
Laozi said, "Five flavors are refreshing." If you don't control your diet, you will be hurt by your diet and spoil your taste. Most diabetics are related to fat and greasy diet. The blood sugar and symptoms of these two patients will fluctuate during scraping. In addition to irregular scraping time, another major reason is careless diet. For example, eating supper at night will increase the burden on the stomach, lead to food accumulation and damage the stomach. However, if your diet is fat, sweet and delicious, it is easy to increase the moisture in your body and your blood sugar will rise again. This is why Lee's Law does not advocate not eating again within 24 hours after shaving, in order to prevent your diet from disturbing your qi. In the case, once the patient ate less at night and didn't eat supper for a while, he persisted for a while with tenacious will and cooperated with scraping, and his weight dropped rapidly, from the highest 202 kg to 177 kg. But in the later period, he was busy shaving later and ate too much supper, so he gained weight again, and when he came back, it became 65438. Sun Simiao, a doctor in the Tang Dynasty, had three prudent ways to keep in good health, one of which was to eat carefully. "What is alive must be eating. People who don't know what to eat will not have enough to eat all their lives."
In addition, the protection of diabetic patients should also pay attention to maintaining emotional peace and proper rest. "Huangdi Neijing": "Nothing is indifferent, and the true qi follows; The spirit is internal and the disease is safe. " Zhuangzi: "Nourishing the heart is not good at lust". Ancient sages have long known the importance of nourishing the heart for human body maintenance. On the contrary, impetuous temperament and moody mood will kill people's lives and cause many diseases. Five emotions correspond to the five internal organs. Diabetic patients should pay more attention to emotional comfort and not be angry and resentful when phlegm-dampness turns into heat for a long time and burns body fluids. In addition, patients should also pay attention to the combination of activities and rest. In modern society, the pace of life is too fast and people exercise less, so human qi and blood are often in a relatively static state. Coupled with excessive pressure, sadness and resentment, depression and blood stasis often accumulate in the body. Over time, it has caused various sub-health States and chronic diseases. At this time, moderate exercise can make the human qi and blood run and be in a state of motion, so that the human body can maintain a dynamic and static balance. Diabetes is caused by phlegm-dampness stagnation, qi stagnation and blood stasis. Phlegm-dampness, qi stagnation and blood stasis block meridian qi and blood, so physical exercise should be strengthened to promote qi and blood circulation. "Running water does not rot, family members are not uncomfortable and move. So is Qi. If the shape does not move, the essence will not flow, and if the essence does not flow, it will be depressed. " Just because water can keep flowing for a long time, it will always be new and will not rot, and so will people. I often warn patients that they need exercise. If diabetics can exercise and lose weight, many symptoms can be greatly alleviated.
"Staff sergeant heard this word and worked diligently; The sergeant heard that living is death; The corporal smiled. Just laughing is not enough. "Li's method of saving lives is undivided attention. There is "Tao" in the heart, and there is also "Tao" under it. Such as cutting, cutting, grinding, practicing dharma, cultivating mind, Xiu De, the way of staff sergeant, the heart yearns for it.
Thank you, Mr. Li's method and Mr. Jingjing's example. We will continue to "work during the day and study at night" and strive to improve Mr. Li's method. I hope that thousands of families in Qian Qian will benefit from Mr. Li's method and benefit the people.