Description for medicine or protocol of treatment in detail:
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(1) "Qinghai-Hua-Bu" staged comprehensive treatment plan
Clear heat and remove rot: jiuyi Dan or 8er Dan is selected according to the pus rot condition of wound, and red ointment is applied externally;According to the situation of the whole body, the use of heat and detoxification drugs syndrome differentiation, to five flavor disinfection drink plus or minus.
L Promoting blood circulation and removing blood stasis: external use of shengji Yuhong paste, or red oil paste, or Shengji Huayu paste, local microwave, phototherapy;According to the condition of the whole body, the medicine of promoting blood circulation and removing blood stasis was applied according to syndrome differentiation, and the decoction of peach red siwu was added and reduced.
L Tonifying deficiency and invigorating muscle: external use of shengji powder, shengji Huayu paste, or Rehabilitation new, local oxygen therapy;According to the condition of the whole body, eight Zhentang or buyang huanwu tang added or reduced syndrome differentiation.
The three-stage treatment can be applied alone, in combination or sequentially according to the specific situation of the patient and on the basis of TCM syndrome differentiation.
(2) Western medicine treatment plan
According to the patient's condition, debridement (surgery), antibiotics, rot (protease), growth factor (pei Fu) or physical therapy (microwave, oxygen therapy, etc.), according to the systemic condition, the application of antibiotics, support therapy.
Beverley: S10980077, approved by the National Drug Regulatory Commission, was purchased from Zhuhai Yisheng Bio-Pharmaceutical Co., LTD.
Chyme protease: National drug approval number H31022112, purchased from Shanghai Shangyao No.1 Biochemical Pharmaceutical Co., LTD.
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Inclusion criteria
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1. Meet the diagnostic criteria of western medicine;
2. Meet the aforementioned TCM diagnosis and syndrome differentiation standards;
3. Aged 18-79 years old;
4. Those who did not receive special drug therapy to regulate wound healing within 1 month (including but not limited to conversion growth factor, recombinant human basic fiber growth factor, etc.);
5. Those who agree to participate in the study and sign an informed consent form and volunteer for treatment, observation and various examinations.
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Exclusion criteria:
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1. Diabetic foot disease involving deep tissues (including but not limited to bone, joint, tendon, muscle, etc.) [15];
2. Systematic administration of strong corticosteroids, immunosuppressants, chemoradiotherapy, etc. (including but not limited to hydroxyurea, radiotherapy, etc.) within 3 months;
3. Poor control of serious primary diseases such as cardiovascular, cerebrovascular, liver, kidney, blood and mental systems;
4. pregnant woman or preparing to become pregnant or lactating.
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