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complained that the fever decreased after taking the medicine, and the fever subsided within 2 days , Carved right lower extremity pain was significantly relieved, the skin temperature was slightly warm, the skin was soft, the complexion was slightly dark red, and the swelling was slightly reduced. The spirit and appetite are improved, the night can be restful, a little dry mouth and no desire to drink, and the stool is adjusted. Red tongue, yellow and white coating slightly greasy, slippery pulse. The fasting blood sugar decreased by 5.6-7.8mmol/L, and the 2h postprandial blood sugar was 6.5-10.7mmol/L. In the front, go to comfrey, rhubarb, dandelion, violacean, 15g of jazelan, 15g of Alisma, 15g of tuckahoe, 10g of fangji, 14 doses, the medication method is the same as before. The patient’s blood sugar decreased and insulin dosage was adjusted.

The Tao Te Ching says: “Tao produces one, one life two, two Three, three give birth to all things. All things bear yin and embrace yang, and they are in harmony with qi.” “Dao” is the beginning of heaven and earth, the mother of all things, and the source of change, and it is all-encompassing. The sympathy of yin and yang, rooting each other, promotes the eternal and endless motion of all things in the universe, and its motion follows certain laws, and finally achieves relative stillness and stability. “Dynamic-Deterministic Sequential Eight Laws” draws on the Taoist philosophy of movement and stillness. Syndrome is a high-level summary of the nature of the disease location and disease nature at a certain stage of the disease. It is relatively stable. At the same time, with the transformation of the disease process, it is also dynamic.

The patient of this case is usually addicted to food, fat, sweet and thick taste, body fat, and chronic illness, liver qi stagnation, damage to the spleen and stomach qi machine, abnormal transportation and transformation, damp turbidity inside, dampness evil Heavy turbidity tends to go down, easy to attack the Yin position, so the lower limbs are swollen; wet stickiness, accumulation of heat for a long time, cementation with each other, lying in the body, making the erysipelas persistent and difficult to heal and easy to recur. Liver stagnation and dampness, qi stagnation transforms into fire, heat enters blood, water does not normalize, and body fluid is consumed, resulting in thirst. At the time of first diagnosis, it was the acute active stage of erysipelas. The exogenous dampness and fire poison combined with the internal dampness and heat, and the poisonous heat staved off knots and blocked the meridian skin, causing the local skin and flesh to be red, swollen, hot, and painful; So see high fever, irritability, insomnia and so on. In this period, fire toxin is the most important, and dampness is the second. Therefore, clearing away heat and detoxification should be the main treatment principle, expelling evil spirits, preventing evil spirits in depth, and controlling the progress of the disease. Honeysuckle, forsythia, dandelion, and violet root can clear away heat and detoxify, eliminate carbuncle and disperse knots; Cortex Phellodendri, Atractylodes, Yinchen, Plantain, Coix Seed can decompose dampness and heat, and regulate Sanjiao; Scrophularia and red peony can cool blood and nourish yin; Achyranthes can be used in various medicines and heat to descend. At the second diagnosis, most of the heat toxins have been resolved, mainly due to dampness, so the treatment focuses on strengthening the spleen and removing dampness, and also clearing away heat and promoting blood circulation. Eliminate bitter and cold tastes such as comfrey, dandelion, rhubarb, and violet, to avoid inhibiting the healthy movement of the spleen and stomach, which is not conducive toMeridian qi and blood dredge. In the third and fourth consultations, erysipelas is chronically delayed, long-term illness consumes qi and blood, blood flow is not smooth, positive deficiency and evil, dampness gathers and produces phlegm, blocks meridians, and blood is unfavorable, which is water, overflowing skin, and visible limb edema. . Treatment should focus on invigorating qi and spleen, nourishing blood and activating blood, warming and dredging meridians, supplemented by dampness and heat-clearing. The pathogenesis of this patient is a combination of dampness, poison, and blood stasis. The changes of the core pathogenesis at different stages dominate the development of the disease. Professor Fan Guanjie “sets” the target “syndrome” and applies precise and dynamic treatment to eliminate the persistent disease.