Which department should I see for lower extremity edema?

Lower extremity edema is a very common clinical symptom. Or the medial malleolus can be depressed after pressing up and down, or there is no depression after pressing, but the patient will feel that the lower limbs are swollen and thicker than usual. After lower extremity edema occurs, many patients will be very confused, which department should they go to register? Should I see internal medicine or surgery?

(1) Division of edema

According to Western medicine, although they are all lower extremity edema, the incentives are not the same. For patients with lower extremity edema, it is necessary to identify the cause, and then seek medical attention. The following are the subspecialties of Western medicine:

One, with high blood pressure

On the basis of lower extremity edema, combined with high blood pressure, foam in the urine, or the physical examination shows protein in the urine, abnormal renal function, you need to go to the nephrology department.

Second, edema after a cold

If there is edema in the lower extremities after a cold, accompanied by hematuria or proteinuria, you should be alert to the occurrence of acute glomerulonephritis and go to the nephrology department.

Three, with chest tightness

If you have a history of hypertension and hyperlipidemia in addition to lower extremity edema, and you also have wheezing and chest tightness in daily life, or even cannot lie flat at night, you need to see a cardiologist first to determine whether there is heart failure.

Four, systemic edema

If the edema is not limited to the lower extremities, but is systemic, especially severe edema, hypoalbuminemia should be considered. At this time, it is necessary to understand the cause of the low protein and go to relevant departments, such as gastroenterology, oncology, etc. for treatment.

Five, both chills and fatigue

If the lower extremity is edema, but there is no depression after pressing, and symptoms such as chills, fatigue, and facial edema are also seen, it is necessary to consider whether there is hypothyroidism.

Six, with pain and reddening of the skin

If it is sudden severe swelling of unilateral limb, accompanied by pain, reddening of the skin of the affected limb, and a significant increase in temperature, it is necessary to highly suspect that it may be a deep vein thrombosis of the lower extremity, or it may be erysipelas of the lower extremity. Visit the Peripheral Vascular Clinic.

Seven, edema worsens after activity

If it is a long-term chronic lower extremity edema, the degree of edema of both lower extremities may or may not be consistent, but the edema increases after activity and can be alleviated after resting or lying down or raising the lower extremity, then the lower extremity edema at this time may be caused by lower extremity venous insufficiency. Yes, it is also necessary to visit the peripheral vascular outpatient clinic.

Eight cases, a history of lymphatic dissection

Patients with lymphedema generally have a history of lymphatic dissection, and usually go to the peripheral vascular department at this time.

(2) What should I do if I don’t understand medicine?

After reading the above analysis, I believe that people who do not understand medicine will have a big head. What is this? How is it so complicated! Isn't it just to see the edema of the lower limbs? Is there an easier and more direct way to choose a department?

Yes, of course. Chinese medicine is recommended. Chinese medicine does not divide. Seeing the edema of the lower limbs, it is right to go to the Chinese medicine department. As for what type of edema, what symptoms and medical history you have, it doesn't matter. Traditional Chinese medicine can cure it.

Some people say that Chinese medicine is also divided into different departments in large hospitals. Still don't know which class to go to. Then, I recommend that patients prefer acupuncture. Why choose acupuncture?

On the one hand, acupuncture is good at curing diseases, because acupuncture can balance yin and yang, harmonize viscera, dredge meridians, smooth qi and blood, strengthen the body and eliminate pathogens, and stabilize the mind. Edema is nothing more than the imbalance of yin and yang, the disharmony of viscera, the lack of dredging of meridians and collaterals, and the disharmony of qi and blood. Acupuncture and moxibustion can completely treat it.

Second, the acupuncture department uses not only needles, but also moxibustion and traditional Chinese medicine. It can be said that acupuncture is a general practice of traditional Chinese medicine. The medicine of acupuncture and moxibustion is often combined with traditional Chinese medicine decoction.

Three, acupuncture treatment not only has high curative effect, but also takes effect quickly and can treat both symptoms and symptoms.

(3) Pay attention to the use of moxibustion

Moxibustion can best Xuan Yang, warm Yang and Tong Yang. When the yang qi is vigorous and vigorous, the haze will dissipate on its own, and of course it can cure edema. Moreover, moxibustion can also "strengthen the root, protect the body, fumigate the original, but eliminate all diseases, the pain of the five internal organs, and preserve the health of the whole body."

Lower extremity edema, I attach importance to moxibustion. Especially the moxibustion method separated by aconite. It can be used for all chronic illnesses that have entered the kidneys, or when the kidney qi has been deficient. Severely ill patients can be heavily moxibustion to dozens of strong. People with yang deficiency can also apply moxibustion around the summer solstice to improve their physical fitness.

Lower extremity edema, if the syndrome is due to kidney yang deficiency, moxibustion with aconite septum can be used.

#11011# (Dong Hongtao)