”It has unique efficacy in treating skin ulcers caused by various reasons, such as diabetic foot, bed sores, vasculitis and burns. Today, we will use a typical case to understand how to get rid of rot and how to generate muscle. 1.What is “rot”? Rot, the first level means decay, necrotic inflammatory tissue, such as necrotic skin, muscle, blood vessels, tendons, bone and pus, etc. These need to be cleaned up as early as possible when treating wounds. Remember, the tissue that is bonded to fresh granulation tissue is only degenerative and shows signs of necrosis but is not yet necrotic, these cannot be “decay” and if removed prematurely will not be conducive to wound repair but will allow more healthy tissue to develop in the direction of necrosis. It should be removed only when there is sufficient blood flow or when new flesh is about to be separated from it. The second level is the foreign material that hinders wound healing, such as suture knots. The common wound treatment method in the treatment of diabetic foot is suture, suture is contaminated, the wound will be infected, at this time to clean these foreign bodies as soon as possible to facilitate wound repair. 2.What is “muscle”? First of all, “muscle” is not muscle tissue in the literal sense, but is a granulation tissue dominated by capillaries. The appearance of “muscle” is a sign of recovery of the wound, as the ligament grows into the wound and supplies it with nutrients, promoting the mobilization of the body’s positive energy to restore it. The “muscle” must first arise from the base of the trauma and be firmly bonded to the base. If the granulation tissue grows too slowly at the base of the wound and too quickly at the top, or if it grows too vigorously in one part and hinders the growth of granulation in other parts, it will cause uneven internal nutrition and granulation edema, and then the granulation at this time will be treated as “rot” for cleaning. 3.The correct identification of “rot” and “muscle” is the key to treatment. The judgment of “rot” and “muscle” should be combined in the whole treatment process, “rot” does not have to be cleared immediately, and “muscle” does not necessarily have to stay. Therefore, in the whole treatment process, the correct judgment of “rot” and “muscle” is the basis for the treatment of diabetic foot, and it should be analyzed comprehensively whether it has any obstacle to healing in the process of trauma development and change. This is one of the reasons why the treatment of diabetic foot is difficult, and the requirements for doctors are particularly high. Without extensive clinical experience, it is impossible to handle it well!