Patient: Since December 08, a lymph node on the inner right thigh spoke, knotted into a palm-sized hard lump with red lines up and down, pain in the onset area, and fever, the doctor judged acute lymphangitis, the cause is unknown, penicillin anti-inflammatory treatment for 12 days, cured, no inflammation in laboratory tests. One month later, acute lymphangitis broke out in the right foot (foot with tinea pedis), swelling up to the ankle, red lines on the inner side of the calf upwards, hard lumps on the surface of the foot, pain, anti-inflammatory treatment with penicillin or cephalosporins for 17 days, basic swelling subsided, repeated twice in 2 months, continued anti-inflammatory treatment, put on magnesium sulfate, no inflammation in the laboratory, slight swelling of the foot, stopped anti-inflammatory treatment, tinea pedis cured. Since I stopped anti-inflammatory treatment in February and March of 2009, my right foot has been swollen, light in the morning, heavy in the afternoon, no pain, and no hard lumps, and I have eaten mai zhi ling, veritin, and sodium heptaerythroside tablets, applied sodium heptaerythroside gel, used gardenia and face coating, etc., wore elastic socks, and also tried traditional Chinese medicine, but they all started to work, and rebounded with a slight increase in activity, which has lasted until now, and the doctor judged that the lymphatic flow was obstructed, causing fluid accumulation, and sought medical help from many sources. I’m worried! See above I would like to ask the experts to provide the treatment plan by email, or to provide the domestic famous hospitals that can carry out symptomatic treatment, including to your hospital, thank you very much! Deep vein ultrasound of the lower extremities four times, recently in about half a month, all without abnormality, excluding varicose veins or thrombosis, blood tests four times, recently in about half a month, basically without abnormality. Patient: Thanks to Director Qin for his selfless help! I have taken 20 doses of this medicine, and the effect is obvious. Now, the forefoot and ankle are slightly swollen, but it is stronger in the afternoon. Are there any contraindications to taking this medicine? Patient: Hello, Director Qin! Thank you again! After taking 24 doses of the first prescription you gave me, I have now taken 9 doses of the second prescription, and the swelling in my foot has been improving, so I would like to explain my current condition to you again and ask for your advice on how to treat it in the future. The swelling of the right foot is light in the morning, but more serious in the evening. The symptoms are significantly reduced by elevating the foot or paying attention to rest, and I feel that it recovers quickly, but it rebounded when the amount of activity was slightly greater, most obviously on the inner side of the ankle. The front part of the foot and the big toe have been slower to see results. The rear part of the foot and the bottom of the foot were the most effective, with little change. Overall, despite small daily repetitions, the overall symptoms are decreasing and the swelling is now shrinking faster with relatively short periods of elevation of the foot. I would now like to ask Director Qin what to do for the next course of treatment. In addition, does it require a certain amount of rest and what do I need to pay attention to when taking medication and avoiding food? I hope my body will recover as soon as possible, and I will thank you for your help! Doctor: The lymphatic vessels blockage needs some time to reopen, it takes 2 months, otherwise it is easy to relapse, pay attention to not too strenuous, less standing, patient elevation. You can wear elastic stockings. Patient: Thank you, Director Qin, for taking time out of your busy schedule to give a patient response! Excuse me, how long can I take the second prescription? Do I still need to change the medication? Patient: Hello, Director Qin! Sorry to bother you again! Fortunately, your prescription is very good, and after a few doses, I’m back to the state I was in after taking the second prescription, that is, the current situation is close to the state I was in on August 11. Thank you, Director Qin! After taking the third prescription, is it time to change the prescription again? In addition, I do not know if there is a ready-made Chinese medicine, we are now facing another problem: in September there is a rare opportunity to study outside the unit, to Dalian, about six months, now although not fully determined, but according to his current state we do not dare to fight, and give up, it is indeed a pity, to study and no boiling conditions, if there is a ready-made Chinese medicine without boiling, the effect is slower but I’d like to ask Director Qin to help me think about this! Also, can acupuncture or acupuncture needles play a supporting role? Doctor: Don’t use acupuncture or needles. If you travel, you can decoct Chinese herbal medicine bags locally, either in the hospital pharmacy or in a Chinese medicine store. Patient: Hello, Director Qin! I’m sorry to bother you again! The color of the veins in the right foot is gradually returning to normal from green, and the color of the whole foot is also changing from deep red to light, but the veins are visible, but they are often concave under the skin, unlike the left foot, which is convex on the surface of the foot. One is that the veins in the right arm are also often concave, while everything in the left arm is normal, is this related to the edema in the right foot? There is also a good phenomenon, the first onset of the inner right thigh after treatment there is a bruise mark, has basically disappeared, both legs below the knee five years ago fall bruises also gradually from green to yellow, there is a little molting signs. Director Qin, it is not easy to have this result after taking the medicine for such a long time, but we are also worried that the medicine will not have too many side effects after taking it for a long time, right? How should we continue the treatment? Thank you so much for your help! Thank you! Doctor: I just returned, your perseverance in treating the disease is commendable, there are basically no toxic side effects from taking Chinese medicine, please rest assured that you can take 3 days and stop for one day. You can come to the hospital when it is convenient. Patient: Director Qin, I can’t thank you enough! Without your influence we might not have persisted for so long, it is your medical skills and ethics that gave us confidence. I see that your schedule is Thursday morning and Friday afternoon, if we go, can we contact you via text message in advance? Doctor: Contact me a day in advance so that you won’t be running empty. Patient: Hello, Director Qin, happy holidays! Recently, I wanted to go to Jinan to ask you to treat me again in person, but some things didn’t work out. The recent effect is still good, the swelling of the ankle has rebounded less than before, and the effect is very obvious compared to before. Sometimes the swelling of the whole foot seems to have shrunk in the morning, but in the afternoon, there is some rebound, and the contraction is still fast when the foot is elevated for a while. I feel more confident that my foot will be cured now because of Director Qin’s excellent medical skills. Mr. Qin, do you have a clinic schedule in the next two days? How do I proceed with the next treatment? Thank you, Director Qin! Patient: Thank you, Director Qin, I appreciate it! Doctor: Get well soon.