The night before last, a patient’s family urgently consulted in the middle of the night, saying that the foot of the old man had been red and swollen with pus due to diabetic complications, and the doctor said that the situation should be abandoned as soon as possible and surgical amputation should be done, otherwise the patient’s condition would be aggravated and there would be a risk of life-threatening sepsis. The patient wanted to know if amputation was necessary in this case. At that time, I asked the family to send pictures of the patient’s trauma and examination report, and our diagnosis concluded that the patient’s bone showed no signs of infection (of course, the actual exploration should be the basis, after all, the condition is constantly changing), the reason for the redness and swelling is because the infection under the skin is more serious, the inflammation is not controlled, but this situation is far from the point of amputation. Currently, the patient is undergoing referral procedures to our department for treatment. I will briefly talk about the correct treatment idea for this situation: First, the necessary tests should be done first. General blood and urine routine are necessary, in addition to foot film, lower limb vascular, lower limb nerve, and wound secretion examination, etc. Second, attention should be paid to the control of blood sugar, blood pressure and blood lipids, the infusion of fluids, the injection, improve circulation, nerve nutrition, control infection, etc., which will directly or indirectly affect the wound healing. Third, timely debridement. After doing the relevant examination and figuring out the patient’s wound, the next step is to clear the wound in time to clean out the necrotic skin, muscles, blood vessels, tendons, etc. This not only reduces the germ load and helps control the infection, but also facilitates the natural growth and healing of the wound later. After cleaning the wound to open the wound, so as to help the wound recovery. Fourth, the external application of Chinese ointment with the effect of elimination of corrosion and muscle. The external application of Chinese ointment to the wound after debridement can improve the immunity and resistance of the local wound and the ability to proliferate, create a wet environment, correct the local acid-base balance, rebuild microcirculation, etc., and thus promote the growth of granulation, adhere to regular drug changes can naturally grow healthy tissue to achieve rapid healing of the wound, without amputation for diabetic foot! Of course, the specific implementation of the treatment plan, certainly for the actual situation of different patients to develop, after all, each person’s physical condition is different! Here, I remind everyone encountered this “need to amputate” situation, do not blindly accept, must be more consultation more understanding, to avoid a big disaster.