Chinese medicine believes that improper diet, emotional imbalance, overwork, physical weakness and other factors will lead to diabetes. The pathogenesis of this disease is characterized by yin deficiency and dryness-heat, which is based on yin deficiency and marked by dryness-heat. The two are mutually causal: dryness-heat is aggravated by yin deficiency, and dryness-heat is aggravated by yin deficiency. The pathological changes of diabetes are located in lung, stomach and kidney, among which the pathological changes of kidney are the most important. If the patient's lungs are dry and yin deficiency, and the body fluid is dehydrated, there will be symptoms of thirst, thirst and excessive drinking; If the patient's stomach is hot and his ability to decompose Shui Gu is too strong, symptoms of overeating and hunger will appear. If the patient's kidney essence is insufficient and can't inhibit urination, there will be symptoms of frequent urination and turbid urine. If the patient has lung dryness, stomach heat and kidney deficiency, symptoms such as polydipsia, polyphagia and polyuria will occur at the same time.
Diabetes has a long course of disease, and the patient's condition often lasts for a long time, and eventually other diseases will occur due to both qi and yin injuries. For example, lung dryness and yin injury may lead to tuberculosis and other diseases; If the kidney yin is insufficient and the liver is not wet, diseases may be complicated, such as passerine, cataract and deafness. ; If the heat is too much, toxic substances will become pus, which may lead to furuncle, carbuncle and other diseases; If yin is dry and hot, semen is phlegm, and phlegm blocks meridians, it may be complicated with stroke, hemiplegia or gangrene.
Clinically, according to the theory of traditional Chinese medicine, diabetes is divided into lung heat and body fluid injury type, stomach heat excess type, kidney yin deficiency type and yin and yang deficiency type. So how to treat all kinds of diabetes?
1.
The main clinical manifestations of this type of diabetes are thirst and polydipsia, accompanied by dry mouth, thirst and polydipsia, frequent micturition, red tongue, thin Huang Gan coating and rapid pulse. The treatment of this type of diabetes should focus on clearing away heat, moistening lung, promoting fluid production and quenching thirst, and Danxi Heart Method can be used to quench thirst. Its formula is 65438 08g of rehmannia root and pollen, 65438 00g of coptis root and lotus root, 65438 05g of radix adenophorae and radix ophiopogonis, and proper amount of lotus root juice, ginger juice and honey. One dose a day, decocted in water. If the patient suffers from lung-heat injury and deficiency of both qi and yin, Yuquan Pill can be used to replenish qi and nourish yin, promote fluid production and quench thirst. Its formula is: ginseng 65438 00 g, astragalus root 25 g, pollen 65438 05 g, kudzu root 65438, Ophiopogon japonicus 65438, Poria cocos 65 g, and licorice root 6 g. If lung heat is excessive, patients can choose Baihu Decoction with the effects of clearing away heat and purging fire, benefiting qi and promoting fluid production and adding ginseng soup (which can be flavored). Its formula is 30 grams of gypsum, 9 grams of Anemarrhena asphodeloides, 0/5 grams of japonica rice/kloc-,3 grams of roasted licorice, 6 grams of ginseng and 6 grams of coptis chinensis. If the symptoms of polydipsia are relieved, patients can continue to take Xiaoke prescription for treatment.
Second, the type of diabetes with excessive stomach heat
The main clinical manifestations of this type of diabetes are: gluttony and hunger, accompanied by thirst, polyuria, emaciation, dry stool, red tongue with yellow fur and strong pulse. The treatment of this type of diabetes should focus on clearing stomach, purging fire, nourishing yin and promoting fluid production, and the Yunv decoction in Jingyue Quanshu can be selected. Its formula is 30 grams of gypsum, 24 grams of prepared rehmannia root, 9 grams of Ophiopogon japonicus, 9 grams of Achyranthes bidentata, 6 grams of Anemarrhena asphodeloides, 6 grams of Coptis chinensis and 6 grams of Gardenia. Daily 1 dose (2 doses per day in severe cases), decocted with water. For severe dry stool, Radix Scrophulariae 10g and Radix et Rhizoma Rhei 6g can be added; For patients with thirst, polydipsia, loose stool, anorexia, listlessness, weakness of limbs, pale tongue with dry fur, and weak pulse, Qiwei Baizhu Powder, which can invigorate spleen and replenish qi, promote fluid production and quench thirst, can be used. Its formula consists of ginseng, Atractylodes macrocephala, Poria, Radix Puerariae, Radix Aucklandiae, Radix Glycyrrhizae Preparata and Herba Pogostemonis.
Third, kidney-yin deficiency diabetes.
The main clinical manifestations of this type of diabetic patients are frequent micturition, accompanied by turbid urine like ointment, or sweet urine, soreness of waist and knees, fatigue, dizziness and tinnitus, dry mouth and lips, dry stool, itchy skin, red tongue, little fur and rapid pulse. The treatment of this type of diabetes should focus on nourishing yin and tonifying kidney, moistening dryness and quenching thirst, and Liuwei Dihuang Pill (which can be modified) can be selected from the Guide to Pediatric Medical Syndrome. The formula is: 24 grams of Radix Rehmanniae Preparata, 0/2 grams of Cornus officinalis/kloc-,9 grams of Cortex Moutan, 9 grams of Rhizoma Alismatis and 9 grams of Poria. One dose a day, decocted in water. Patients with dysphoria, fever, insomnia and night sweats. For obvious mental fatigue, Rhizoma Anemarrhenae, Cortex Phellodendri10g (i.e. Zhi Di Huang Tang), Radix Codonopsis, Rhizoma Polygonati and Radix Astragali15g can be added, and Alpinia oxyphylla, ootheca mantidis and Alpinia oxyphylla15g can be added for turbid urine.
Fourth, diabetes with deficiency of both yin and yang.
The main clinical manifestations of this type of diabetes are frequent urination, turbid as cream, and even drinking alcohol-,accompanied by weakness of waist and knees, chills, emaciation, tepid limbs, gaunt face, pale tongue with white and dry fur, and deep and thin pulse. The treatment of this type of diabetes should be mainly based on warming yang and nourishing yin, tonifying kidney and arresting astringency, and Shenqi Pill (which can be modified) from Synopsis of the Golden Chamber can be selected. Its formula is: Radix Aconiti Lateralis Preparata (first), Ramulus Cinnamomi 65438 00 g each, Radix Rehmanniae Preparata 24 g, Cornus officinalis and Rhizoma Dioscoreae 65438 02 g each, Cortex Moutan, Alismatis Rhizoma and Poria 9 g each. One dose a day, decocted in water. If the patient's limbs are severely cold, 0.5g of pilose antler powder can be added (orally); if the frequency of urination is too high, raspberry, Rosa laevigata and ootheca mantidis can be added 10g.
It should be noted that in the treatment of the above four types of diabetes, some drugs for promoting blood circulation and removing blood stasis, such as Tianqi, Danshen, Paeonia lactiflora, peach kernel, safflower and so on. It can be added appropriately according to the specific conditions of patients, because most diabetic patients are accompanied by vascular diseases, and the use of drugs for promoting blood circulation and removing blood stasis is beneficial to delay the progress of their disease. However, diabetic patients must be treated with traditional Chinese medicine under the guidance of a doctor, and must not be treated without authorization.