Diabetes & Chinese medicine

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Traditional Chinese Medicine & Acupuncture

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Chinese Herbal Treatment & Diagnosis

Acupuncture Treatment & Diagnosis

Chinese Herbal Treatment & Diagnosis

Diabetes - Xiao Ke

3 more – 1 less (eat, drink, urinate more – lose weight/emaciation ).   Person can eat & drink a lot but not quench thirst or gain weight.  No matter how much is the patient drinks the same amount of urine is passed.  The main pathogenesis is Yin ↓ w/ dry Heat.  This syndrome is closely related to Diabetes type 1 (early onset insulin dependant).

Pathogenesis:

            Dry Lung                              

            Stomach Yin Deficiency        

            Kidney Yin Deficiency          

            Kidney Yin/Yang Deficiency

Lung Dryness (Upper Jiao)

Very thirsty, drink lots of fluids but still has dry mouth & tongue, frequent large amount of urine, irritable

            T – red, thin dry coat                P – thin, rapid

Treatment:        clear upper jiao heat and purge fire to promote production of body fluids

Formula            Xiao Ke fang

Stomach Yin Deficiency (Middle Jiao)

Hungry, will not stay full after meals, need to eat or get dizzy, extreme emaciation, constipation with dry stools

            T – red, scanty dry coat            P – thin, rapid

Treatment:        Clear Stomach fire and nourish middle jiao yin

Formula            Yu Nu Jian + Da Huang / Mang Xiao (constipation)

Kidney Yin Deficiency (Lower Jiao)

Frequent cloudy/thick urination, urine is oily or greasy, thirsty, night sweats, dizzy, tinnitus, seminal emission, insomnia

                        T – red, thin coat                      P – thin, rapid

            Treatment:        Nourish Kidney yin and clear deficient heat.

            Formula            Liu Wei Di Huang Wan

Kidney Yin & Yang Deficiency (Lower Jiao)

Frequent cloudy oily urination, trouble holding urine, 5-centre heat sensation, thirsty, coldness, aversion to cold, weak lower back and knees, impotence, amenorrhea, night sweat, spontaneous sweat, dry/dull complexion

                        T – scanty coat                         P – thin, deep weak

            Treatment:        Tonify Kidney yin and yang

            Formula            Jing Gui Shen Qi Wan + Er Xian Tang

Summary table

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Acupuncture Treatment & Diagnosis

Diabetes - Xiao Ke

Lung (upper Xiao), Stomach (mid Xiao), or Kidney (low Xiao). 

TCM – Yin deficiency with dry Heat

Pattern Diagnosis & treatment

Dry Heat injures the Lungs

P/T – clear Heat, lubricate the Lungs, nourish fluids

Acupuncture  - hand Taiyin & Shaoyin, BL 13 & LU 9, 10 (heat), BL 15 & HT 8                 (purge upper Jiao Heat),  Yi Shu (pancreas Shu 1.5 cun lateral to T8)

                                - thirst- Ren 23, ST 44

Stomach dry Heat

P/T – purge Stomach Fire, nourish Spleen Yin

Acupuncture – foot Yangming, Taiyin, BL 20, SP 6, ST 36, BL 21 & ST 44, Yi Shu

                                - hunger- PC 6, Ren 12

Kidney Yin deficiency

P/T – clear Heat, nourish Yin

Acupuncture – foot Shaoyin, Jueyin, BL 23, KI 3, BL 18 & LR 3 (LR KI Yin, descend Fire), Yi Shu

Yin and Yang deficiency

chronic type II NIDDM, usually obese patients, Kidney deficiency, frequent urination which  is cloudy, low back and knee weakness, dull complexion, irregular menses – menopause, impotence – andropause, aversion to cold, P- deep weak

Acupuncture – foot Shaoyin, BL 23, Du 4, KI 3, Ren 6, ST 36, Yi Shu

Alternative Treatment Methods

auricular- pancreas, endocrine, KI, SJ, Shenmen, HT, LR, Er Mi Gen, gentle stimulation, one ear   at a time, change ears every other day

7 star- T7-L1

injection- Dang Gui in Hua Tou Jia Ji

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