Speaker Profile: Liu Guoxuan, Changsheng, Zi Guangbiao, a native of Ganzhou, Jiangxi, president of Beijing Jimin Traditional Chinese Medicine Hospital, has attended the Great Hall of the People in Beijing and the Diaoyutai State Guesthouse large-scale medical academic conference, and the achievements of "Application of Traditional Chinese Medicine In the Treatment of Diabetes Technology" won the "Chinese Medicine Science and Technology Innovation Award" and were included in the "National Traditional Chinese Medicine Scientific and Technological Achievements Promotion Project".
After more than 30 years of clinical practice experience, he has accumulated a wealth of essence of Chinese traditional Chinese medicine, original acupuncture therapy, known as the founder of acupuncture, for diabetes, cardiovascular and cerebrovascular diseases, hemiplegia, tumors, refractory rheumatism, rheumatoid, gout, femoral head necrosis, ankylosing spondylitis; various stomach diseases, liver diseases (alcoholic liver, fatty liver, hepatitis B size three yang, liver cysts, cirrhosis, hepatic ascites, gallbladder, biliary polyps), gynecological diseases, chronic rhinitis; cervical and lumbar spondylosis, bone hyperplasia, The research on common diseases such as head, neck, shoulder, back, waist and leg pain is deeply rooted, so that all kinds of stubborn diseases stand up and are deeply favored by patients.
Dr. Yan recommended
Diabetes is a common disease, but it is also one of the most divergent diseases in the treatment of Traditional Chinese and Western medicine. Different views dominate different treatment directions, leading to different treatment outcomes. Western medicine emphasizes the treatment of blind hypoglycemic treatment, and it is necessary to take medicine for life. What about TCM? Let Teacher Liu Guoxuan take us to stand at a different height to taste the understanding of Chinese medicine on diabetes: can blood sugar reduce treat diabetes? What are the real causes of high blood sugar and high urine glucose? Which organ functions of diabetes is closely related to TCM? Why does TCM treat diabetes as a disease of the spleen and stomach digestive system? Why are there different physical therapies? ...... There is reason and truth, slowly taste it...
Translation of the original recording:
Good evening, teachers. It's eight o'clock, and I'll pick up on last week's topic. Last time we talked about the balance theory of Chinese medicine, and this evening we will all learn and discuss the problem of sugar together.
First, know the right and the evil, the bright yin and yang, and the support of the righteous qi as the guideline
Let's first understand the positive energy of people. As the saying goes, "People fight for a breath, Buddha fights for a pillar of incense", what does this mean? That is to say, when people have qi and heat, they have life; when they feel cold and there is no heat, they are dead: this is also a common saying. Therefore, the positive energy of the human body is nothing more than two kinds, one is heat energy, this heat energy is called Yang Qi; the other is called Qi, which is usually divided into Yuan Qi, Zong Qi, Wei Qi, Camp Qi and so on.
What is the most feared thing about the positive energy of the human body? It is the side of their mutual resistance, called evil qi and sick qi. What are the evil qi? Everyone knows that the six adulterous diseases, so let's briefly state a few problems. First, let's talk about "wind.". "The wind does a lot of good deeds", the wind can blow the qi away, which is a symptom. It specifically damages the righteous qi of the human body, and when it is promoted by external evils, the human body functions will decrease, and the resistance will naturally decline. In addition, we talk about "cold", the evil of yin and cold is specially grammed by heat, heat energy is most afraid of yin and cold, it mainly damages the yang of the human body, the warm function of the organs will lose its balance, the entire digestive system will be impaired, some nutrients ingested will be difficult to absorb, physical fitness will inevitably decline, can induce various diseases, of course, diabetes is not far from its origin. The third "wet", "heavy turbidity invisible", sticky, glue, hinder the qi machine, damage the yang qi, lingering in the spleen, so that the spleen has the potential but can not perform its function, so its lesions are not easy to treat.
Let's go back and talk about yang. Man's yang qi is the foundation of life, in nature, if the yang qi is strong, the grass and trees are luxuriant, and the yang qi is weak, and the grass and trees wither. People who are not confused or have many diseases and frailty need to be nursed even more. It is relatively easy to coordinate the regeneration of Yinjin essence blood, but it is difficult to recover the loss of Yang Qi. If the yang is helped, the yang is born and the yin is long, and the sperm and blood are naturally abundant; on the contrary, the yang qi is weak, and the qi is easy to die. On the issue of quenching thirst, many people in the clinic think that yin deficiency and dry heat are marked as illusions, and yang deficiency is the root, and I also agree with this concept.
Just as the so-called "kidney qi is strong, prolong life, kidney qi failure is longevity", not to mention that when you see thirst, you will invest in yin products, and suppress yang with yin. Yin and yang are isolated, the upper heat is cold and the lower cold is staggered, which will inevitably lead to the decline of the yang, causing cold condensation to be difficult to eliminate. Another yin product is most likely to hinder the spleen and stomach.
Say gas again. Qi is also the basis of human life, and people die without qi. For diseases caused by the decline of positive qi, it is necessary to rely on wei qi to generate resistance. Avoid cold to support health qi, forbidden intercourse to support kidney qi, and abstain from bathing to support liver qi. Most diabetic patients are evidence of qi deficiency, usually such as limb weakness, intolerance to fatigue, less breath and laziness, pale face, dizziness and tinnitus, palpitations and shortness of breath. From the perspective of the tongue image, the tongue is relatively slippery, and some even have tooth marks, and most of the veins are more delicate or weak. Deficiency of qi will produce lesions.
Therefore, in the treatment, it is necessary to examine the authenticity of its cold and heat, distinguish its virtual and real nature, and take the promotion of righteous qi as the outline.
Second, can lowering blood sugar treat diabetes?
Talk about diabetes and kidney function and a contradiction here.
Renal dysfunction, can not normal convergence and sealing, a large number of nutrients will be lost with the urine, resulting in overall weakness, causing wasting diseases. Produce a series of symptoms, such as fundus bleeding, blurred vision, vision loss, palpitation, upset, sweating, low back pain, general weakness, itching, numbness in the limbs, poor sleep, weight loss, etc. These symptoms should have increased nutrition (we will elaborate on "nutrition" here), but eating more will make people feel that blood sugar will rise. Can lower blood sugar alone, avoid mouth, control diet, long-term lack of nutrition, the resistance is even worse, gastrointestinal function is weak, food can not be converted into fresh blood, the body can not get enough nutrient supply, and other internal organ lesions, must be unfavorable. So there is a contradiction here, many patients and even doctors have a headache.
Drugs in the human visceral system can play a hypoglycemic effect, the use of Western drugs alone, including insulin, not to say that blood sugar can not be lowered, but even if the blood sugar is lowered, it is useless. After the blood sugar will rise, can only increase the amount or change the dressing, if after a period of time or can not lower blood sugar, you can only take other more powerful means, such as injection of insulin or oral insulin. So in essence, lowering blood sugar is equivalent to no treatment, and it will damage the liver and kidneys, and such a method will never cure diabetes. We must change this concept, correctly take effective measures in TCM, and comprehensive conditioning in order to truly restore health.
Third, re-understand diabetes
So let's re-recognize diabetes. At present, in the medical field, Chinese medicine or Western medicine have their own opinions. Most Chinese medicine believes that diabetes is what ancient medicine calls "thirst quenching evidence", mainly yin deficiency and dry heat, excessive food fat and sweet as a disease, clinical use of yin products to clear heat and nourish yin, or healthy spleen and qi to achieve therapeutic effects. However, the clinical effect is not satisfactory. Western medicine believes that diabetes is a series of symptoms of endocrine system diseases, islet secretion dysfunction, insulin antagonism or hyperglycemia caused by insufficiency, and the clinical hypoglycemic is the mainstay, and hypoglycemic drugs or insulin are used to achieve therapeutic effects. In this way, diabetics may have to take medicine for life, and even the more they take more and more medicine, the worse and worse their physical state is, and the situation is not optimistic.
We have analyzed the current situation of both, and they are not optimistic. So should we jump out of this circle and analyze what diabetes is all about?
First of all, what is sugar?
Sugar is a subtle energy substance, which is the nutrient on which the human body depends for its survival. If the glucose in the human body is balanced, the body is strong and energetic.
What is the source of sugar?
The source of glucose in the body is the acquired food (fat, protein), after the decomposition of organ function, re-integration into glucose, some can be directly used; some are converted to the liver in the form of liver glycogen stored in the liver, and when hunger, liver glycogen will be secreted from the liver to solve the state of hunger; some will be converted into fat stored in the body, when the organ function is needed, fat will be converted into glucose for reuse. Glucose in the blood is absorbed, transformed, and decomposed by the functions of the internal organs, and then transported to various tissues and organs through the blood, providing energy supply and maintaining life activities.
What's wrong with high blood sugar?
After glucose ingestion, if the digestive function or liver function is difficult to absorb, transform and decompose, the sugar molecule particles will increase, there is no way to enter the cells, it will remain in the blood, resulting in blood glucose exceeding the standard, resulting in high blood sugar during diabetic biochemical testing.
What's wrong with high urine sugar?
Due to impaired reabsorption function of the kidneys, some sugar can only be lost from the urine, resulting in a positive urine glucose test. There may also be a feeling of thirst, but the blood sugar is normal. This condition is more common in chronic nephritis, as well as nephrotic syndrome.
Fourth, diabetes is actually a digestive system disease
This series of functional diseases and clinical symptoms caused by digestive system disorders, we should pay attention to giving up hypoglycemic reduction when we are pro-evidence, accurately diagnose the disease mechanism, prescribe drugs, and the blood sugar will naturally decline when the disease recedes, and the efficacy is also more significant. So I personally think that diabetes is actually a digestive system disease, glucose has not been effectively converted for a long time, or not treated with the right method, is a glucose energy deficiency. The energy substances that maintain life activities depend on the glucose and trace elements in the food intake of the day after tomorrow, the thermal energy of the internal organs is insufficient or the digestive system is dysfunctional, the glucose and trace elements in the intake of food are difficult to absorb or digest, and the energy is lost or trapped in the blood, so that the functions of the various organs are abnormal due to the lack of glucose energy supply, which causes diseases.
For example, diabetic rotten foot, if you take the law of replenishing qi, we can use many methods, such as external glucose powder or marshmallow, monosaccharides or polysaccharide foods, if there is a fresh leaf mash of stevia plants can also be applied outside. Usually I use calcined gypsum and cotton sugar or glucose powder to distribute a good proportion of the bottle, when used can be taken to the patient at any time, sprinkled on the wound or applied to it, the light one once a day, the severe one twice a day, can heal quickly. No medicine is used, only sugar is applied to it, and soon the energy supply is obtained, and it can heal. Thus, it is fully proved that the spleen and pancreas prefer sweet food. We all know that the spleen main limbs, the spleen main transport, when the body is completely lacking glucose energy, the spleen and pancreas are in a state of hunger, there is no ability to promote the operation of qi and blood and energy, and there is no way to push to the end of the limbs to nourish, resulting in diabetes can not be healed. I think the principle is here.
Fifth, the causative factors of diabetes
First, yin sheng yang deficiency, yin qi cold too much, ingested food such as glucose food, its trace elements can not be dissolved into the smallest sugar particle molecules. Insufficient heat energy, the cells in the body can not get nutrients, resulting in a decline in resistance, immunity, the most likely to induce a variety of diseases, not to mention diabetes.
For example, take two cups, the cup contains an equal amount of water and an equal amount of sugar, one cup is hot water, one cup is cold water, hot water represents healthy people, and cold water or room temperature water represents diabetics. The glucose in hot water can be highly dissolved immediately, no precipitate can be seen or only a small amount of precipitate, and the dissolved sugar molecule particles are very small, which is convenient for cell absorption. The glucose in the warm water cup can also be dissolved, and the dissolved sugar molecule particles are relatively larger than the particles in the hot water, and a large amount of glucose precipitate can be seen, which is not convenient for cell absorption. Just like precipitating in the blood in the body, it will definitely cause blood sugar to rise. The test shows that people with cold constitution usually have digestive dysfunction, making it difficult to dissolve the glucose ingested in the body, which is not conducive to the absorption of cells, and the glucose in the blood will inevitably exceed the standard and form hyperglycemia.
Second, wet spleen soil. The spleen and pancreas are two twin brothers, the physiological function is basically similar, but also has the same characteristics, like warm and dry, like sweet, the most afraid of wet turbidity. However, the division of labor between the two is different, the spleen system takes blood, which is the source of blood biochemistry; the pancreatic system takes jin liquid, which is the source of jin liquid biochemistry. The pancreas has the ability to coordinate yin and yang, self-regulate blood sugar balance, and is mainly assisted by the joint participation of bile and small intestine to complete digestive work. The normal working hours are from three o'clock in the morning to four or five o'clock in the afternoon, and the work intensity is concentrated from seven to nine o'clock in the morning, and the rest of the time is in a state of rest. Therefore, the spleen and pancreatic function of the people who love to eat late-night snacks are too much, and they are most likely to suffer from diabetes. Moreover, wet turbidity is one of the pathological products of the six obscenities, like sticking to the pancreas and spleen, and oily foods such as fried foods are most likely to produce wet turbidity.
When the spleen or pancreas is in a state of deficiency, or the load is too much, or the digestive system is dysfunctional, it fails to remove the wet turbidity in the body, the wet turbidity sticks to the pancreas, and over time it forms an envelope, which is bound by the wet turbidity and cannot drive its power, and loses the function of unifying the fluid, coordinating the yang and regulating the blood sugar balance, and diabetes occurs.
3. Hepatosplenic disharmony. The liver is an important organ that regulates the constant concentration of blood sugar and has the energy metabolism function of reserve liver glycogen. If the liver's storage function is abnormal, it cannot accept instructions from the spleen to transport liver glycogen for storage, thereby reducing resistance and affecting the function of the digestive system. General TCM clinical coordination of liver and spleen discord and commonly used method of hard work, many combinations of drugs, such as huanglian, evodia, and then such as appendages and rhubarb, cinnamon and huanglian and so on.
Fourth, excess nutrition or excessive energy consumption. With the improvement of living standards, long-term consumption of refined foods and a large amount of refined sugar can promote the excretion of trace elements in the body, resulting in the lack of trace elements, and also lead to pancreatic dysfunction to form diabetes. In 2009, there was a diabetic patient who had been ill for six years, she was busy with work every day, she did not pay attention to diet, she was still working when she was hungry, and there was no problem at first, because the liver could break down some liver glycogen to eliminate her hunger, and then slowly formed a habit, so there was a hypoglycemia after a long time. When blood sugar is low, glucagon continues to rise to balance the state of the body. Glucagon continues to be secreted for too long, which can cause an increase in blood sugar. Therefore, irregular diet, long-term hunger, or hunger and weight loss cause heavy energy consumption, resulting in serious damage to pancreatic function, digestive dysfunction, blood sugar regulation dysfunction, causing blood sugar to rise, diabetes mellitus. There are two problems here, one is how to deal with the problem of overnutrition; the other is how to deal with excessive consumption.
Fifth, yin and evil wear and tear. Yin and evil wear and tear, stimulate the central nervous system, sympathetic nervous system in a state of excitement, stimulate auxin, thyroxine, adrenaline excitement, resulting in digestive function involvement, over time digestive function disorders, causing habitual constipation, causing hyperglycemia. Staying up late for a long time, emotional depression, high work pressure, alcoholism, excessive sex life, etc., these factors can lead to yin and evil wear and tear.
Sixth, distinguish between high blood sugar and urine sugar
Seventh, from the physical condition to see diabetes and its dialectical treatment
Hyperglycemia is not the same as diabetes. Hyperglycemia is a blood glucose exceeding the standard in the blood, and there is no clinical manifestation or symptom, which is not diabetes at all. Urine glucose is a complication of hyperglycemia, close to the state of thirst-quenching disease, "three more and one less" is the basis for clinical diagnosis.
First, people with a yangming physique
Just like Guan Yu pingsu is strong, can eat, sleep and be capable, but always has symptoms of constipation, constipation will lead to yin and evil wear. Therefore, when such patients are ill, they are easy to manifest as symptoms and lesions of the Yangming system, drinking more, eating more, and stools are difficult to solve, and further diabetic gastrointestinal disease, diabetic encephalopathy, diabetic nephropathy and so on. The usual clinical manifestations are liquid-bearing gas soup certificate, huanglian laxative heart soup certificate, rhubarb huanglian laxative heart soup certificate, lifting and lowering dispersion certificate, etc. Here I would like to remind everyone to think about how to choose drugs and drugs for people with Yangming constitution who suffer from diabetes, or choose the law of treatment.
Second, people with less yin physique
For example, Zhuge Liang, who is weak in physique, thin and long in body, good at thinking, is usually prone to insomnia. Such patients are prone to symptoms of lesions of the oligosydosyna system, such as upset, insomnia, urinary abnormalities, cardiac dysfunction, etc., and the complications of diabetes are usually heart disease, kidney disease, impotence and other lesions. Most of them are eight flavor dihuang soup certificate, kidney qi pill certificate, zhenwu soup certificate and so on.
Third, people with less yang physique
For example, Lin Daiyu, who is weak in physique, has an introverted personality that is more melancholy and sentimental. Prone to diseases of the Shaoyang system: emotional depression, chest pain, dry mouth and throat and other small chai hu soup evidence, further diabetic retinopathy will occur. In fact, as long as it is a person with a less yang constitution, complications of hyperglycemia such as floaters, blurred vision and other eye diseases can be added or subtracted by small chai hu tang, or with flavored idle scattering, four reverse scattering, etc. to solve this problem.
Fourth, people with a yin constitution
Like Zhang Fei, Ping su has an impatient temperament, is easy to get angry, is not good at controlling emotions, and belongs to the "crazy". When such patients are ill, they are easy to manifest as yin system lesions: irritability and irritability, dizziness and headache, and even vomiting blood, or some people are prone to diarrhea as soon as they eat, prone to complicated by hypertension, and further develop diabetes with blurred vision, diabetic cardiovascular and cerebral system diseases, diabetic nephropathy, etc. There are Jianzhen soup certificate, dihuang pill certificate, Baishu peony medicine powder certificate and so on.
Fifth, people with a yin physique
Taiyin physique can be divided into three categories, one is Taiyin Qi deficiency, one is Taiyin deficiency, and the other is Taiyin wet resistance. If the yin qi is weak, the physical strength is insufficient, eating raw and cold food or greasy products is prone to diarrhea, and the onset of the disease is easy to manifest as bloating, abdominal pain, bloating pain, vomiting, diarrhea and so on. If the yin and yang are too yin and yang, they are afraid of cold, their limbs are not warm, and their abdomen is often full of cold pain, vomiting and straining. Taiyin wet resistance, the obvious feature is the body size is fat, the onset is usually manifested as headache, limb heaviness, abdominal distension, sticky mouth, unpleasant stool, sticky stool so that the toilet flush is not clean, further developed into diabetes common peripheral neuropathy. There may be ginseng white art dispersal evidence, ginseng soup certificate, flat stomach dispersion certificate and so on. Some people will ask, how can there be no people with a solar constitution? Because the human constitution of the sun is very strong, it can be cured quickly after the disease, and it can be recovered by taking a little medicine, so people with this constitution are not prone to diabetes.
People with different constitutions will have different systemic lesions after diabetes, and further complications will also have their own characteristics. Physique is the basis for the occurrence and development of diabetes and its complications, and it is precisely because of this constitution that this disease is suffered from, and it is precisely because of this disease that this symptom is manifested. Distinguishing the physique is the basis of dialectical disease identification, disease identification is a link closely related to dialectics, and dialectics is the key to deciding on medication and prescription drugs. This dialectical method is collectively known as the dialectical mode of distinguishing the constitution, the disease, and the dialectical trinity, and the emphasis is still on the identification of the constitution. First of all, look at this person's physique to know what the problem is, reflecting the treatment of diseases, pay attention to the identification of diseases, is to emphasize the occurrence and development of diabetes and its complications of the basic mechanism, pay attention to the identification of prescriptions, dialectics, emphasize that there is a proof is the prescription, the use of drugs is strongly targeted, can break through, highlight the advantages of individualized treatment of traditional Chinese medicine. Clinical use in the treatment of diabetes mellitus and its complications can often achieve satisfactory results. When taking drugs, it is advocated that in the principle of treatment, as long as one or two herbs are found, or three or five medicines to solve the key to the diabetes of people with yin constitution, not too complicated, too cumbersome, but to simplify complex things.
table
example
divide
enjoy
(i)
Cases of diabetic renal failure.
The patient is from Weifang, Shandong, female, 76 years old, the son's surrogate mother stated the condition as follows: sudden rotational dizziness after a fall, head activity is more limited, accompanied by dizziness, limb weakness, the left side is more serious, headache is pulsatile swelling pain, lower limbs also appear puffy and quite serious fatigue, weak consciousness, mental exhaustion, fasting blood glucose and postprandial blood glucose are relatively high. He has a history of cerebral infarction for 12 years, a history of type 2 diabetes for 6 years, has been injecting insulin 18u-14u late, and has a history of kidney failure for more than 2 years, and is undergoing dialysis treatment. At that time, fasting blood glucose was 14.6 mmol/L, postprandial blood glucose was 18.92 mmol/L, creatinine was 235umol/L, cystatin was 3.25 mg/L, and uric acid was 527 umol/L. Because the distance is very far, there is no way to find me face-to-face detailed diagnosis, so I let my family take a photo of the tongue, as follows:
I formulated a treatment plan for her, using the treatment rules of warming kidney yang, reconciling liver and spleen, warming yang and water, and igniting fire and returning to the yuan.
prescription:
Jujube peel 15 g raw land 30 g yam 45 g dan pi 10 g
Ze diarrhea 10 g front kernel 15 g poria 30 g beef knee 15 g
Guizhi 24g appendage 10g mulberry mantis 15g nootropic 12g
Huanglian 6g rhubarb 6g Evodia 6g lychee core 10g
Cangshu 15g Wu Yao 20g Taizi Ginseng 60g Mai Dong 12g
Schizandra 10 g tong grass 10 g mulberry leaves 30 g
(Note: Zizhu 18g divided into 3 servings, each time 6g, about 80-90 capsules, after meals warm boiled water to take)
Administer the drug for a month, one dose a day, decoct twice in water, once in the morning and once in the evening.
On April 9, 2015, she returned to her second consultation, and the test indicators improved significantly, some declined, and some directly returned to normal. I didn't think much about it, the effect was not more, and I continued to take it for a month as it was. By June 3 of this year, I came to the follow-up clinic again, the blood sugar was almost normal, and the kidney function examination improved significantly; so on the basis of the Jisheng kidney qi pill, it was slightly added or subtracted to strengthen the kidney qi and the work of Wenyang dehumidification.
Guizhi 20g appendage 10g mulberry mantis 15g nootropic 12g
Yellow Cedar 15g Rhubarb 6g Dried Ginger 10g Cangshu 15g
Wu Yao 20g Taizi Ginseng 60g Mai Dong 12g Schizandra 10g
Astragalus 45g sand kernel 20g mulberry leaves 30g licorice 20g
For patients with kidney failure, biochemical test results show that it can basically be said to be a clinical cure.
(ii)
Diabetic foot cases. Patient surname Yang, female, 72 years old, Xi'an people, diabetes for 22 years, has been taking hypoglycemic drugs, in recent years due to high blood sugar, morning and evening injection of insulin, noon to take hypoglycemic drugs, fasting blood glucose 7.3mmol / L, postprandial 8.78mmol / L, glycosylated hemoglobin 8.5mmol / L. I told that in 2007, the left foot thumb toe back grew a small grain, because of the discomfort of itching, was scratched, and then could not heal, after more than half a year of treatment in the local hospital, the ulcerated side was not effectively controlled, but the ulcer became more and more serious, and finally the hospital recommended amputation. Symptoms include dark redness and slight swelling of the affected limb, ulceration and putrefaction, severe pain, accompanied by fever and thirst, reddish tongue and thin white moss, and pulse number.
It is recommended to stop taking hypoglycemic drugs and insulin. The treatment method of internal chinese medicine combined with external treatment is adopted.
Internal administration of traditional Chinese medicine: it is advisable to clear heat and detoxify, activate blood and relieve pain, and benefit Qi Peiyuan.
Ginseng 20g Astragalus 80g Angelica 60g Honeysuckle 90g
Cork 12g Ginseng 90g Licorice 30g Stevia 6g,
Beef knee 12g guizhi 6g loofah 15g chicken blood vine 30g
Cangshu 20g Zhimu 12g Purple Bamboo Pill 18g
Administer 10 doses, fry twice in water, take three times before meals.
External use: pull out poison and reduce swelling, remove saprophytic muscle.
300 g of cotton sugar 600 g of slag plaster powder, and homogenized bottle equipment.
How to use: Wash the wound surface with hydrogen peroxide, and after the ulcerated surface dries, sprinkle the upper powder on the ulcerated area, twice a day for severe cases, and change once a day for light one.
The efficacy is as follows:
Summary: This case is a typical diabetic foot, after two months of taking and external treatment of the comprehensive treatment method, ulceration healed, blood sugar in the normal range for nearly a month, stop taking decoction, insist on taking 7 months of zizhu pills, three times a day, each time six grams, warm water to take, healed.
(iii)
Cases of ketoacidosis. Patient Lu Mou, female, 18 years old, senior high school student, Guangdong, parents came to seek medical treatment on November 13, 2010. Patients often report dizziness and dizziness, sometimes headache, nausea and vomiting, irritability and insomnia, palpitations, limb weakness, mental exhaustion, weight loss, constipation, breathing with rotten apple flavor, because of the proximity to the college entrance examination, busy studying, they did not tell their parents, the recent symptoms are getting more and more serious, in 2010 National Day holiday, sudden coma, unconscious, sent to the hospital for rescue and escape, after examination, fasting blood glucose 36.6mmol / L, blood PH less than 3.6, ketone body in the urine (++++), The remaining blood base (BE) is less than 0.97 mmol/L, and the blood ketone body is elevated. The hospital diagnosed type I diabetes mellitus complicated by ketoacidosis, which was mainly treated by injecting insulin, 22 units in the morning and 16 units in the evening, and fasting blood glucose 19.8 mmol/L. The face is pale, the tongue is pale, the moss is thin and white, there are tooth marks on the edges, and the veins are weak and weak.
The diagnosis is that the upper coke heart yang is not vibrant, the middle coke fever poison is flourishing, the lower coke kidney yang deficiency, the three focal tong li loss division, the yang deficiency hot knot, the treatment should be hard to open and bitter, the temperature and yang are turbid, the heat is detoxified, and the spleen is awakened by wetness.
Appendage 30-100g fenugreek 30g rhubarb 12g dayun 30g
Huanglian 10-30g cooked 30g sand kernel 20g dogwood 15g
Yam 40 g Dan Pi 12 g Ze Diarrhea 20 g Poria 40 g
Cinnamon 6 g Cang Shu 20 g Wu Yao 15 g lychee core 12 g
Purple bamboo 18g
Administer the drug for one week, fry twice in water and take it three times before meals.
It is recommended to start insulin reduction the next day, taking 3-5 units each day.
On November 22, the patient reported that the symptoms improved significantly, the energy was energetic, the amount of insulin injection was reduced, the injection of insulin was stopped, and the fasting blood glucose dropped to 12.3 mmol/L, followed by 7 doses. On December 3, the follow-up consultation, all the symptoms were removed, almost returned to normal, only the blood sugar was high. It is recommended to continue to take this prescription for two weeks to consolidate the efficacy. After that, stop taking decoction medicine, insist on taking Zizhu Pills (6 grams three times a day, each time, warm boiled water), after 3 months, fasting blood glucose recovery fluctuated between 5.3 mmol/L and 6.9 mmol/L, without any recurrence of the disease, full of energy, stable academic performance. After 16 months of conditioning diabetes completely cured.
epilogue
My thinking and application of traditional Chinese medicine for the treatment of diabetes is introduced here, and I hope that all teachers will give more advice. Colleagues who love to study diabetes can communicate more and learn from each other. Thank you for listening to all the teachers, I wish you all a good clinical work, and I wish you all the happiness of your families, thank you!
Translation: Cheng Yanqi, Chen Jiancheng
Editor: Julie
Proofreader: Cai Guohong
statement
This article is based on a lecture given by Teacher Liu Guoxuan at the TCM Heritage Forum on June 29, 2015, and was compiled into a transcript by TCM volunteers commissioned by "TCM Practitioners". TCM Online Forum Alliance provides support. Respect knowledge and labor, please retain copyright information when reprinting. The copyright of the content published on this platform belongs to the relevant right holders, if there is improper use, please contact us at any time.
Welcome to contribute: [email protected]
Search for "Chinese Medicine Practitioner" and follow the WeChat public account for more Information on Chinese Medicine.
Recommended download: The new TCM APP, the exclusive software of 500,000 TCM people, only focuses on the field of TCM. 【Community】Friends with doctors, make friends with the world. 【Studio】Help TCM build personal brand, enhance doctor-patient interaction, and create your own studio. 【Conference Services】The National TCM Conference Training can be registered at any time, and it is easy to join the interactive circle of TCM teachers. Download address: http://www.zhongyijia.com.cn/down