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Oriental Medicine
Treatment of Diabetes
Chinese Herbal
Treatment & Diagnosis
Acupuncture 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:
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
|
Upper Xiao (LU
dry) |
very thirsty,
drinks lots of fluids but still has dry mouth/tongue, frequent
lg. amt. urine, irritable |
clear upper
Jiao Heat/purge Fire to promote production of body fluids &
relieve thirst |
Xiao Ke Fang |
|
Mid Xiao (ST
Yin ↓) |
Hunger, hungry
soon after eating, need to eat or get dizzy,emaciated,
constipation /dry stool (ST Fire), T-red w/ dry coat |
clear ST Fire,
nourish mid Jiao Yin |
Yu Nu Jian
+ Da Huang,
Mang Xiao |
|
Low Xiao (KI
Yin ↓) |
frequent ↑
cloudy thick urine that is turbid & oily, thirst, night sweats,
dizzy, tinnitus,seminal emission, poor sleep |
nourish KI Yin,
clear ↓ Heat |
Liu Wei Di
Huang Wan |
|
Low Xiao (KI
Yin/Yang ↓) |
frequent ↑
cloudy oily urine, trouble holding urine, 5 center heat, thirst,
coldness, aversion to cold, weak low back & knees, impotence,
amenorrhea, night & spontaneous sweat, dry dull complexion |
Tonify KI Yin &
Yang |
Jin Gui Shen Qi
Wan
+ Er Xian Tang |
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)
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
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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