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China is the country with the largest number of diabetics in the
In recent years, the prevalence of adult diabetes in China has continued to rise, reaching 11.
9%, and the onset is getting younger and younger, and the prevalence of rural populations is growing rapidly
"Paying equal attention to traditional Chinese medicine and Western medicine" is an important strategy and policy for the prevention and treatment of diabetes in China, and this article will focus on the prevention and treatment of diabetes by traditional Chinese medicine
01The concept of diabetes in Chinese medicine
Diabetes belongs to the category of "thirst quenching" in Chinese medicine, which is mainly characterized by thirst and drinking, eating too much and hunger, wasting the body, urinating frequently and sweetening
The name of thirst quenching disease first comes from the "Emperor's Inner Classic" - "This person must eat luscious and fat, the fat one makes people hot inside, and the sweet one makes people full, so his qi overflows and turns into thirst
" "The external causes of its onset are mainly concentrated in poor diet, overeating, excessive fat, excessive fatigue and other aspects
02Differentiation and treatment of diabetes by traditional Chinese medicine
Traditional Chinese medicine believes that diabetes is a deficiency, and the mechanism of the disease mainly lies in the loss of jin liquid, dry heat is abundant, and it is based on yin deficiency and dry heat as the standard
According to the dialectical principle of "three matches", it can be divided into upper, middle and lower matches
During treatment, attention should be paid to clearing heat, dampness, tonifying the kidneys, nourishing the yin, and cautiously using the medicine
to replenish fire and help yang, and consume qi and hurt the yin.
China's first grassroots diabetes TCM prevention and management guide, the National Guidelines for the Prevention and Management of Diabetes Grassroots TCM (hereinafter referred to as the Guide), put forward that phlegm and dampness, qi deficiency, yin deficiency, etc.
belong to the common constitution of diabetes, and should be combined with clinical symptoms, tongue pulse, and four diagnosis and reference for differentiation
03Traditional Chinese medicine for the treatment of diabetes
Traditional Chinese medicine has its unique advantages in the treatment of diabetes, especially after some patients after Western medicine treatment, blood glucose indicators are not up to standard or blood sugar control is good, there are still some symptoms, such as sore limbs, fatigue, weak sweating and other liver and kidney deficiency, qi and yin deficiency, then Chinese medicine can be supplemented to improve these discomfort symptoms
The Guidelines clarify the efficacy
of traditional Chinese medicine in the prevention and treatment of diabetes.
First, traditional Chinese medicine can synergistically control sugar and improve symptoms
On the basis of conventional treatment, type 2 diabetes mellitus can be distinguished by combining Jinlida granules, ginsengqi hypoglycemic granules, tianmai thirst quenching tablets, thirst quenching pills [a compound preparation containing glibenclamide (0.
25 mg/capsule) and a variety of traditional Chinese medicine ingredients], kudzu root Qianlian soup, Dachai Hu soup plus or minus, etc
Second, traditional Chinese medicine can prevent and treat diabetes complications
In diabetic nephropathy, on the basis of conventional treatment, yellow sunflower capsules, thirsty Luoxin capsules, etc.
can be used; On the basis of conventional treatment, diabetic retinopathy can be used with Qiming granules, compound danshen pills, etc.
; Diabetic peripheral neuropathy can be used in addition to conventional treatment
Third, on the basis of conventional treatment, combined with acupuncture therapy, it has a certain effect
of lowering glucose, improving lipid metabolism and weight loss.
Common methods include hand acupuncture, electroacupuncture, ear acupuncture, ear pressure, acupressure, etc
For patients with diabetic peripheral neuropathy and diabetic foot disease, on the basis of conventional treatment, combined with traditional Chinese medicine such as blood activation and stasis removal and foot acupressure massage, nerve conduction speed can be improved and pain scores
can be reduced.
04 Characteristics of traditional Chinese medicine in the prevention and treatment of diabetes
Traditional Chinese medicine characteristic intervention methods, prevention before disease
Pay attention to the intervention of common risk factors of diabetes, and intervene
for overweight/obesity, hypertension, hyperlipidemia, etc.
Recommend medicinal and food homologous, tea substitutes and various non-drug therapies of traditional Chinese medicine, and compile "mind-body piles" that integrate traditional Chinese exercise exercises such as standing piles, Baduanjin, and Taijiquan, with simple movements and easy to adhere to; Traditional exercise, traditional Chinese exercise exercises, such as Baduan Jin, Yi Tendon Meridian, Psychosomatic Pile, etc.
, by regulating "shape, breath, and intention", play a preventive health care role, which can improve glucose and lipid metabolism and improve the quality of life; Regulate emotions, improve psychological state through exercises such as tai chi, five-tone (music) therapy, liver relief and anti-depression Chinese medicine to reduce depression and anxiety; Cooperate with traditional Chinese medicine tea substitute, acupuncture, tuina massage, acupressure point therapy, dialectical treatment, etc.
to control blood sugar and prevent the progression of diabetes
Improve symptoms and improve the quality of life of patients
The typical clinical manifestations of diabetics are "three more and one less", that is, polydipsia, polyphagia, polyuria, and weight loss
However, the symptoms of many diabetics are not typical, and after the biochemical indicators such as glycated hemoglobin reach the standard, they are still troubled by some discomforts, such as fatigue, fatigue, insomnia, dreaminess, etc.
, which seriously affect the quality of life of
Many of the symptoms complained by these patients belong to the diagnosis and treatment of specialized diseases such as the nervous system and digestive system, but the cause is actually caused by
While helping patients control their blood sugar, how to relieve their symptoms is one of the responsibilities of
Traditional Chinese medicine pays attention to "dialectical treatment", and grassroots doctors can selectively use Chinese medicine methods to deal with
a series of symptoms of diabetic patients.
The Guidelines recommend Jing Formulas, such as Da Chai Hu Tang (Xie Shaoyang, internal diarrhea heat knot, can improve symptoms such as bitter mouth and constipation), Kudzu Qianlian Tang (solve the table Qingli, can improve dry mouth, body heat and other symptoms), etc.
, these prescriptions have a good synergistic sugar control effect
while improving symptoms.
For diabetic peripheral neuropathy, Chinese medicine internal administration, Chinese herbal external washing, acupoint application, acupuncture, acupuncture point electrical stimulation and other methods are simple and practical, which can improve the coolness, numbness, pain and other symptoms of the limb and nerve conduction function;
For early diabetic nephropathy, Chinese medicine internal administration, acupoint injection, acupuncture, etc.
can improve the glomerular filtration rate and delay the progression of kidney disease, and Chinese medicine enema can improve kidney function by eliminating the accumulation of nitrogen toxins in the intestine, reducing inflammation;
For diabetic foot, acupuncture, acupressure, Chinese medicine fumigation, etc.
can improve the patient's blood circulation and peripheral nerve function;
For the complications of diabetic gastroparesis, acupressure point application is not only safe and effective, but also convenient to use, which can reduce the stimulation of the gastrointestinal tract and reduce the psychological burden