2 English reference renal diabetes [Xiangya Medical Dictionary]
3. To sum up, tonifying kidney is the name of disease syndrome [1]. See "The Total Record of the Holy Sites", Volume XIII. That is, decrease [1][2].
Down to the name of the disease [2]. See Danxi Mind Method: Quenching Thirst. It is one of the diabetes diseases in internal medicine. Also known as Shenxiao (Shengji Tongzhi), Shenxiao (Medical Outline), Neixiao (see Shengji Tongzhi Volume XIII) and Turbidity Xiao (see young and young). It refers to the thirst-quenching characterized by excessive urine, cream, sweetness, thirst and excessive drinking, dark face and red ears, and gradual weight loss [3]. Most of them are caused by renal failure [2].
Volume XIII of the General Record of Promoting Muscle Production: "If the disease disappears, you will vomit more without thirst, and if it disappears internally, it will be one."
"Outline of Medicine" Volume 21: "Those who decline and disappear are called kidney elimination. If the kidney disappears, drink one or two cups, like ointment. "
"Children's Gathering Records": "It is the transmission and change of the upper elimination. For a long time, the heat in the lung and stomach is unclear, and even the kidney moves, the heat spreads to the bladder, and the urine is turbid, and the color is like cream, which means that it disappears."
4 Shenxiao symptoms Shenxiao patients have a lot of urine, such as ointment, or sweet, thirsty and polydipsia, dark face and burning ears, and are getting thinner [3][2].
5. Kidney-tonifying syndrome differentiation and treatment 5. 1 Underconsumption with deficiency of kidney yin [3] refers to deficiency of yin and body fluid, kidney dystrophy, frequent urination, muddy urine, or sweet urine, soreness of waist and knees, fatigue, dizziness, tinnitus, dry lips and itchy skin.
5. 1. 1 Symptoms: frequent urination, turbid as ointment, or sweet urine, soreness of waist and knees, fatigue, dizziness and tinnitus, blurred vision, dry lips, dry skin, itching, insomnia, vexation, red tongue with little fur, and rapid pulse [5][6][7].
5. 1.2 Syndrome analysis: Deficiency of kidney yin is due to fixation: kidney deficiency cannot inhibit urination, so frequent urination occurs. Kidney loss of solid, Shui Gu subtle bet, so urine turbid as cream and sweet. Deficiency of liver and kidney essence and blood, dizziness and tinnitus, blurred vision. Heart and kidney don't meet, so I see upset and insomnia. Dry mouth, dry lips, fever of five senses, red tongue without coating, and thready pulse are manifestations of deficiency of kidney yin and flourishing fire. [5][6][7]
5. 1.3 Prescription treatment: nourishing yin and tonifying kidney.
You can use Liuwei Dihuang Pills [Remarks] Liuwei Dihuang Pills ("Children's Medication Tips"): Radix Rehmanniae Preparata, Rhizoma Dioscoreae, Poria, Cortex Moutan, Alismatis Rhizoma and Cornus officinalis. The dosage of yam and dogwood in the prescription should be large, because yam can tonify spleen and yin, and dogwood can tonify kidney and replenish essence, so as not to make Shui Gu gamble on sperm. Deficiency of kidney yin, hyperactivity of fire due to yin deficiency, dysphoria and insomnia, nocturnal emission, red tongue and thready pulse, should nourish yin and clear heat, consolidate essence and subdue yang, and add Cortex Phellodendri, Rhizoma Anemarrhenae, Os Draconis, Concha Ostreae and Carapax et Plastrum Testudinis. If the urine volume is heavy and turbid, it is advisable to tonify the kidney and shrink the spring, and add Alpinia oxyphylla, ootheca mantidis, Schisandra chinensis, silkworm cocoons and so on. If the deficiency of both qi and yin is accompanied by drowsiness, shortness of breath and red tongue, it is advisable to add qi-invigorating products such as Codonopsis pilosula and Astragalus membranaceus. In case of blood stasis, salvia miltiorrhiza, hawthorn, safflower and peach kernel can be used to promote blood circulation and remove blood stasis to improve the therapeutic effect. [5]
5. 1.4 Dietotherapy 5. 1.4. 1 Recommended ingredients Patients with kidney-yin deficiency are advised to eat Lycium barbarum, mulberry, black beans, scallops, radix rehmanniae, black sesame seeds, grapes, black rice, etc. Nourishing yin and tonifying kidney [7].
5. 1.4.2 recommended diet prescription 1. Five flavors of Lycium barbarum beverage (Wanshoufang): 50g of Schisandra chinensis, 50g of Lycium barbarum and 50g of rock sugar. Put Schisandra Chinensis into a gauze bag, add water to Lycium barbarum 1000mL, boil 800mL, and add rock sugar. Drink tea instead. [7]
2. Mulberry mash (Compendium of Materia Medica): Mulberry 1000g, glutinous rice 500g. Clean and mash fresh mulberry (or boil 300g dried mulberry to remove residue), then cook with glutinous rice to make glutinous rice dry rice, cool, add proper amount of distiller's yeast, mix well, and ferment into fermented wine. Eat with meals every day. [7]
3. Rehmannia porridge (precautions for drinking and eating): 500g of Rehmannia glutinosa, white honey 125g are boiled into paste, and japonica rice 100g is boiled into porridge. Add 2 spoonfuls of rehmannia paste and a little ghee after cooking. For those who need to tonify the kidney, Euryale Semen and Rhizoma Dioscoreae can be added as appropriate, ground and cooked, and taken twice a day. [7]
5. 1.5 acupuncture treatment 5. 1.5. 1 prescription 1 points Yishu, Shu Fei, Pishu, Shenshu, Zusanli and Taixi are the main points. Add Guanyuan, between lines, retreat; Dry mouth plus Lian Quan and pulp bearing; Noisy, hungry, closed doors, internal customs; Dazed and bright, between the lines; Dizziness plus stars and Baihui; Cold limbs and Mingmen Guanyuan moxibustion. [8]
5. 1.5.2 square [6]
Treatment: nourishing yin and clearing heat.
Acupoint selection: Kidney Meridian of Foot Shaoyin and Liver Meridian of Foot Jueyin are the main acupoints. Take Shenshu, Taixi, Ganshu, Taichong and Yishu. Shenshu and Taixi tonify the kidney and accept qi, contract spring and nourish yin. Ganshu and Taichong are used to nourish liver yin and reduce liver fire. Yishu is an experienced and effective acupoint for treating thirst.
Acupoints according to syndrome: If the vision is blurred, add light. Dizziness, plus stars.
Acupuncture and moxibustion: acupuncture tonic method.
5.2 Deficiency of both yin and yang (syndrome of deficiency of both yin and yang accompanied by downward consumption [3]) refers to deficiency of both yin and yang, frequent urination, one urine after another, color mixing like cream, dull complexion, yellow helix, dizziness and tinnitus, listlessness, palpitation, soreness of waist and knees, chills in limbs and five annoyances.
5.2. 1 Symptoms: frequent urination, turbid as cream, even drinking one cup or one cup, dull complexion, dry helix, soreness of waist and knees, hypothermia in limbs, chills, obvious emaciation, impotence or irregular menstruation, floating face and chills, pale tongue with white and dry fur, and weak pulse. [5][6][7]
5.2.2 Syndrome analysis: Yin impairs Yang, kidney yang decreases, and kidney loses fixation. Phase: kidney loses fixation, kidney qi sinks alone, frequent urination, turbid as ointment. The next dollar is exhausted, and the constraint has no right, but a glass of wine. Shui Gu's subtlety is gambling on urine. He can't fill his body with smoked skin. The rest of the turbid yin can't be discharged, so the face is dark and disgraceful. The kidney governs the bone, and it begins to enlighten the ear, and the waist is the house of the kidney. Because of kidney deficiency, the helix is dry and the waist and knees are weak. When the life door is weak and the muscles are flaccid, you will see cold and impotence. Pale tongue with white fur and weak pulse are manifestations of deficiency of both yin and yang. [5][7]
5.2.3 Prescription and treatment: warming yang and tonifying kidney and consolidating the foundation [5].
It can be treated with Shenqi Pill (remarks) and Shenqi Pill (Ramulus Cinnamomi, Radix Aconiti Lateralis Preparata, Cornus officinalis, Rhizoma Dioscoreae, Poria, Cortex Moutan and Alismatis Rhizoma). This prescription uses aconite and cinnamon to warm and tonify kidney yang; Liuwei Dihuang Pills tonify kidney and nourish yin. If both yin and yang are deficient and qi and blood are insufficient, velvet antler pill [Remarks] (Shen's sacred technique) can be used: velvet antler, Ophiopogon japonicus, Radix Rehmanniae Preparata, Radix Astragali, Schisandra chinensis, Cistanche deserticola, Endothelium Corneum Gigeriae Galli, Fructus Psoraleae, Ginseng Radix, Achyranthis Radix, Scrophulariae Radix, Poria and Cortex Lycii, and both of them can be added with raspberries and ootheca. In case of blood stasis, salvia miltiorrhiza, hawthorn, safflower and peach kernel can be used to promote blood circulation and remove blood stasis to improve the therapeutic effect. [5]
5.2.4 Dietotherapy 5.2.4. 1 Recommended foods For patients with yin and yang deficiency, it is recommended to eat Astragalus membranaceus, Lycium barbarum, Chinese yam, sea cucumber, loach, walnut, pork loin and Schisandra chinensis. Used for nourishing yin and warming yang, tonifying kidney and strengthening body [7].
5.2.4.2 recommended diet prescription 1. Ziyong Drink (recorded enthusiastically by western medicine): Radix Astragali 30g, Rhizoma Dioscoreae 30g, Radix Rehmanniae 15g, Fructus Corni 15g, decoct in water together, take juice, add pig pancreas, add a little salt after cooking, and eat meat in soup twice a day. [7]
2. Five flavors of Lycium barbarum beverage ("Healthy Recipe"): 50g of Schisandra chinensis, 50g of Lycium barbarum and 50g of rock sugar. Put Schisandra Chinensis into a gauze bag, add water to Lycium barbarum 1000mL, boil 800mL, and add rock sugar. Drink tea instead. [7]
3. Sea cucumber porridge (Lao Lao Heng Yan): sea cucumber 30g, japonica rice 100g, ginger, onion and salt. Soak the sea cucumber first, cut it clean, blanch it in boiling water, take it out and cut it into pieces. Wash japonica rice, add appropriate amount of water, and cook with sea cucumber slices into porridge. After cooking, add appropriate amount of ginger, onion and salt to taste. Twice a day. [7]
5.2.5 Acupuncture treatment 5.2.5. 1 Formula 1 Points Yishu, Shu Fei, Pishu, Shenshu, Zusanli and Taixi are the main points. Add Guanyuan, between lines, retreat; Dry mouth plus Lian Quan and pulp bearing; Noisy, hungry, closed doors, internal customs; Dazed and bright, between the lines; Dizziness plus stars and Baihui; Cold limbs and Mingmen Guanyuan moxibustion. [8]
5.2.5.2 Fang Er [6]
Treatment: Bushen Gushe.
Prescription: the acupoints of kidney meridian of foot shaoyin are the main points. Take Taixi, Shenshu, Zusanli, Qihai, Mingmen and Yishu points. Shenshu, Mingmen, Taixi and Qihai tonify kidney-yang and nourish kidney-yin. Zusanli will make up the day after tomorrow. Yi Shu is an effective acupoint for treating thirst.
Acupoint selection according to syndrome: for those who are dizzy, add more points to Yongquan. Insomnia, plus Shenmen and Sanyinjiao.
Acupuncture and Moxibustion: Acupuncture supplemented by moxibustion.
5.3 Deficiency of both qi and yin (deficiency of both qi and yin syndrome [3]) refers to deficiency of vitality, deficiency of yin and body fluid, thirst and thirst, loss of appetite, frequent urination, fatigue, shortness of breath, dry throat, short and red urine, dry stool, red tongue and few dry fur.
5.3. 1 Symptoms: thirst, loss of appetite, frequent urination, listlessness, shortness of breath, laziness in speaking, dry throat and mouth, short and red urine, dry stool, red tongue, few and dry fur, and deep and thin pulse [4].
5.3.2 Prescription treatment should strengthen the kidney [2]. Prescriptions such as Liuwei Dihuang Pill, Zuogui Drink, Dabuyin Pill and Self-use Decoction were used [2]. For patients with qi deficiency and fire failure, Bawei Dihuang Pill, Gui You Pill, Mi Yuan Decoction and Gu Yin Decoction are used [2].
5.4 The syndrome of drinking less with dryness-heat impairing body fluid [3] refers to dryness-heat impairing body fluid, frequent urination, thirst, thirst, hunger, emaciation, constipation, weakness of limbs, dry skin, red tongue, thin yellow fur or less, and rapid pulse.
5.4. 1 Symptoms include frequent urination, polydipsia, thirst, thirst, constipation, weakness of limbs, dry skin, red and dry tongue, thin yellow or little fur, and thin or thin pulse [4].
5.5 Eating less with blood stasis syndrome [3] refers to blood stasis, qi deficiency, dry mouth, polyuria, emaciation, dull complexion, numbness or tingling, especially at night, or nails, purple lips, dark tongue or ecchymosis, thin and white fur or less fur and pulse.
5.5. 1 Symptoms: dry mouth and excessive urine, emaciation, dull complexion, numbness or tingling in the body, especially at night, or nails, purple lips, dark tongue or ecchymosis, thin and white fur, and dull and astringent pulse [4].
5.6 Massage Therapy for Eliminating Kidney Qi [9]
Acupoints: Shenshu, Mingmen, Sanjiaoshu, Fructus Aurantii Immaturus, Shuishui, Zhongji, Gu Ran, Taixi, Qihai, Guanyuan and Shenque.
Operation method: the patient takes the supine position, and the doctor uses the left and right structures: This method is performed on both sides of the back spine for about 6 minutes, focusing on Shenshu, Mingmen, Sanjiaoshu and local Ashi points. Massage the first lateral line of bladder meridian on both sides of the back spine with one finger meditation for about 5 minutes. It refers to massaging Shenshu, Mingmen, Sanjiaoshu, Fructus Aurantii Immaturus, Shuidu, Zhongji, Gu Ran and Taixi points, and each point lasts about 1 minute. Rubbing eight points of lumbosacral region horizontally, with heat penetration as the degree. Apply it to Qihai and Guanyuan with a finger massage or finger massage, and each acupoint lasts for about 2 minutes. The palm vibrates Shenque point for about 1 min. Push the abdomen and lower abdomen directly with the palm flat pushing method for about 5 minutes. Rub the ribs on both sides, with heat penetration as the degree.
5.7 Moxibustion Bushen Method 5.7. 1 Formula 1 [10]
Acupoints: Taixi, Yongquan, Gu Ran and Qihai.
Moxibustion method: Moxibustion with moxa sticks is mild, and each point lasts 10 ~ 15 minutes. Moxibustion is warm until local blush is warm, 1 time per day, 1 time is 1 course of treatment. You can rest between courses of treatment, and you can apply moxibustion every 1 ~ 2 days at ordinary times.
5.7.2 Party B [1 1]
Acupoint selection:
1 group? Zusanli and Zhongwan points;
② group? Mingmen and Spleen Shu points;
③ Group? Qihai and Guanmen points;
Group 4? Point between spine and Shenshu;
⑤ Group? Gaihua and Liangmen points;
Group 6? Dazhui and Ganshu points;
All landowners group? Pain points in the middle, middle pole and abdomen;
Group 8? Shu Fei, Shu Ge and Shenshu points.
Acupoint matching: for those with lower elimination syndrome and kidney deficiency, Jiarangu and Yongquan points.
Moxibustion: take 1 group of acupoints at a time, and use 8 groups of acupoints alternately, with ginger moxibustion. Take 0.3 ~ 0.4 cm thick ginger slices and put them on the acupoints, then put 1.5 cm ×2 cm, weighing 0.5 g, and then light moxibustion. Moxibustion at each point is 10 ~ 30, every other day 1 time, and 50 days is 1 course of treatment.
6. Diabetes [3][ 12] is the name of the disease [1]. The Huangdi Neijing Suwen Strange Diseases was published. Also known as quenching thirst (see "The World's Famous Doctors' Prescriptions" Volume VI) and eliminating carbuncle (Huangdi's Internal Classic) [1]. Refers to diseases characterized by polydipsia, polyphagia, polyuria, emaciation or turbid urine, and sweet urine [5]. In severe cases, neurasthenia, secondary acute infection, tuberculosis, hypertension, microangiopathy such as kidney and retina may occur, and finally ketoacidosis, coma and even death may occur [9].
(1) Diabetes generally refers to diseases characterized by polydipsia, polyphagia and polyuria [1][8][3][ 12].
(2) Diabetes refers to the symptoms of thirst, polydipsia, polyuria and sweet urine [1]. "The Secret of Foreign Taiwan Province" Volume 11: "People who are thirsty, drink more water, urinate more, and are fat-free and sweet as chaff chips are all diabetic." This syndrome is called diabetes in modern times [1].
(3) Diabetes refers to diabetes disease characterized by thirst and oliguria [1]. "Taiping Sheng Huifang" Volume 53: "The husband is thirsty and does not urinate, because he is thirsty."
According to the different symptoms and stages of disease development, diabetes can be divided into upper, middle and lower consumption [1][8]. Among them, thirst leads to upper consumption, easy drinking leads to lower consumption, and drinking a cup leads to lower consumption [6]. Too much sweet fat, emotional imbalance, leading to dry and hot viscera, yin deficiency and fire flourishing [8]. Unhealthy diet, emotional imbalance and overwork are the main causes, yin deficiency and dryness-heat are the main pathogenesis, and both qi and yin are deficient, which even leads to other diseases, especially carbuncle [5].
In the treatment, besides nourishing yin and clearing heat, symptomatic treatment, other conditions should also be taken into account, and single medicine can be combined with life conditioning to improve the curative effect [5]. Acupuncture is an effective method to treat diabetes, which is beneficial to early, middle and mild patients. Those with long course of disease and serious illness should be treated with drugs [6].
Diabetes is equivalent to diabetes in modern medicine. Diabetes insipidus has symptoms such as polydipsia and polyuria, which can also be treated with reference to [6]. Neuronal polyuria, polydipsia caused by acute fever, etc. It also belongs to the category of this disease [8].
See quenching thirst for details.
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