Dry mouth and throat, drink more water, or eliminate hunger and urinate more; Or accompanied by headache, chest pain, hypochondriac pain; Or dark complexion, blue limbs, pain in limbs, numbness in limbs. The tongue is purple and dark, or there are ecchymosis and petechiae, and the pulse is fine and astringent.
cause of a disease
In diabetes, blood with yin deficiency is thick, blood with qi deficiency is unable to activate blood, and blood with yang deficiency is warm, which will lead to poor blood flow and pain. The face, toenails, lips and tongue are dark or have blue spots, or varicose veins under the tongue, and there may be symptoms of blood stasis such as dull complexion and rough skin such as scales.
Syndrome differentiation and diagnosis
The above three symptoms vary in severity, accompanied by chest tightness, chest pain, tingling, or upper and lower limb pain, or numbness of limbs, hemiplegia, ecchymosis on the face, and multicolored purple-red menstrual blood clots. The tongue is purple and dark, with petechiae and ecchymosis, the sublingual collaterals are swollen and the pulse is fine and astringent.
traditional Chinese medicine
[Treatment] Promoting blood circulation to remove blood stasis and regulating qi.
[Medication] Peach kernel, safflower, pangolin and rhubarb remove blood stasis, supplemented by angelica and salvia miltiorrhiza, nourish blood and promote blood circulation, Bupleurum soothe the liver and regulate qi, promote qi and promote blood circulation, pollen and radix rehmanniae nourish yin and promote fluid production, and angelica and salvia miltiorrhiza contract to help the birth of new blood. This prescription is very suitable for treating thirst and blood stasis by activating blood circulation from the liver and removing blood stasis, giving consideration to the lung and kidney. Cold patients (such as diabetic peripheral neuropathy) can also warm meridians and dispel cold on the basis of promoting blood circulation and removing blood stasis, such as Huangqi Guizhi Wuwu Decoction. People with fever can also clear away heat, such as Baihu Decoction and Huanglian Jiedu Decoction. Wet people also use dampness and water, such as Ling Wei soup; Those who have phlegm also use dampness to eliminate phlegm, such as Erchen Decoction; Qi stagnation should also regulate qi, such as Jiawei Xiaoyao San; People with qi deficiency can also replenish qi, such as Buzhong Yiqi Pill; People with blood deficiency also enrich blood, such as Siwu granules; People with yin deficiency also nourish yin, such as Liuwei Dihuang Pill and Erzhi Pill.
[Main prescription] Bupleurum, Trichosanthes root, angelica, safflower, pangolin scales, rhubarb, peach kernel, licorice, salvia miltiorrhiza and rehmannia root. Decoct with water. If loose stool is treated with drugs, rhubarb should be removed. If the disease is in the late stage and the constitution is weak, Astragalus membranaceus can be added to replenish qi, so that qi can be transported and blood can be transformed.
Traditional Chinese medicine prescription
(1) Bushen Huoxue decoction
[Indications] Diabetic nephropathy.
[Prescription] 9 grams of Radix Aconiti Lateralis Preparata, 4.5 grams of Rhizoma Zingiberis Preparata, 9 grams of Cornus officinalis, 20 grams of Radix Astragali, 65,438 02 grams of Radix Codonopsis, 9 grams of Poria, 9 grams of Rhizoma Dioscoreae, 65,438 02 grams of Radix Salviae Miltiorrhizae, 20 grams of Herba Leonuri, 6 grams of Fructus Schisandrae Chinensis, 65,438 02 grams of Semen Euryales, 9 grams of Radix Polygoni Multiflori Preparata and 9 grams of Fructus Lycii.
[Usage] Decoct with water, daily 1 dose, twice a day. 1 ~ 2 months is 1 course of treatment.
(2) Bushen Yangyin Decoction
[Indications] Advanced diabetic nephropathy.
[Prescription] Polygonatum sibiricum, Pseudostellaria heterophylla, Radix Rehmanniae and Radix Puerariae each 65438±05g, Radix Scrophulariae, Radix Ophiopogonis, Pericarpium Citri Tangerinae, Rhizoma Pinelliae and Radix Paeoniae Rubra each 65438 00g, Fructus Aurantii and Fructus Aurantii Immaturus each 6g, Radix Salviae Miltiorrhizae and Radix Trichosanthis each 30g, and Radix et Rhizoma Rhei each 65438 00g.
[Usage] Decoct with water, daily 1 dose, twice a day. 1 ~ 2 months is 1 course of treatment.
(3) Tang Shennan
[Indications] Diabetic nephropathy.
[Prescription] Polygonum Multiflori Radix, Dendrobium, Mulberry, Semen Cuscutae, Herba Cistanches, Fructus Rosae Laevigatae, Radix Salviae Miltiorrhizae and Rhizoma Chuanxiong.
[Usage] Take it in water three times a day. 1 ~ 2 months is 1 course of treatment.
(4) Tongquan decoction
[Indications] Diabetic nerve ladder.
[Prescription] Rhizoma Dioscoreae 15g, Radix Rehmanniae Preparata, Fructus Lycii, Semen Cuscutae, Ruby, Semen Plantaginis, Polyporus, Poria, Achyranthis Radix, Alismatis Rhizoma, Radix Angelicae Sinensis, Radix Salviae Miltiorrhizae 10g, Caulis Akebiae 4g, Cortex Cinnamomi 3g, Radix Aconiti Lateralis 5g and Rhizoma Chuanxiong 6g.
[Usage] 1 dose daily, decocted in water twice, and taken twice. Three weeks is 1 course of treatment.
(5) Yangyin Yiqi Huoxue Decoction
Indications: Diabetic retinopathy.
[Prescription] 20g of Radix Rehmanniae, 20g of Cortex Moutan, 0g of Polygonatum sibiricum15g, 0g of Dendrobium nobile15g, 20g of Achyranthes bidentata15g, 20g of cogongrass rhizome, 20g of Radix Astragali, 2g of Radix Notoginseng and 20g of Chinese yam.
[Usage] Daily 1 dose, decocted in water for 30 days 1 course of treatment.
(6) painkillers.
Indications: knife wound, postoperative wound pain with hematoma, chronic gastritis, duodenal ulcer, upper abdominal pain, abdominal pain, toothache, abdominal distension pain in women during menstruation, liver cancer, cervical cancer, gastric cancer, pancreatic head cancer and other malignant tumors with late local pain.
[Prescription] Pimazao, Dingzidan, Myrrh, Musk, etc.
[Usage] Take orally, 1 capsule each time, three times a day, or take 1 capsule in case of pain, then take it after 4 hours, and take it with warm water.
(7) Ginseng Zaizao Pills
Indications: apoplexy with excessive phlegm, hemiplegia, mouth-eye convulsion, speech disorder, numbness of limbs, acute pain, etc.
[Prescription] Ginseng Radix Rubri, Lignum Santali Albi, Radix Rehmanniae Preparata, Amber, Rhizoma Gastrodiae, Radix Angelicae Sinensis, Radix Clematidis, Cinnabaris, Agkistrodon, Bombyx Batryticatus, Sanguis Draxonis, Calculus Bovis, Moschus, Borneolum Syntheticum, concretio silicea Bambusae and rhinoceros horn.
[Usage] Take orally, each time 1 capsule, twice a day, with warm boiled water.
(8) Guben Quyu Decoction
Indications: absorption period of blood stasis in fundus.
[Prescription] Radix Astragali 15g, Rhizoma Atractylodis 10g, Rhizoma Dioscoreae 30g, Radix Scrophulariae 20g, Fructus Ligustri Lucidi 30g, Eclipta prostrata 15g, Semen Cuscutae 30g, Radix Salviae Miltiorrhizae 15g, Herba Lycopi 30g, Flos Carthami 6g, Radix Curcumae 10g.
[Usage] 1 dose daily, decocted in water twice.
(9) Xuening Yiming Pill
Indications: diabetic fundus hemorrhage with deficiency of both qi and yin.
[Prescription] Radix Astragali, Radix Ginseng, Radix Angelicae Sinensis, Cortex Moutan, Fructus Lycii, Folium Mori and Radix Notoginseng.
[Usage] Adult dose 18g per day. Take it in 2 ~ 3 times. It is prepared with 0.5% sodium carboxymethyl cellulose.
(10) Three Seal of God
Indications: Non-insulin dependent diabetes mellitus complicated with macroangiopathy.
[Prescription] 12 kinds of traditional Chinese medicines, such as Radix Codonopsis, Radix Salviae Miltiorrhizae, Radix Scrophulariae, Leech, Cornus officinalis, Radix Puerariae, etc. , according to the clinical symptoms.
[Usage] On the basis of regulating blood sugar control, add Sanshenyin decoction, daily 1 dose, and take it orally for three times. Patients with cardiovascular and cerebrovascular complications were given isosorbide dinitrate 10 mg orally, three times a day, or/and intravenous injection with 20 ml of tissue fluid and 200 ml of 0.9% normal saline, once a day. Eight weeks is 1 course of treatment.
(1 1) Tongyuling Tablets
[Indications] Diabetic hyperlipidemia.
[Prescription] 3 parts of raw rhubarb, 2 parts of peach kernel and 5 parts of leech.
[Usage] Apply medicine, dry in the sun, grind into powder, mix and make tablets. Take 5 tablets each time (each tablet contains 0.3g of crude drug) three times a day. During the treatment, all lipid-lowering drugs should be stopped, but traditional Chinese medicine decoction can be taken according to TCM syndrome differentiation.
(12) Huangqi Guizhi Wuwu Decoction
Indications: Diabetic peripheral neuropathy.
[Prescription] Radix Astragali 30g, Radix Paeoniae Alba12g, Ramulus Cinnamomi10g, Ginger10g, 5 jujubes, Bombyx Batryticatus10g, Scorpio10g, Scolopendra 6g, and Lumbricus/kloc-0g.
[Usage] Decoct with water, daily 1 dose. 15 days is 1 course of treatment.
(13) four-way powder
Indications: Diabetic peripheral neuropathy.
[Prescription] Radix Astragali 25g, Ramulus Cinnamomi 15g, Radix Paeoniae Rubra 15g, Euonymus japonicus 15g, Rhizoma Atractylodis 10g, Poria 15g, Herba Lycopi 15g, and Semen Sinapis Albae/kloc.
【 Usage 】 The above medicines are carefully crushed, sieved with 100 mesh sieve and sealed with plastic bags, each bag contains 40g of crude drugs, and each bag contains 1 ~ 2 bags. After boiling or boiling, soak and fumigate the affected part, and apply powdered vinegar 1 ~ 2 times a day for 30 minutes.
(14) Fuyuan Huoxue decoction
Indications: traumatic injury, bleeding under the hypochondrium and unbearable pain.
[Prescription] Bupleurum chinense10g, Trichosanthes root 30g, Angelica sinensis10g, Pangolin scales10g, rhubarb 6g, peach kernel10g, licorice root 6g, Salvia miltiorrhiza Bge. 30g and Radix Rehmanniae 30g.
[Usage] Decoct with water.
needle therapy
[Treatment] Key points: pancreas, endocrine, adrenal gland, middle margin, triple energizer, kidney, Shenmen, heart and liver.
Matching points include Shu Ge, Neiguan, Siguan, Xue Hai and Shu Fei. Needle-needle purgation (note: purgation) generally refers to eliminating evil and enabling.
The method of restoring hyperfunction to normal. Xiafa is applicable to all kinds of evidence. The twisting angle is large, the force is heavy, the frequency is fast and the time is long, the thumb is backward and the index finger is forward; When lifting and inserting, it is deep first and then shallow, and it is repeated and lightly inserted, with large amplitude, fast frequency and long time, and the above lifting is the main one; Fast needle insertion and slow needle ejection; The needle tip should conform to the direction of the meridian and stab at the meridian; The patient takes out the needle when exhaling and puts it in when inhaling; You don't have to close the pinhole when you take out the needle, you can also shake it. )。
[Prescription] Pancreas, endocrine, adrenal gland, middle margin, triple energizer, kidney, Shenmen, heart, liver, Shu Ge,
Neiguan, Siguan, Xue Hai and Shu Fei.
【 Practice 】 The needle is lightly stimulated, or the seed pressing method is used. Take 4 ~ 5 points in one ear every time, every other day 1 time, 1 time is1course of treatment.
food therapy
(1) Edible food
Foods that can promote blood circulation and remove blood stasis should be eaten, such as raw lotus root, peanut, radish, leek, peach, grape, lemon, pineapple, grapefruit, olive, hawthorn, Chinese cabbage, celery, onion, yam, garlic, onion, ginger, sweet potato, tomato, eggplant, cauliflower and mushroom. The blood circulation needs the promotion of the qi-moving machine, and the blood vessels on the side of the qi-moving machine are unobstructed without blood stasis, so the blood stasis syndrome needs to be supplemented with qi-regulating foods, such as roses, jasmine, peas, Chinese cabbage, mustard greens and orange peel.
(2) Don't eat food
Do not eat foods that hinder qi activity, such as glutinous rice, lentils, cowpeas, broad beans, tofu, eggs, yam, red dates, longan, honey, etc. Foods with astringent effects can also cause qi stagnation and aggravate blood stasis, such as lotus seeds, Euryale euryales, sour pomegranate and dark plum.
Dietotherapy medicated diet
(1) Cold Mix Three Seasons
[Ingredients] 30 grams of bamboo shoots, 40 grams of horseshoes, 50 grams of jellyfish skin, and the right amount of seasoning.
【 Practice 】 First, cut the bamboo shoots into pieces, blanch them with boiling water, drain the water, wash the water chestnuts and slice them. Wash and shred the soaked jellyfish and blanch with hot water. Add condiments to the above three flavors and eat them cold.
【 Efficacy 】 Clearing away heat and resolving phlegm, relieving cough and asthma. It is suitable for diabetes complicated with pneumonia, which belongs to heat toxin invading the lung.
(2) Luffa Shrimp Porridge
【 Ingredients 】 Luffa 500g, shrimp skin 15g, millet 100g.
【 Practice 】 Plant the thin skin of loofah, wash it and cut it into small pieces for later use. Wash the millet, put it in a casserole, add a proper amount of water, cook it with a small train until it is crisp and rotten, add loofah roll and shrimp skin, add chopped green onion, Jiang Mo, refined salt and monosodium glutamate, cook yellow wine, mix well and simmer for a while.
【 Efficacy 】 Clearing away heat and resolving phlegm, promoting fluid production and relieving annoyance, quenching thirst and lowering blood sugar. Suitable for all types of diabetes.
(3) Huangqi Danggui Clear Soup
【 Ingredients 】 Astragalus membranaceus 30g, Angelica sinensis 10g, Panax notoginseng 3g, jujube 3 pieces, lean meat one or two.
[Practice] Stew soup together.
【 Efficacy 】 Radix Astragali and Radix Angelicae Sinensis have the functions of invigorating qi, enriching blood, promoting blood circulation and removing blood stasis. This prescription is suitable for patients with limb weakness, numbness of hands and feet, qi deficiency and blood stasis after stroke.
(4) Corn silk soup
[Raw materials] Stigma Maydis 15g, adzuki bean 30g and Radix Rehmanniae 30g.
[Practice] Boil water without making tea.
【 Efficacy 】 Stigma Maydis and adzuki bean have diuretic and detumescence effects. Radix Rehmanniae can cool blood and nourish yin. This prescription is suitable for patients with edema of lower limbs, dry mouth and bitter taste. Not suitable for patients with deficiency-cold constitution.
(5) Jellyfish horseshoe soup
[raw materials] jellyfish head 100g, raw water chestnut 100g.
[Practice] The jellyfish head is bleached with clear water to remove the salty taste, and the raw water chestnut is washed and peeled. Put both in a pot and cook them with clear water until cooked. When you take it, you can dip it in soy sauce and the soup can be drunk. It is very effective to take it regularly.
【 Efficacy 】 Clearing away heat and promoting fluid production, resolving phlegm and promoting digestion. It is suitable for diabetic patients such as upset, thirsty, polydipsia, tinnitus and deafness.
(6) Pork Gongying Decoction
[Ingredients] Pork 150g, dandelion 100g, and proper amount of seasoning.
[Practice] Wash dandelion, wash pork and cut into pieces, add dandelion, put it on a strong fire and boil it, then cook it with slow fire until the meat is cooked, and add seasoning to properly season it. Eat soup and meat.
[Efficacy] Clearing heat and resolving phlegm. Is suitable for diabetes complicated with pulmonary infection, and can also be used for diabetes complicated with tonsillitis.
(7) antihypertensive tea
[Ingredients] 6 grams of apocynum venetum leaves, 0/5 grams of hawthorn/kloc-and 5 grams of Schisandra chinensis.
[Practice] The above three raw materials are brewed with boiling water without tea.
【 Efficacy 】 Lowering blood pressure and diuresis, promoting blood circulation and calming the nerves. It is suitable for diabetic hypertension with hyperactivity of liver yang.
(8) Motherwort porridge
[raw materials] fresh motherwort juice 10g, fresh rehmannia juice and fresh lotus root juice 40g each, and japonica rice 10g.
[Practice] Cook porridge with japonica rice first. When the rice is cooked, add the above medicinal juice and cook it into porridge.
【 Efficacy 】 Nourishing yin and removing blood stasis, quenching thirst and relieving annoyance. It is suitable for women with diabetes, irregular menstruation, functional uterine bleeding, postpartum blood halo, lochia, abdominal pain due to blood stasis, lobar blood, epistaxis, hemoptysis and hematochezia.
(9) carrot porridge
[Raw materials] Fresh carrots and japonica rice are appropriate.
[Practice] Wash and chop carrots, put them in the pot together with japonica rice, add appropriate amount of water and cook until the rice porridge is sticky.
【 Efficacy 】 Spleen and stomach, qi stagnation, eyesight improvement, blood pressure reduction and diuresis. It is suitable for hypertension, diabetes, dyspepsia, chronic dysentery, night blindness, rickets in children, malnutrition, etc.
(10) radish porridge
[Ingredients] White radish and rice.
[Practice] Wash the radish and cut into pieces, wash the rice, put it into the pot at the same time, add appropriate amount of water, boil it with strong fire, and cook it with slow fire until cooked.
【 Efficacy 】 Digestion, removing blood stasis, lowering qi and resolving phlegm, reducing swelling and quenching thirst.
(1 1) Perilla porridge
[Raw materials] Appropriate amount of perilla and rice.
【 Practice 】 Mash perilla, and after the rice porridge is cooked, sprinkle perilla powder into the porridge and stir. Put perilla and rice into the pot at the same time and cook it into porridge.
【 Efficacy 】 Moisten the heart and lungs, reduce qi and eliminate phlegm, benefit the diaphragm and widen the intestine, and warm the middle warmer to relieve depression.