Introduction
Diabetes is a condition characterized by drinking more, eating more, urinating more, losing weight, or having a sweet taste in urine. It corresponds to diabetes in modern medicine. Regarding the diagnosis and treatment of thirst, the treatment of old age is based on clinical symptoms. It is appropriate to treat the treatment in stages. Some are suitable for cold, some are suitable for heat, some are suitable for strengthening the spleen than nourishing the kidney, some are suitable for nourishing the yin than nourishing the qi, some are suitable for proper proportions and high efficacy prescriptions. Today, the editor will introduce Mr. Shi’s treatment experience through a case verification, for readers and friends to learn from.
shi Jinmo case test
full male, forty-eight years old.
has been sick for many years. Railway Hospital checked fasting blood sugar 265mg%, urine sugar (+++), and diagnosed with diabetes. Existent symptoms: thirst and drink, frequent urination, eating more and getting hungry, getting thinner day by day, fatigue, dizziness, heartbeat, slightly stool, sleepless at night, frequent dreams, thin white tongue coating, rapid pulse, , , heavy pressing is not satisfied.
Syndrome: Heart fire does not descend, and there are many confusions of dreams; heat burns the lung yin, and drinks more thirst; spleen and stomach are filled with heat, which eliminates grains and is good for hunger; liver yin is insufficient, and dizziness; kidney yin is depleted, and frequent urination is frequent. Looking at the pulse and symptoms, both qi and yin are deficient, insufficient essence and blood are insufficient, all three eliminations are ready, and all five internal organs are damaged, and the symptoms are complicated.
Treatment method: replenishes qi and yin, nourishes liver and kidneys, and nourishes heart and spleen.
Prescription: Raw Astragalus 30g, Codonopsis pilosula 10g, Ophiopogon japonicus 10g, Huaiyen yam 18g, Schisandra chinensis 10g, Scrophularia 12g, Black plum meat 4.5g, mung bean coat 12g, pollen 12g, Cornus officinalis 12g, Mulberry ts 10g, Yuanzhi 10g, Polygonum multiflorum 15g, Yunfu pyrugo 10g, Raw Rehmannia 12g. 7 doses.
Second diagnosis: After taking the medicine, thirst is relieved, urination is reduced, diet is normal, sleeping well at night, and spirit is relaxed. On an empty stomach, blood sugar has dropped to 155mg%, and urine sugar (+) is not effective. Take 7 to 10 doses in the previous prescription.
Note: This case is a symptom of three eliminations, both qi and yin deficiency. The patient is gradually deteriorating, and the condition and symptoms are complicated.
Zhang Jingyue said: "The method of treating and eliminating is the first thing to do. If the pulse and symptoms are , the fire and cause the consumption of body fluids, if the fire is removed, the body fluids will be produced and the thirst will stop. If the true water is insufficient, it is all , yin deficiency . If the upper, middle, and lower parts are urgently affected, the kidneys should be treated as the main method, which will gradually fill up the yin energy and gradually recover, and the disease will be cured by itself. If only know the clear fire, the yin will not be born, and the daily disappearance will be eliminated, which will become more difficult." Although there are three symptoms of eliminating in this example, yin deficiency is the root.
"Shen's Book of Zunsheng" says, "For those with Yin deficiency, there is true Yin deficiency in the kidney." Therefore, Master Shi mainly nourishes kidney yin and replenishes qi as the auxiliary treatment. Yin restores fluid and returns, water rises and fire falls, and the five internal organs can be at peace. The prescription mainly uses the addition and subtraction of the plum blossom soup (Deshengtang Prescription) and the Ophiopogon japonicus decoction (Sanyin Prescription);
is accompanied by the flavors of Scrophularia ginseng, Polygonum multiflorum, Mung Bean, etc., and the raw astragalus, yam , commonly used by Shi Master, is added.
Comprehensive tissue, taking into account both yin and yang. The medicines used take into account the effects on the three meridians of the lung, spleen, and kidney, the upper, middle and lower burners, so as to achieve the purpose of nourishing kidney water, concealing liver wood, purifying heart fire, eliminating dryness and heat, and relieving essence and blood. Heat removes body fluids and produces, dryness eliminates thirst, yin calms down the secrets of yang, water and fire are harmonious, and all symptoms are relieved.
This case has been in the disease for many years. I only took seven doses of the medicine, and the symptoms have been greatly reduced. Blood sugar and urine sugar have also decreased, and the effect is very obvious.
Shi Jinmo Disease and Treat thirst
Shi Jinmo believes that the symptoms of diabetes are equivalent to those of diabetes in traditional Chinese medicine. The main symptoms such as eating more and losing weight, drinking more, and urine are all related to the spleen and stomach.
diabetes syndrome is mainly deficiency, strength, cold and heat. Clinical observation is mostly about deficiency syndrome and heat syndrome , and there are fewer actual syndrome and cold syndrome.
deficiency syndrome also has yin deficiency and yang deficiency , especially liver and kidney yin deficiency , and spleen and stomach qi deficiency are the most common.
Kidney is the foundation of the innate, and the spleen is the foundation of the acquired. It nourishes the kidney yin to reduce the fire of deranged inflammation, replenishes the spleen qi to help the movement and transformation, water rises and fire falls, the middle burner is healthy, the qi returns to Yin, and sugar metabolism can restore normality.
Therefore, in the treatment of diabetes, strengthening the spleen and replenishing qi is the key.
For those with diabetes and gastrointestinal diseases, it is not advisable to use betel nut, Jianqu and other drugs to cure stomach qi. It is advisable to use ginseng, stagnation, stomatology, and so on to strengthen the spleen and stomach. Pay special attention to raw and cooked Rehmannia urination and nourish the kidney yin.
Mr. 1 staged treatment of this disease. He was good at using yin-replenishing medicines in the early stage, such as using day pollen , mung bean , scutellaria baicalensis, Anaestheticum , etc., supplemented with qi and spleen-enhancing such as Astragalus and yam to treat thirst;
ht In the late stage of ml1, it mainly strengthens the spleen and replenishes qi, such as Astragalus, Codonopsis pilosula, etc.,
supplemented with nourishing yin and augmenting essence and replenishing deficiency products, such as Schisandra chinensis, Ophiopogon japonicus, Aspen , Fresh Dendrobium , etc., Tribulus , Baiwei clears liver heat, Cistanche warms and nourishes kidney yang, etc.
Mr. Shi made good use of medicine pairs. Based on years of practice, he created Astragalus yam and Atractylodes combined with Scarborundum ginseng. One yin and one yang, one spleen and one kidney (Astragalus glutinosa nourishes the spleen, yam nourishes the kidney; Atractylodes glutinosa nourishes the kidney), which has the effect of lowering blood sugar and reducing urine sugar.
Diabetes two yangs are heat-condensing toxins, and use mung beans to quench thirst and detoxify and nourish the stomach and intestines.
Thirst drink is a sign of damage to yin. You are used to treat Zengye Decoction and Shengmai Drink with Dendrobium and other medicines.
1 drinks for one ginger and two ginger are a symptom of kidney yin deficiency. Use Polygonatum , Polygonatum , Cornus officinalis, wolfberry, and cooked Rehmannia glutinosa.
This article is selected from "Selected Notes on the Four Great Medical Cases in Beijing" (Published by China Traditional Chinese Medicine Press, written by Geng Jiawei and Li Dongmei), and is reproduced from the WeChat official account of "The Right Way of Health" and the final interpretation right belongs to the original author
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