The Treatment of Modern Western - Biblio.nhat-nam.ru

226 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEThe Western medical treatment of diabetes primarily relies ondietary avoidance of sugars and sweets, the regular schedulingof meals, weight loss (for NIDDM), and, when necessary,insulin replacement therapy. There are as many as seven differenttypes of injectible insulin currently prescribed in the UnitedStates, each having their own time to onset of action, peakaction, and duration of action. Complications of insulin treatmentinclude insulin shock, i.e., hypoglycemia, if too muchinsulin or too little food are taken, local reactions to insulininjections, such as heat, induration, erythema, and urticaria,and insulin resistance. Several oral sulfonylureates that lowerblood glucose level may be used to treat selected patients.However, these are not adequate for treating IDDM patients.When hypertension complicates diabetes, diuretics and sympatheticinhibitors may accelerate or worsen impotence.CHINESE DISEASE CATEGORIZATION: Diabetes mellitusis traditionally categorized as xiao ke, wasting thirst or wastingand thirsting. However, because polyphagia, polydipsia, andpolyuria are three of the most common symptoms of this condition,it also falls under duo shi, profuse eating, duo yin, profusedrinking, and duo niao, profuse urination. Other conditionsassociated with this disease include fei pang, obesity, yangwei, impotence, ma mu, tingling and numbness, chuang yang,sores, and qing mang, clear-eyed blindness.DISEASE CAUSES: Former heaven natural endowmentinsufficiency, aging, unregulated eating and drinking, andinternal damage by the seven affectsDISEASE MECHANISMS: In juvenile-onset diabetes, the diseasemechanism appears to be a natural endowment insufficiency,whereas, in adults, this disease typically begins withlong-standing heat in the stomach coupled with spleen vacuity.4 This heat may be due to over-eating hot, spicy, greasy,fatty, thick-flavored foods or alcohol or to depressive heat ofthe liver and stomach and gives rise to a large appetite and/orrapid hungering after meals. The spleen vacuity may be due toover-eating sugars and sweets and/or fatty, thick-flavoredfoods, too much thinking, too little exercise, and too muchtaxation fatigue. Spleen vacuity is responsible for obesity andfatigue initially and also for anorexia, emaciation, and muscularatrophy as this disease progresses. If heat endures, it eventuallydamages and consumes yin fluids in the stomach andlungs, giving rise to polydipsia. If lung-stomach yin vacuityreaches the kidneys and is complicated by yin vacuity due toaging, lung-stomach yin vacuity may evolve into kidney yinvacuity. If spleen qi vacuity evolves into kidney yang vacuity,there may be kidney yin and yang dual vacuity. Kidney yinand/or yang vacuity give rise to urinary problems as well asimpotence. Because all adult diabetics also exhibit signs andsymptoms of liver depression qi stagnation, long-term qi stagnationcoupled with qi and blood vacuity, typically gives riseto blood stasis. In addition, spleen vacuity often also becomescomplicated by damp heat which pours downward, resultingin sores, urinary disturbances, impotence, restless leg syndrome,and/or vaginitis.TREATMENT BASED ON PATTERNDISCRIMINATION:1. LUNG-STOMACH HEAT ACCUMULATION& FLUID DAMAGE PATTERNMAIN SYMPTOMS: Vexatious thirst, polydipsia, a dry mouthand tongue, frequent urination which is excessive in amount,red tongue edges and tip, thin, yellow tongue fur, and a surging,rapid pulseNOTE: This pattern is also referred to as upper wasting sinceits main symptom is excessive thirst. It typically correspondsto early stage diabetes.TREATMENT PRINCIPLES: Clear heat from the lungs andstomach, engender fluids and stop thirstRX: Yang Yin Qing Fei Tang Jia Jian (Nourish Yin & Clearthe Lungs Decoction with Additions & Subtractions)INGREDIENTS:Shi Gao (Gypsum Fibrosum)Xuan Shen (Radix Scrophulariae)Dan Shen (Radix Salviae Miltiorrhizae)Sheng Di (uncooked Radix Rehmanniae)Mai Men Dong (Tuber Ophiopogonis)Tian Men Dong (Tuber Asparagi)Shi Hu (Herba Dendrobii)Zhi Mu (Rhizoma Anemarrhenae)Hua Fen (Radix Trichosanthis)Bai Shao (Radix Paeoniae Albae)Dan Pi (Cortex Moutan)Gan Cao (Radix Glycyrrhizae)18g15g15g15g12g12g9g9g9g9g9g6gANALYSIS OF FORMULA: Shi Gao drains fire and clears heatfrom the lungs and stomach. Mai Men Dong, Tian Men Dong,and Zhi Mu clear heat, moisten the lungs, and engender fluids.Sheng Di, Shi Hu, and Tian Hua Fen clear heat, nourishyin, and engender fluids. Xuan Shen clears vacuity heat. BaiShao nourishes the blood, remembering that blood and fluidsshare a common source. It also restrains the liver, rememberingthat the liver and lungs work hand in hand to control theflow of qi, and if one becomes vacuous and weak, the othertends to become exuberant and effulgent. Dan Pi quickensand clears heat from the blood. In this formula, it helps preventflaring of ministerial fire due to mutual engenderment.Gan Cao harmonizes the other medicinals. Mai Men Dong,Tian Men Dong, Zhi Mu, Sheng Di, Tian Hua Fen, and XuanShen have all also been shown to lower blood sugar.ADDITIONS & SUBTRACTIONS: If there is liver depression