The method of treatment. Settle down Diabetes. ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !

In order to treat diabetes effectively, we must first make clear the treatment goal of diabetes, so as to choose the correct treatment method and achieve the ideal treatment effect. The goal of diabetes treatment mainly includes the following aspects:

(1) Correct metabolic disorders such as hyperglycemia and hyperlipidemia, and promote the normal metabolism of sugar, protein and fat.

(2) Relieve symptoms caused by metabolic disorders such as hyperglycemia.

(3) Prevention and treatment of acute complications such as ketoacidosis and chronic diseases such as cardiovascular disease, kidney disease, eye disease and nervous system, so as to prolong the life span of patients and reduce the mortality rate.

(4) Obese people should actively lose weight, maintain normal weight, ensure the normal growth and development of children and adolescents, ensure the smooth delivery of diabetic pregnant women and diabetic pregnant women, maintain the normal labor force of adults, and improve the quality of life of elderly diabetic patients.

Traditional Chinese medicine prescription

Prescription 1

Gypsum 30g, Scutellaria baicalensis Georgi10g, Lycium barbarum peel10g, Anemarrhena asphodeloides10g, Radix Asparagi, Radix Ophiopogonis, Trichosanthis Radix, japonica rice 20g, and Radix Glycyrrhizae 8g.

Preparation method: decoction, daily 1 dose.

Indications: diabetes with dryness-heat impairing lung syndrome.

Prescription 2

20g of Radix Rehmanniae and Rhizoma Dioscoreae, 0g of Fructus Schisandrae Chinensis, Radix Ophiopogonis, Radix Puerariae10g, 0/2g of clam powder, pumice15g of pollen15g, and 5g of Endothelium Corneum Gigeriae Galli.

Preparation method: decoct in water.

Indications: diabetic kidney yin deficiency and yang hyperactivity syndrome

Prescription 3

30 grams of red beans and 40 grams of yam. Pig pancreas 1

Preparation method: decoction, daily 1 dose, depending on the degree of blood sugar reduction.

Indications: diabetes

Prescription 4

50 grams of watermelon seeds and 30 grams of japonica rice.

Production method: first mash watermelon seeds with water, put them in water to get juice, and then add rice to cook porridge. Help yourself.

Indications: Diabetic lung heat injury and fluid injury.

Prescription 5

Watermelon peel and winter melon peel 15g, Trichosanthes root 12g.

Production method: decocting. Half a cup twice a day.

Indications: diabetes, thirst and turbid urine.

Prescription 6

60-90g of raw cogongrass rhizome

Production method: decocting. Tea substitute, daily 1 dose, continuous 10 days.

Indications: diabetes

Prescription 7

Yam and Trichosanthes are equal.

Preparation method: decoct in water, 30g per day.

Indications: diabetes

Prescription 8

60 grams of ootheca mantidis

Preparation method: grind the powder and take it with boiling water, 6 grams each time, 3 times a day, until it is more severe.

Indications: diabetes, polyuria and thirst

Prescription 9

Ge Fen, Trichosanthes root 30g each, pig pancreas 1.

Preparation method: Slice pig pancreas with water, and swallow it with Ge Fen and Trichosanthes root, daily 1 dose, and take it three times.

Indications: Drink more and eat more for diabetes.

Prescription 10

Rhizoma Anemarrhenae, Radix Ophiopogonis and Radix Codonopsis each10g, gypsum 30g (fried first), Radix Scrophulariae12g and Radix Rehmanniae18g.

Preparation method: decoct in water.

Indications: diabetic potential stomach and fluid injury syndrome

Prescription 1 1

Radix Rehmanniae and Fructus Lycii each 65438±02g, Radix Asparagi, Fructus Rosae Laevigatae, Ootheca Mantidis and Radix Astragali each 65438±00g, Fructus Corni and Semen Euryales each 65438±05g, and Rhizoma Dioscoreae 30g.

Preparation method: decoct in water.

Indications: diabetic kidney yin deficiency syndrome

Prescription 12

Sweet potato leaves 30g

Preparation method: decoct in water.

Indications: diabetes

Prescription 13

Radix Aucklandiae10g, Radix Angelicae Sinensis and Rhizoma Chuanxiong10g, Radix Puerariae, Radix Salviae Miltiorrhizae, Radix Astragali, Herba Leonuri and Rhizoma Dioscoreae 30g, Radix Paeoniae Rubra and Rhizoma Atractylodis12g.

Preparation method: decoct in water.

Indications: diabetes with blood stasis syndrome

Prescription 14

9 grams each of Radix Astragali, Rhizoma Polygonati, Radix Pseudostellariae and Radix Rehmanniae, and 6 grams of Radix Trichosanthis.

Usage: * * Grinding to the end. Take it with 14g water three times a day.

Indications: diabetes with deficiency of both qi and yin.

Prescription 15

Polygonatum sibiricum, Radix Salviae Miltiorrhizae, Radix Rehmanniae, Radix Scrophulariae, Radix Ophiopogonis, Radix Puerariae, Trichosanthis Radix and Radix Astragali.

Preparation method: decoction, daily 1 dose.

Indications: Diabetic nephropathy with deficiency of both liver and kidney, qi stagnation and blood stasis.

Prescription 16

Cocoon 50g

Usage: support silkworm chrysalis and decoct in water. Drink tea instead, daily 1 dose.

Indications: Diabetes mellitus is thirsty and drinks too much, and urine sugar continues to decrease.

Prescription 17

Pig pancreas 1

Preparation method: drying at low temperature to powder, and refining honey into pills. Take 15g with boiling water every time, and take it regularly.

Indications: diabetes

Prescription 18

Radix Asparagi, Radix Ophiopogonis, Radix Rehmanniae Preparata and Radix Paeoniae Rubra each 65438±05g, Radix Scutellariae and Radix et Rhizoma Rhei (below) each 65438±00g, Rhizoma Coptidis 6g, Cortex Moutan 65438±02g, Radix Scrophulariae 30g and Stigma Maydis 60g.

Preparation method: decoct in water.

Indications: Diabetic stomach heat syndrome

Prescription 19

25g of Chinese yam, and 0/0g of Rhizoma Coptidis/kloc.

Preparation method: decoct in water.

Indications: diabetes, thirst, polyuria and hunger

Prescription 20

Laosongcha 10g

Usage: brew with boiling water. Drink tea instead.

Indications: diabetes

Prescription 2 1

Radix Rehmanniae Preparata and Radix Astragali each 65438±05g, Rhizoma Dioscoreae, Fructus Psoraleae and Fructus Schisandrae each 65438±00g, Radix Scrophulariae, Rhizoma Dioscoreae and Radix Salviae Miltiorrhizae each 65438±02g, Rhizoma Atractylodis 6g and Cortex Cinnamomi 3g.

Preparation method: decoct in water.

Indications: deficiency of both yin and yang in diabetes.

Prescription 22

Atractylodis Rhizoma 40-100g, Fructus Aurantii 15-20g, Rhizoma Pinelliae Preparata, Rhizoma Sparganii, Rhizoma Curcumae, Radix Puerariae 20-30g, Lignum Aquilariae Resinatum15g and Radix Glycyrrhizae Preparata 2-3g.

Preparation method: decoct in water. Radix Codonopsis and Radix Astragali are added for patients with qi deficiency; Radix Curcumae and Herba Artemisiae Scopariae are added for patients with liver depression; Fructus Ligustri Lucidi, Fructus Lycii and Fructus Corni are added for premature senility.

Indications: diabetes

Prescription 23

1 fresh pig pancreas, 50g coix seed or 100g astragalus.

Production method: rinse the pig pancreas with clear water, cut it into several pieces, put it in a bowl with coix seed and drown it with water. Stew in an iron pan over water, and add appropriate amount of salt and seasoning.

Indications: diabetes

Prescription 24

500g of fresh celery and radish, 0/000g of wax gourd/kloc-,0/20g of mung bean/kloc-and 2 pears.

Usage: First, cook celery and wax gourd with water, wrap them in white gauze, take juice, and cook them with mung beans, pears and green radish.

Indications: diabetes

Prescription 25

65438 00 grams of Fructus Cnidii, lotus seed beard, Cornus officinalis, Dictamni Radicis, 30 grams of Alpinia oxyphylla, Mulberry, Radix Astragali Preparata, Rhizoma Dioscoreae, and Caulis Lonicerae, 65438 05 grams of Poria, 6 grams of Galla Chinensis, and 6 grams of Endothelium Corneum Gigeriae Galli.

Sanqi 3g (Chongfu)

Preparation method: decoct in water.

Indications: diabetic kidney yin deficiency syndrome

Prescription 26

Codonopsis pilosula 15g, salvia miltiorrhiza 30g, radix scrophulariae and radix adenophorae 10g, Polygonatum odoratum 12g and ebony 30g.

Preparation method: decoct in water. Trichosanthes root is added to thirsty people, and hawthorn fruit is added to loose stool people.

Indications: diabetes

Prescription 27

Atractylodes rhizome, Scrophularia root and Astragalus root each 30g, Chinese yam, prepared rehmannia root, dried rehmannia root, codonopsis pilosula, Ophiopogon japonicus, Schisandra chinensis, Galla Chinensis, Os Draconis and Poria each 65438+/-00g.

Preparation method: decoct in water.

Indications: Diabetes mellitus with blood stasis due to injury of both qi and yin.

Prescription 28

Portulaca oleracea100g

Preparation method: decoct in water. Daily 1 dose, generally taking 1-2 weeks to turn negative after urine sugar.

Indications: diabetes

Prescription 29

10 loach and 3 dried lotus leaves.

Production method: dry loach in the shade and grind it into powder, and mix it with lotus leaf powder. Take 10g each time, three times a day.

Indications: diabetes

Prescription 30

250g bitter gourd, mussel meat100g.

Production method: put live mussels in clean water for 2 days, remove the muddy smell, take out their meat, cook soup, season with oil and salt, and eat bitter gourd and mussel meat after cooking.

Indications: diabetes

combine traditional Chinese and western medicine

Chinese and western medicine have their own advantages and disadvantages in treating diabetes. Although simple western medicine treatment has drug resistance, secondary failure, epigastric discomfort, rash and other side effects. Because of its rapid hypoglycemic effect and easy to take or use, it is easily accepted by patients. Simple Chinese medicine treatment, although no adverse reactions, and can control the occurrence of clinical symptoms and complications, but the hypoglycemic effect is slow, the intensity is small, only the combination of traditional Chinese and western medicine treatment, can not only improve clinical symptoms, prevent complications, but also avoid adverse reactions and secondary failure of drugs. At present, the treatment of diabetes with integrated traditional Chinese and western medicine can work hard in three aspects:

(1) Looking for the combination of traditional Chinese and western medicine. It is a feasible way to treat according to syndrome differentiation and cooperate with low-dose western medicine hypoglycemic agents. It is worth noting that even a small dose of western medicine combined with hypoglycemic drugs needs to be skillfully combined with TCM syndrome differentiation and western medicine disease differentiation according to dialectical materialism. Based on the comprehensive investigation of the patient's age, height, weight, work nature and other specific circumstances, the corresponding hypoglycemic western medicine was selected according to the fluctuation of blood sugar.

② According to the principle of syndrome differentiation of traditional Chinese medicine, flexibly absorb the previous pharmacological research results. Pharmacological studies show that Chinese medicines with significant hypoglycemic effects include ginseng, astragalus, Polygonatum, yam, medlar, rehmannia, Poria, Epimedium, Cornus officinalis and Angelica sinensis. Rhizoma Atractylodis, Stigma Maydis, Semen litchi, Galla Chinensis, Radix Salviae Miltiorrhizae, Folium Mori, Cortex Mori, Rhizoma Anemarrhenae, Guava, etc. Has the effects of detoxicating, regulating qi and promoting blood circulation. Reasonable drug selection based on syndrome differentiation can really improve the curative effect, but it will not be effective if we pay attention to drug selection based on syndrome differentiation. For example, it is not appropriate to use Anemarrhena rhizome and Atractylodes rhizome for yang deficiency constitution.

③ According to the nature of pathogenesis, develop special prescriptions and drugs. It is promising to grasp the main pathogenesis characteristics of diabetes in a certain syndrome type or a certain period, determine the treatment principles and carry out research on special prescriptions and drugs.

Characteristics of integrated traditional Chinese and western medicine in treating diabetes mellitus

(1) The combination of traditional Chinese and western medicine with high curative effect should be based on the respective advantages of traditional Chinese and western medicine and give full play to its long-term effect. For example, western medicine has good hypoglycemic effect and quick effect; But Chinese medicine can improve symptoms and lower blood sugar for a long time. Undoubtedly, the combination of the two can improve the curative effect. On the other hand, the dialectical combination of traditional Chinese medicine and a series of objective indicators of western medicine, in the form of micro-audience, has made the scientific combination of disease differentiation and syndrome differentiation a step forward, which undoubtedly has more accurate guidance for "treatment" and must improve its curative effect.

(2) Short-term efficacy Diabetes can be divided into deficiency-heat type, deficiency of both qi and yin type and deficiency of both yin and yang type according to TCM syndrome differentiation. Clinically, it is mostly deficiency of both qi and yin, and the treatment is mainly to replenish qi and nourish yin. Those who benefit qi, spleen and transportation to consolidate the foundation of the day after tomorrow; Nourishing yin nourishes kidney yin and the water source of lower energizer, thus reducing the fire of inflammation, making water rise and fire fall, and making middle Jiao Jian healthy, thus achieving the purpose of lowering blood sugar. The combination of TCM syndrome differentiation and treatment with western medicine hypoglycemic drugs will make Chinese and western medicine play their respective advantages and overcome them together, and the course of treatment will inevitably be shortened.

(3) The oral hypoglycemic drug chlorosulfonylurea lasted the longest in vivo, only 72 hours; Taking ginseng as an example, the experimental study shows that ginsenoside can alleviate the damage of alloxan to islet B cells, promote the damage of damaged B cells to a certain extent, and promote the repair and proliferation of damaged B cells to a certain extent. The hypoglycemic effect can still be maintained for 1 ~ 2 weeks after stopping using ginsenoside. Therefore, the combination of traditional Chinese and western medicine not only has a quick hypoglycemic effect, but also lasts for a long time.

(4) The hypoglycemic effect of western medicine is fast and reliable, but the improvement of symptoms is not obvious. For example, after some patients were treated with insulin or oral hypoglycemic agents, their blood sugar and urine sugar were controlled, but they still had fatigue, dry stool, insomnia and hyperhidrosis. And Chinese medicine can make up for their shortcomings. Insulin-resistant diabetes, often insulin and oral hypoglycemic drugs can not make blood sugar drop, while the advantages of traditional Chinese medicine

When western medicine therapy is at a disadvantage, it can be brought into full play; In the coma state such as diabetic ketoacidosis, due to ignorance, all oral drugs are at a loss, and gastrointestinal absorption is not as good as direct intravenous drip. Therefore, intravenous infusion of insulin and fluid replacement are the best ways, so the combination of traditional Chinese and western medicine can learn from each other's strengths.

(5) Prevention and treatment of complications Modern medical research shows that hemorheology changes and blood viscosity increases in the early stage of diabetes, which is consistent with Chinese medicine that diabetes is often accompanied by congestion syndrome. Hyperglycemia, hyperlipidemia and high viscosity are the basis of large and small vascular diseases later. Therefore, in order to prevent complications, starting from the treatment of diabetes, we should pay attention to reducing blood lipid and viscosity while lowering blood sugar. because

Once clinical complications, such as diabetic nephropathy, appear, modern medicine cannot be reversed, but Chinese medicine is unique in preventing and treating complications.