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2012年08月31日
This paper recommend to "national folk traditional Chinese medicine development engineering conference" the best paper
Ⅱ diabetes back SanXiao dialectical buried line available treatment technology
MaLiChang MaHongYu ShiHuanRui
Abstract: Ⅱ diabetes is the clinical common disease, frequently-occurring disease. The modern medical science thinks the islet damaged led to Ⅱ diabetes, treatment Ⅱ diabetes we use traditional Chinese medicine diabetes SanXiao dialectical thinking, corresponding back inspection diagnosis found back three different areas in Ⅱ diabetes syndrome differentiation of traditional Chinese medicine classification and diabetes SanXiao parting has a direct relationship, on this basis, the application of embedded wire therapy plus acupoint bloodletting, make back YuZu to dredge the meridians, has received the good treatment effect, patients blood sugar index quickly returned to normal level.
Keywords: Ⅱ diabetes back SanXiao dialectical buried line available treatment
Ⅱ diabetes is equivalent to the doctor of traditional Chinese medicine said "root", the difference between the two is that the former is the specific name, while the latter is the concept of symptoms. The doctor of traditional Chinese medicine according to the different symptoms Ⅱ diabetes is divided into the, diabetes and dissipation. Typical symptoms of san-duo is a little, namely polydipsia, polyphagia, polyuria, weight loss. The thirsty to drink more is the, polydipsia feed more for diabetes, polydipsia diuresis for dissipation. Belong to the lungs, diabetes belongs to the stomach, the dissipation of kidney. But all in all, it is because of deficiency of Yin scorching heat, Yin deficiency is the most fundamental reason, so tonifying Yin is the most fundamental.
Modern speak of diabetes, whether connotation or extension, and diabetes have made a big difference. Ⅱ diabetes in addition to blood sugar rises, the main complications such as fundus lesion, kidney disease and diabetes foot change, is the tiny blood vessels to damage.
Pathogeny and pathogenesis
1. Congenital deficiency: congenital deficiency caused by Ⅱ diabetes is the important internal factors. "Spirit pivot · five changes" said: "the person is weak, good disease away an illusion of the senses", especially the deficiency of Yin with irritability constitution most easily suffering from. Kidney is innate, the congenital deficiency, kidney Yin deficiency is causing diabetes renal elimination of the important factors.
2. Diet dishonor: long-term overfeeding fatness, rich men's thick flavour, spicy incense dry, spleen and stomach injury, cause of the spleen and stomach and dereliction of duty, product thermal intrinsic, change drying injury tianjin, disappear valley loss fluid, hair for insomnia. "Element asked · odd disease theory" said: "the fat have hair, this person will eat honey number and much fat, fat person is internal, sweet person is in full, so its gas overflow, to quench." Improper diet, food rich men's thick flavour is also the main factors lead to diabetes.
3. Calm temperament disorder: long-term excessive spirit stimulus, such as yu anger hurt liver, vomiting stagnation, or knowledge to use up worry, excessive worries, etc., so that YuJiu change fire, in hot burnt, disappear is burning lung and stomach Yin jin and hair for Ⅱ diabetes. Psychological factors lead to heart sorrow depression, inner fire spontaneous combustion, leading to Ⅱ diabetes. So the modern medicine diabetes and considered psychosomatic disease.
(4) atrioventricular no quarter: oversexed atrioventricular don't day cause kidney essence losses, the endogenous production of body fluid, the fire dragon's water because of the fierce, water for fire fierce and the dry, which ultimately leads to kidney empty stomach heat of phlegm-heat type all now, hair for insomnia. Such as "external table secret to · insomnia away", said: "the room too, labor to make kidney qi view, lower portions heating, hot, dry, dry kidney kidney is thirsty." Oversexed atrioventricular not section is also lead to diabetes renal elimination of the important factors.
The doctor of traditional Chinese medicine thinks Ⅱ diabetes pathogenesis of mainly lies in Yin jin losses, hot and dry partial fill, and Yin deficiency for this, the hot and dry for mark, both reciprocal causation, Yin deficiency is the hot and dry more quickly, hot and dry the cheng is the Yin deficiency. Insomnia lesions viscera mainly in lung, stomach and kidney, especially in the kidney as the key. Three dirty in, although can be somewhat lay particular stress on, but often and influence each other.
Lung main gas source for the waters, compresses body fluid. The lung involvement by hot and dry the injury, the body fluid can't compress and straight to descending. Along with the urine eduction body outside, so pee frequency quantity; Lung not cloth jin is thirsty to drink more. As the medical outline · away despair an illusion of the door, "said:" cover lung hidden gas, lung no disease is gas can tube disturbing the subtle body fluid, and the subtle body fluid who adopt bones and muscles, blood for Sou whiletheremainderthoughthomecookingwasinorder. Lung disease, body fluid without tracheal perturbation, and subtle person also with Sou down."
Stomach for the sea of production, the main rotten food, spleen, for the day after tomorrow, the main transport and digest, for stomach line its body fluid. By the spleen and stomach hot and dry wounds, stomach fire flaming, spleen Yin deficiency, the thirsty to drink more, eating good hunger; Spleen qi deficiency can't transfer pathways for the subtle, the food subtle dirty injection urinate, therefore, urinate taste sweet, Food subtle can't moisten the muscle, the body became thinner. Excessive intake of rich men's thick flavour, diet is not day, drinking too recklessly, make damaged spleen and stomach, spleen and stomach function disorder, temper does not rise, the stomach gas not do day long form stomach away.
Kidney for congenital, the main Tibetan essence and house yuan Yin yuan Yang. Kidney Yin deficiency is the production of body fluid endogenous, upload cardiopulmonary, polydipsia polydipsia, burning in the spleen and stomach, the stomach heat elimination valley, renal loss moisten, switch solid perturbation loss power, the food subtle straight to the release, with urine and eduction body outside, so the urine more sweet.
Ⅱ diabetes although have in viscera of lung, stomach and kidney is different, but often influence each other, such as tianjin injury of phlegm-heat type, body fluid loss in compress, spleen and stomach is not moisten, kidney essence may not flash help; The spleen and stomach hot and dry partial quickly, can burn lung tianjin, can hurt consumption kidney Yin; Kidney Yin deficiency is the fire Yin deficiency, yi ke on burning lung and stomach, terminal to the stomach of phlegm-heat type heat kidney empty, so "san-duo" card can often mutual and see.
Ⅱ type diabetes day long, it is easily occurred the following two kinds of pathological changes: one is YinSun and Yang, Yin and Yang and virtual. Although excessive with Yin deficiency for this, the hot and dry for mark, but as a result of Yin and Yang mutual root, sun Yin long, if course day long, YinSun and Yang, Yin and Yang, cause all imaginary. Among them with kidney Yang deficiency and spleen Yang deficiency is relatively rare. The second is disease long into the complex, cause blood stasis. Ⅱ diabetes is a disease and multiple viscera disease, influence the normal operation of the qi and blood, and the internal Yin deficiency, consumption wound fluid, also make blood do not free and cause blood stasis. Blood stasis is Ⅱ diabetes complications of one of the important pathogenesis, the clinical practice we found in general back du meridian, bladder after, hua tuo clamp ridge can through the inspection see ecchymosis. So Ⅱ diabetes a variety of complications and blood stasis are closely related.
Differentiation of symptoms and signs parting
The doctor of traditional Chinese medicine cure need dialectical customs, the effect to better, now the clinical application of traditional Chinese medicine principle of distinguishing diseases will dialectical doctor less and less, especially we all of you present, which accounts for more than 50% of the not application by dialectical treatment of disease, what about this? We according to the clinical practice, and tries to explore the "human back inspection diagnosis disease and cure disease new method", the human body back inspection treatment is also applicable to Ⅱ the diagnosis and treatment of diabetes.
General Ⅱ diabetes early pathological changes, in the middle of a disease in the upper, middle two coke, later lesions in middle and lower portions to give priority to, clinical symptoms is relatively complicated, there is no clear boundary, is not easy to distinguish, we in the clinical combined with qi and blood, Yin and Yang, viscera in back inspection to identify, simple and intuitive.
We found Ⅱ diabetes diagnosed cases back SanXiao dialectical have clear parting [1], in the seventh thoracic level above back appear black or pink patches that is "the diabetes". The seventh thoracic levels below the waist two level above are black or red plaques that is "diabetes diabetes". Waist two levels below to sacrum appear black patches that is "dissipation diabetes", of course, also have upper middle have plaque connection piece, or plaque at the bottom of the central connection, serious Ⅱ diabetes in three parts, there are black spot. General back shading area is smaller Ⅱ diabetes more light, the black spot piece said the more serious the diabetes. The upper back appears pink patches is diabetes early hot and dry performance. The lower generally does not appear pink shading block, with deep black patches is given priority to, appear Ⅱ diabetes complications back black patches color is very heavy.
Clinical treatment:
1, hot and dry lung injury (the)
Acupoint selection: pancreatic shu, "yu ji", too creek buried line [2], back big job to the seventh thoracic level above appear black or pink patches part of the embedded wire stripping bloodletting.
2, stomach dry tianjin injury (diabetes)
Acupoint selection: pancreatic shu, imperial palace, in wan, leakage bone buried line, add back the seventh thoracic levels below the waist two level above appear black patches part of the embedded wire stripping bloodletting.
3, kidney Yin deficiency (dissipation)
Acupoint selection: pancreatic shu, shen shu, taichong, too creek buried line, waist two levels below to sacrum appear black patches part of the embedded wire stripping bloodletting.
4, early Ⅱ diabetes
Acupoint selection: the spleen channel land machine hole, leakage valley hole, three Yin chiao, liver of the harmonizing point four hole, add back SanXiao dialectical shading area buried line bloodletting.
The submerged line and bloodletting therapy for Ⅱ diabetes usually one to two weeks will be improved obviously, and diet and emotion regulation, the effect will be better.
Typical cases:
Case 1: XuMou, male, 45 years old, civil servants, usually work strain, character introversion, day day dinner party reception, wine field frequently, as time passes san-duo appear a little diabetes symptoms, in the morning fasting plasma glucose 3 7 mmol/L or so, use all sorts of diabetes treatment, at first, the effect is very good, but can not keep on diet adjustment, so that the blood sugar can't return to normal level. 2011 clinic examination, back in the first to the seventh thoracic level above back appear black large patches, combined with clinical diagnosis of diabetes were ineffectual, the application of embedded wire back in the black spot area buried line bloodletting, foot three mile, leakage bone, Chambers buried line, a month return visit, clinical symptoms, blood sugar fell to 12.3 mmol/L. Effect not more party, continue to press former party buried line, 2 months return visit blood sugar returned to normal. After four treatment, the clinical symptoms disappear, blood sugar index has been normal.
Case 2: zhang, male, 48 years old, businessmen, 8 years history of diabetes. Flat blank virtual, work pressure big, with more thirsty to drink is given priority to, and accompanied by thirsty, with drink with thirst, urinary frequency capacity is much, red tongue less tianjin. Fasting plasma glucose and mmol/L or so. Application of various medicines effect is not ideal, hence to outpatient clinic. On examination, back in the first to the seventh thoracic level above back appear, bedding face accumulates to black patches. The diagnosis of diabetes. Take the pancreatic shu, "yu ji", too creek buried line, back big job to the seventh thoracic level above appear black or pink patches part of the embedded wire stripping bloodletting. Ten days later return visit fasting plasma glucose, 6.2 mmol/L, clinical symptoms disappeared basically, 15 days after the second treatment, take the original hole buried line treatment, the symptoms disappear. The treatment effect is very satisfied.
Case 3: li mou, female, 59, doctor, 10 years history of diabetes. At ordinary times frequency capacity is much, turbid urine, lumbar debility, lack of power, dizziness, tinnitus, oral drying, defecate dry, itchy skin, red tongue, little moss, pulse number. Fasting plasma glucose and mmol/L or so, the small of the back large dark spots, diagnosed with diabetes dissipation. Acupoint selection: pancreatic shu, shen shu, taichong, too creek buried line, waist two levels below to sacrum appear black patches part of the embedded wire stripping bloodletting. 15 days to do the second buried line, fasting glucose down to 11.7 mmol/L, 30 days after take the original hole buried line treatment, blood glucose down to normal, clinical symptoms disappeared. Follow-up year did not relapse.
discuss
Ⅱ diabetes is the clinical common disease, frequently-occurring disease. Clinical various treatment method is to reduce the blood sugar index, need long-term drug consolidate maintenance therapy, patients wander in the diabetes treatment of life. In clinical practice, we find that many visceral organs disease is meridians stasis resistance can be caused by, through the doctor of traditional Chinese medicine inspection can diagnose a lot of liver disease. Back is du meridian, hua tuo clamp ridge, bladder meridians by three qi and blood of the main channel operation, viscera disease can make a back three meridian qi and blood running slow, resulting in three meridians stasis resistance impassability, back the corresponding parts appear dark spots, Ⅱ diabetes in Chinese medicine SanXiao differentiation of symptoms and signs back inspection can be simple intuitive see different types of diabetes in the back in different parts of the stasis resistance impassability lead to the black spot, we according to TCM diabetes SanXiao dialectical thinking, corresponding back inspection diagnosis found back three different areas in Ⅱ diabetes syndrome differentiation of traditional Chinese medicine classification and diabetes SanXiao parting has a direct relationship, on this basis, the application of embedded wire with bloodletting, make back YuZu dredge the meridians, and application of lower limb spleen meridian, the yangming foot, foot shaoyin kidney the related points buried line synergy. Made Ⅱ diabetes clinical symptoms improve soon, blood sugar index quickly returned to normal level of effect.
TCM holds that, lung for above water source, it is to point to lung is human body above the water source, and lung have pass adjustable channel function, is the lung to regulation, opening up a good body water metabolism. If lung Yin deficiency, and there are external dryness evil into the body, thus in the human body form a vicious circle, natural lung through adjustable channel function is wrong. When the whole body of water can't normal distribution to all internal organs, although drink plenty of water, but absorption not so much, so people still will feel thirsty; Also, the inside of the large intestine water little, so move bowels will dry; Drink water not absorption can row away, so more than urine. More thirsty to drink: although drink a lot, but still feel thirsty, defecate dry, urinate more than quantity. Pancreatic shu is by the singular point, it is insomnia treatment (Ⅱ diabetes) experience effect hole, and other five zang-organs back shenshu point as role. The modern medical science thinks Ⅱ diabetes because of lack of insulin secretion, so whether the doctor of traditional Chinese medicine or western medicine, use the acupuncture points are very reasonable. "Yu ji" is by the lung Xing hole, five line of fire, the fire gram of gold, from the point of view, "yu ji" can ziyin send a fire, the function is partial purging. So choose it can drop on lung hot and dry and take temporary solution. The acupoint stimulation regardless of time. For this kind of chronic diseases, it therapy is a long-term process, should be the accumulation of curative effect. The renal too creek in five line of water, lung for gold, and with too creek is take "golden unboiled water, liquid gold alternate" meaning. And kidney Yin is a Yin qi, the kidney Yin is also complement lung Yin.
Improper diet, food rich men's thick flavour is also the main factors lead to diabetes. Diet dishonor: long-term overfeeding fatness, rich men's thick flavour, spicy incense dry, spleen and stomach injury, cause of the spleen and stomach and dereliction of duty, product thermal intrinsic, change drying injury tianjin, disappear valley loss fluid, hair for diabetes of diabetes, modern the improvement of living standards, the needs of work, some people every day in the hotel, bar binge drinking, as time passes
Frequent urination urine capacity is much, and the urine color cloudy, face began to black, thirsty, often feel lumbar debility, sleeping sweating, upset insomnia. Check back waist lower will appear large black spot. Kidney Yin is a Yin qi, the general course of disease for a long time will be developed to the point of damaged kidney Yin. Kidney Yin deficiency, kidney main collection function weakens, so will urinate frequently; Food subtle cannot absorb, along with the urine discharge, so urine is cloudy and five zang-organs and color match, kidney and black consistency, the color black is kidney this dirty color appears, there is the phenomenon that the extent of the disease development has been very deep. At the same time, kidney Yin deficiency can lead to the production of body fluid phlogistic, renal water can't sgick internal heat, is inevitable "heart renal don't pay" symptoms, such as lumbar debility, sleeping, sweating, upset insomnia, thirsty and performance. This time in addition to choose to measure the pancreatic the back shading area, the main force in the kidney Yin above, take again to measure renal too creek, At the same time the production of body fluid drop, flash and under, choose taichong, renal belong to water, liver belongs to wood, aquatic wood, is take "actually reducing its" mean.
To sum up, clinical application back petechial buried line with bloodletting, with application of lower limb spleen meridian, yangming foot the kidney meridian and other related acupuncture point, indeed for clinical treatment Ⅱ diabetes is a kind of highly effective new method.
Reference material
1, MaLiChang, ZhangShaoQin, ZhengXiPing human back inspection treatment diagram shijiazhuang buried line medical training school internal material 2010
2, MaLiChang, ChanShun, ZhangJinXia minimally invasive acupoint buried line practical technology [M]. Beijing: Chinese medicine science and technology press, 2011:239-241
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