Type 2 diabetes is not synonymous with thirst

China's traditional Chinese medicine academy of sciences-protech Lin gate hospital

China's traditional Chinese medicine reported

        Since the western medicine diabetes concepts introduce so far, about the understanding of the traditional Chinese medicine with diabetes research, especially the main body of diabetes, type 2 diabetes, no matter in clinical or an experiment, already is countless rich fruits and develop. However, in the ownership of the disease, most clinical doctors but always put the diabetes is equivalent to the ancient XiaoKeBing, always XiaoKeBing theory according to the differentiation of diabetes. New medicine r&d almost half a century, is basically a traditional/theory as the guide, developed about kinds of treatment to quench proprietary Chinese medicine, but most and no clear hypoglycemic effect, that's generally also think TCM can't own independent hypoglycemic, can only auxiliary hypoglycemic. In fact, type 2 diabetes and thirsting disorder is not identical, both in the clinical characteristics, diagnosis methods, and course stage, pathogenesis treatment are bigger difference, can't simply delimit equal-sign.

        Clinical manifestations of different

        "About a little" (feed more, more, more drink urine, angular) is the typical quench clinical symptoms, is ZhuZheng quench, and modern type 2 diabetes most do not show the typical "about a little" symptoms. We had 5465 cases of epidemiological investigation community people, were out of 1028 cases of patients with diabetes screening, of which only 13% of the typical "san-duo a little" symptoms, no typical symptoms as many as 898 patients (87%); 1028 patients with diabetes, obesity in 727 cases, accounting for 72.7%, not only 27.3% are obese. Obese type 2 diabetes has become the subject of type 2 diabetes crowd, a less about is no longer type 2 diabetes performance characteristics, in the clinical manifestation, the modern type 2 diabetes is ancient/already has changed greatly.

        Diagnosis method is different

        In ancient times the lack of physical and chemical testing means, symptoms of diagnosis became the only diagnosis method. The ancients observed patients will quench a food, drink, much more urine, angular symptoms, so named for thirst, and only when the patient appears typical "about a little" symptoms, only diagnosed thirst for. The diagnosis of type 2 diabetes is based on blood sugar test results, when blood sugar to a certain value can be diagnosed with diabetes, the symptoms diagnosis is not the main standard, and reach the blood glucose levels of diagnosis standard tend not to cause the typical san-duo symptoms. Western medicine authoritative expert professor alvarssonm explicitly pointed out that "high blood sugar to a certain degree of san-duo... just typical symptoms in san-duo is more than moderate diabetes patients occur". Can say, the progress of the diagnostic methods make modern type 2 diabetes diagnosis more ancient and found that nearly much earlier, this is also led to their differences in clinical manifestations of the main reason.

        Type 2 diabetes is nearly a natural pathologic stage

        Any of the natural development of the disease is a complete process of space and time, and for a chronic disease, no intervention in because of the boils struggle, the loss of vital qi, the progress of the disease will experience the actually realized by virtual process of development. Diabetes is a complete disease, in the course of the divided into early, mid and late complication period, the early evidence is given priority to, to medium gradually development for the actual phase and, to the evolution of the late deficiency syndrome is to give priority to. This development process also accords with modern medicine and know the pathologic process is by nature diabetes insulin resistance development for resistance and islet cell damage coexistence, to end the islet cells failure. We, therefore, according to the clinical characteristics of diabetes will its natural course summary, hot, virtual for blue, damaged four from the solid to empty, gradually phase. And the ancients of thirst to deficiency syndrome is given priority to, no matter, deficiency of Yin deficiency, also or Yang, nearly always with empty for this theory, does not accord with a complete of the natural development of the disease process. In fact, the ancients observed thirsting disorder is only high blood sugar to a certain level of clinical symptoms caused by the clinical course of stage, diabetes increase in blood sugar level in early enough to cause "about a little" symptoms stage, the ancients due to a lack of diagnosis and early development means no cognitive process; And in the late stage of diabetes complications, due to complications with other similar symptoms of the disease, and other disease complications often will to category. Therefore, the ancient/just type 2 diabetes development to a certain degree of a natural pathologic stage, can't summarized type 2 diabetes all process.

        Different core pathogenesis

        Obese type 2 diabetes is nearly the stage before, its development experience from obesity to FeiPanXing diabetes finally to quench process, the process and the grain asked, jr disease theory of "Dan... the spleen fat have hair, this person will count more fat and eat sweet. The internal fat is also the gump, in a full, because of its gas overflow, thirst to describe the development and evolution of the spleen Dan is very similar, namely in the fatness food for tumor-initiating etiology, in obesity and cornerstone for features, and finally into thirsting disorder. Dan spleen is nearly the stage before, obese type 2 diabetes actual attributable to the spleen Dan category. Spleen Dan phase is full of internal mechanism as the core, we had 1028 cases of people with diabetes community and 2518 cases of type 2 diabetes in obese TCM syndrome type distribution investigation and research, in line with that obesity is the core of type 2 diabetes pathogenesis, syndrome, stomach, liver stomach heat real heat syndromes, phlegmy heat mutual "card is the main form of expression, totally different stage of quench Yin scorching and pathogenesis of qi and Yin and holding syndrome.

        The main different treatment

        Type 2 diabetes and obesity to quench pathogenesis, syndrome core main show different decided to both of the main different treatment. For the Yin scorching to quench, Yin heat is the main treatment; And for the full line of as the core, with obesity is the characteristic of obese type 2 diabetes, open yu heat law is the main treatment. We in line with to two of the main performance syndrome-liver stomach heat card and real heat syndromes in the gastrointestinal two simple traditional Chinese medicine and western medicine and a placebo controlled prospective line hypoglycemic, multicenter, randomized controlled clinical trial, definitely the open yu heat treatments for obese type 2 diabetes clinical curative effect, and finally confirmed the pure Chinese medicine's independent hypoglycemic effect. Therefore, type 2 diabetes and obesity to quench the main treatment is different, the traditional method is not suitable for modern Yin heat obesity treatment of type 2 diabetes.

        Through the comparison of the above aspects, we can clear, type 2 diabetes and thirsting disorder is not completely equal. Diabetes is independent of the disease, is a complete dynamic development process, but only the process is nearly a relatively stationary phase, no treatment measures to intervene in the case, the development of type 2 diabetes are likely to experience/stage. In fact, for thirst, the ancients has accumulated rich experience in the diagnosis and treatment of, quench theory system used to guide/phase of clinical treatment for diabetes is still effective, but to quench the spleen Dan stage before, also is obese type 2 diabetes, the ancients for not cognitive, subject to its differentiation also relatively small.

        Because of thirst and type 2 diabetes cognitive bias and confusion, most clinical physicians has always been to the theory instruction/type 2 diabetes in the whole process of the treatment, and the treatment of dislocation and inevitable difficult to accept better deviation effect. Therefore, for the type 2 diabetes treatment of traditional Chinese medicine, we should correct misunderstanding of clinical objective facts in respect, based on the exploration and practice, the only in the theoretical system of the right guidance, is it possible to realize the clinical curative effect of the significant breakthrough.