In three type of syndrome differentiation To treat diabetes disease 
 
 
Li Mingdi China academy of traditional Chinese medicine hospital of the gate 
 
 
China's traditional Chinese medicine to 

        Greenland, female, Chinese academy of sciences, chief researcher of traditional Chinese medicine, chief physician, doctoral tutor, enjoy special government allowances of the state council. A former ZhuanBing medical director of the center, the state administration of traditional Chinese medicine diabetes endocrine discipline leaders, academic leaders; At the Chinese academy of traditional Chinese and western medicine combined with diabetes and endocrine metabolic disease, director of the professional committee member; China academy of traditional Chinese medicine degree committee, academic committee member; Thyroid disease professional committee of China association of Chinese medicine, deputy director of the committee. She puts forward "three type diabetes syndrome differentiation and treatment plan" in 2003 by the state administration of traditional Chinese medicine as one of the top ten scientific and technological achievements to promote projects, development "of hypoglycemic nail", for the domestic first prevention and treatment of diabetes drugs of traditional Chinese medicines; Traditional Chinese medicine by the former ministry of health in 1986 major scientific and technological achievements prize in serie b, at present for the national Chinese medicine protection products, into the national health insurance directory.  
 
        China academy of traditional Chinese medicine the gate hospital chief physician Greenland is a famous historian of Chinese medicine in our country, for more than 50 years at inheritance, innovation, in using the method of traditional Chinese medicine, combine traditional Chinese and western medicine diagnosis and endocrine diseases has achieved fruitful results. Her academic thoughts in the diabetes "three type of syndrome differentiation" theory has been highlighted. 
 
        The theory of three type of syndrome differentiation and diabetes 
 
        Diabetes belongs to the TCM collateral, on the basis of symptoms that generations of physicians SanXiao differentiation, the collateral is divided into the upper, middle and lower SanXiao. Jin "element asked pathogenesis gas should be set leading" syndrome, from the viewpoint of the sanjiao (triple energizer) is pointed out that: "the disease of diabetes, diseases in the attack, also have smooth, toxicity, renal elimination. Smooth, diseases energizer to attack, and of diaphragmatic disease elimination; also gets the stomach also; renal elimination, disease in medicine." 
 
        "Medical heart enlightenment" in the qing dynasty, based on diabetes, symptom differentiation: "drink for three more, eliminate GuShan hunger for toxicity, thirsty to urinate, such as grease for area". However, as the changes of The Times and the environment, the symptoms of the disease and syndrome is change accordingly. 
 
        Today, in clinical patients with type 2 diabetes, about 40% ~ 60% of the patients lack of typical "SanXiao" symptoms, illness hidden, it's hard to press SanXiao differentiation. In order to explore the characteristics of diabetes of TCM syndrome and syndrome type, Greenland in SanXiao theory, on the basis of syndrome differentiation in 635 cases of diabetic patients systematically macroscopic syndrome differentiation of TCM, syndrome differentiation with eight principles for steel, based on differentiation of mesh, in-depth research. 
 
        Results showed that people with diabetes have hotness, Yin deficiency, qi deficiency, Yang deficiency four basic syndrome. And Greenland think, four basic syndrome is not a single, but two or two in Shanghai wait see each other. After analysis, induction and summary, she will be divided into two deficiency, Yin deficiency, qi and Yin, hotness, Yin and Yang deficiency of three certificate type. 
 
        Yin deficiency type hotness 
 
        Give priority to with heat syndrome, with Yin deficiency syndrome. Performance of phlegm-heat type. YinShang, thirsty to drink; , the stomach fire KangCheng GuShan hunger, Sou constipation; Something partial port, irritability, red face red eyes; Heart KangCheng, insomnia, heart palpitations palpitation, accounted for 12.1% of the three type, see more at early diabetes. 
 
        Qi and Yin deficiency type two 
 
        Give priority to with qi deficiency syndrome, with Yin deficiency syndrome. Characterized by lack of temper, complexion is white light is white, languid; Lack of a better mousetrap, palpitation and shortness of breath, insomnia, much dream; Kidney Yin deficiency, tinnitus deafness, lumbar acid knee soft; Lung Yin deficiency, tongue dry throat dry, dry cough without phlegm; Liver Yin deficiency, dizzy. Accounting for 75.2% of the three type, see more at the middle of diabetes. 
 
        Yin and Yang are two virtual type 
 
        Is given priority to with Yang deficiency syndrome, with Yin deficiency syndrome, characterized by the pale of Yang kui, form cold, cold extremities, impotence premature ejaculation, tinnitus, lumbar acid number of night to urinate; God of spleen Yang kui tired idle, pale white light is white, often abdominal distension full, defecate pond thin; Even diarrhea of spleen and kidney Yang deficiency; Chest chest Yang in a rather tight, palpitation and shortness of breath, your breath and blue, etc. Accounting for 12.7% of the three type, see more at late diabetes. 
 
        Anyhow, Yin deficiency for the three type of common, throughout the course of the in diabetes cause diabetes occurrence and development is the intrinsic factor, for diabetes. Yin deficiency type hotness in diabetic initial stage; Qi and Yin deficiency type can be found in the intermediate stage, the highest proportion, for diabetes basic card type; The Yin and Yang are two virtual model for diabetes development to the final destination. "Three type differentiation" actually represents the duration of diabetes early, middle and late three different periods. 
 
        "Three type differentiation" evidence characteristics 
 
        Yin deficiency type hotness 
 
        Give priority to with empirical, heat syndrome. Disease in the lungs, stomach, heart, liver. This type of light in the early stages for fewer complications. Performance is given priority to with insulin resistance. Qing xie lung and stomach treatment application, clear heat send fire treatment to improve symptoms, correcting insulin resistance, reduce blood urine sugar, control the condition, prevent the happening of the complications and development. 
 
        Qi and Yin deficiency type two 
 
        Is given priority to with deficiency syndrome, heat syndrome, disease is a heart, lung, spleen, kidney, there is a much lighter complications of the intermediate stage. If application of multiple regression analysis, the study found abnormal glucagon increase is the main factor that leads to elevated blood sugar. And qi and traditional Chinese medicine has two-way regulating insulin and reduce glucagon, increase the number of insulin receptor, improve the effect of insulin resistance, so the cure to qi and nourishing Yin. This therapy to control their condition, and delay the development of the complications have better effect. 
 
        Yin and Yang are two virtual type 
 
        Clip for deficiency and cold syndrome, blood stasis wet, show the factors that disease is a heart, spleen, kidney, is characteristic of late stage complications and more heavy. Treatment to correct abnormal blood rheology, improve low T3, T4 syndrome, stable condition, so as to improve symptoms and relieve pain, improve the quality of life, prolong life purpose. By removing the spleen kidney, promoting blood circulation to remove blood stasis. 
 
        "Qi" as the main therapeutic principle 
 
        Greenland that two virtual refers to the body's qi and Yin qi and Yin deficiency, both lung, spleen, kidney three dirty yuanprimary qi deficiency syndrome, syndrome of benefiting the five internal organs Yin fluid internal friction. At the same time, because in diabetes "three dialectical type", "qi and Yin deficiency type" in the highest proportion of three type, therefore, determine the type of the basic syndromes of diabetes. 
 
        As a result, she set about to qi and nourishing Yin and its therapeutic agent for clinical and basic research. Through four medical center, 406 cases of patients with type 2 diabetes clinical observation showed that qi and hypoglycemic total effective rate was 76.54%, the formulas of qi and Yin deficiency type (81.38%), Yin deficiency type was 65.45%, hotness, Yin and Yang are two type of 63.33%. Then she of these 190 cases for subsequent research, follow three years in a row, finally confirmed that Chinese medicine hypoglycemic effect of constant and exact. 
 
        Greenland development of qi "of hypoglycemic nail", for the domestic first prevention and treatment of diabetes drugs of traditional Chinese medicines. Research found that yiqi pills can enhance the secretion of insulin, Yin medicine can reduce glucagon secretion, embodies the scientific nature and the advantages of TCM syndrome differentiation and treatment.
 
 
 
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