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Diabetes mellitus with herbs in tcm

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Diabetes, which affects up to one third of the population of industrialized countries, is the most common of endocrine disorders. Beyond the most immediately noticeable metabolic dysfunction accompanying a typical hyperglycemia, long-term complicationLongBiao

Diabetes, which affects up to one third of the population of industrialized countries, is the most common of endocrine disorders. Beyond the most immediately noticeable metabolic dysfunction accompanying a typical hyperglycemia, long-term complication...

Diabetes, which affects up to one third of the population of industrialized countries, is the most common of endocrine disorders. Beyond the most immediately noticeable metabolic dysfunction accompanying a typical hyperglycemia, long-term complications of diabetes mellitus disorders of the eyes, kidneys, nerves and blood vessels. Because of the widespread prevalence of diabetes and severity of its complications, extensive research and development efforts are underway to find more effective remedies to improve the quality of life of people affected by the disease. This article will focus on an integrated approach to treatment of diabetes in the western perspective and Oriental medicine.
 


DEFINITION
Diabetes mellitus is a chronic disorder characterized by endocrine high levels of glucose in the blood because of inadequate secretion of insulin from the pancreas or the improper use of insulin by target cells.


Western medicine
Diabetes is classified into two categories: Type I diabetes, or insulin-dependent diabetes (IDDM) and type II diabetes, or Non-Insulin-Dependent Diabetes Mellitus (NIDDM).


Type I, IDDM, also called juvenile diabetes, with the emergence in the early teen years in many patients. Affected individuals usually a sudden onset of symptoms, including thirst, excessive urination, increased appetite, weight loss and paradoxic. The absence of treatment, the symptoms of ketoacidosis May progress, and even coma. Patients secrete little or no insulin and must rely on exogenous injections of insulin to control blood glucose. Type I, IDDM, not responding to prescription drugs such as sulfonylurea therapy.


Type II, NIDDM, also known as adult diabetes, with symptoms appearing around age 40 or later, or advanced age, but that sometimes involve minors. Patients with NIDDM are obese, but few in May show no symptoms or symptoms in the early stages. As the disease progresses, patients begin to notice increased thirst, increased consumption of food and water, excessive frequency and volume of urination, and other signs and symptoms of complications. Patients with NIDDM have normal to high levels of secretion of insulin, blood glucose, but levels remain high due to insulin resistance. Type II, NIDDM, responds to both insulin and prescription drug treatments.


Long-term complications of diabetes affect different tissues and organs. Complications of damage to blood vessels, poor circulation, delayed wound healing, heart disease, impotence and gangrene; complications affecting the loss of eye vision and blindness, kidney damage manifested by complications increase urine volume and frequency, and renal complications of the nervous system including peripheral neuropathy, sudden or gradual weakness of a leg, chronic damage to nerves and blood complications including increased vulnerability to infection, especially urinary tract or skin.


TRADITIONAL CHINESE MEDICINE
According to traditional Chinese medicine, diabetes mellitus is a condition characterized by Yin deficiency with dryness, heat and humidity. Yin deficiency is the underlying cause of disease, drought and heat are the signs and symptoms, and humidity results in an increase of blood glucose. Diabetes mellitus is more closely related to Wasting (Xiao Ke) syndrome, which can be categorized into High, Middle and Lower Wasting (Xiao Ke) syndrome, with the bodies concerned, including the lungs, stomach and kidney , respectively.


Upper Wasting (Xiao Ke) Syndrome is characterized by Lung heat drying of organic liquids. The symptoms are fidgeting, polydipsia, tongue dry red (with or without cracks) with a thin yellow layer, and strength, rapid pulse (especially at the cun position). Middle Wasting (Xiao Ke) syndrome is characterized by the fire damaged stomach fluids, with symptoms such as polyphagia, constant hunger with good appetite, language red with a yellow coat, and rolling, strength, rapid pulse. Lower Wasting (Xiao Ke) syndrome is subdivided into renal impairment or kidney Yin Yin and Yang deficiencies. Kidney Yin deficiency is characterized by symptoms such as polyuria (especially at night), tongue red with little or no coat, and a deep, thready, rapid pulse, Kidney deficiency of Yin and Yang is characterized by polyuria (especially at night), teethmarks on both sides of the tongue, the language with a pale red white blouse, and a deep, thready, weak pulse.

Despite the similarities between diabetes and Wasting (Xiao Ke) syndrome, it is important to keep in mind that they are not identical. Diabetes and two Wasting (Xiao Ke) syndrome in May was characterized by the presence of three P: polyuria, polyphagia and polydypsia. Diabetes, however, is defined as an increase in blood glucose, with or without the presence of the three P. In addition, diabetes in May have many complications not present in Wasting (Xiao Ke) syndrome, such as visual disturbances, impotence, amenorrhea, and frequent infections. Conversely, the presence of three P is the diagnosis of Wasting (Xiao-Ke) Syndrome. Polyuria, polyphagia and polydypsia May be caused by factors other than diabetes, such as fever, dehydration, or kidney disease. Understanding the similarities and differences between the two is essential for accurate diagnosis and optimal treatment of the patient.


LABORATORY VALUES
The best blood glucose is 70-100 mg / dL fasting, 70-100 mg / dL preprandial, <160 mg / dL postprandial (1 hour), and> 65 mg / dL at 3 am


An acceptable level of blood glucose is 60-130 mg / dL fasting, 60-130 mg / dL preprandial, <200 mg / dL postprandial (1 hour), and> 65 mg / dL at 3 am


Levels above the range are considered high, and require treatment.


Western medicine
I. Oral antidiabetic drugs
Oral antidiabetic drugs are commonly used to treat Type II, NIDDM patients. There are three types of oral antidiabetic drugs: sulfonylureas, biguanides, and glucosidase inhibitors, each with its unique features and side effects.


a. Sulfonylureas are the most common oral diabetes medications. These drugs lower blood sugar by stimulating the release of insulin from the pancreas. Patients of type I, IDDM, do not respond to sulfonylureas because their pancreas can not produce insulin, regardless of the stimulation drugs. Despite their effectiveness, the sulfonylureas are the side effects and toxicity, including nausea, vomiting, hematological and dermatological reactions, obstructive jaundice, hyponatremia, intolerance and alcohol. Examples of sulfonylureas include tolbutamide (Orinase), chlorpropamide (Diabinese), glyburide (Micronase) and glipizide (Glucotrol). b. Biguanides lower blood glucose by increasing the absorption and utilization of glucose by muscle cells. They also reduce glucose production by the liver. Biguanides are only effective in patients with type II, NIDDM, because their ability to function requires the presence of insulin. Side effects of biguanides include nausea, vomiting, diarrhea and epigastric distress. There are also risks of developing lactic acidosis and liver disease. Metformin (Glucophage) is the most common type of biguanide. v. Glucosidase inhibitors reduce the peak blood glucose after meals by delaying and inhibiting the absorption of carbohydrates. Work glucosidase inhibitors on the two type I, IDDM, and Type II, NIDDM, such as inhibitors of effectiveness does not depend on the function of the pancreas. The main gastrointestinal side effects, including nausea, vomiting, abdominal pain and cramps. Acarbose (precos) is the most common glucosidase inhibitor.


II. Insulin
Patients of type I, IDDM, secrete little or no insulin and are dependent on external sources of insulin to regulate their blood sugar. Insulin is injected from once to several times a day to control fluctuations in blood glucose. Although effective, the injection of insulin has many side effects, including hypoglycemic reactions, the lipodystrophy, visual disturbances, edema, allergy, and insulin resistance.

(Silymarin)

Note: In recent years, the use of Chinese herbs has become increasingly popular. To facilitate understanding between drugs and herbs, we have devoted an entire section entitled Drug-Herb Index clinics in our Manual of Oriental medicine: Lotus Collection. Our goal in creating this section is to highlight the similarities between drug treatments and herbal, so that the practitioner in May suggests alternatives herbal to their patients who are unable to tolerate the medication or side effects drugs. This reference guide includes a combination of over 300 most commonly used brand names and generic names of drugs. Know alternatives to herbal medicines to the doctor provides another treatment option so they can decide their patients the best therapy possible.


HERBAL TREATMENTS
Chinese herbs are very effective in the treatment of type II NIDDM. When prescribed correctly, Chinese herbs lower blood sugar, joint management of the signs and symptoms, and treat the complications of diabetes mellitus. Patients generally respond to herbal treatment within three to four weeks, with significant reduction in levels of glucose in the blood and little variation throughout the day. However, some patients May need six to eight weeks. For patients with type I, IDDM, Chinese herbs are used in conjunction with insulin to manage the symptoms and complications. Chinese herbs can also reduce the frequency and dosage of insulin injections. However, it is important to keep in mind that plants can not replace insulin, IDDM and patients will always need insulin injections.

I. Equilibrium
Balance is the formula of choice for the treatment of diabetes mellitus. From the perspective of Western medicine, Equilibrium contains herbs with excellent hypoglycemic effect, lowering blood glucose levels and reduce the synthesis of adipose tissue. In addition, Equilibrium contains herbs that lower blood cholesterol and improve blood flow to the coronary and peripheral arteries of the body - thus the management of diabetic complications such as hyperlipidemia, atherosclerosis, coronary artery disease, peripheral neuropathy, etc.


In terms of Chinese actions therapeutic feeding Equilibrium lung, stomach and kidney Yin, clears heat, humidity and dry. It can be used for patients with the High, Middle or Lower Wasting (Xiao Ke) syndromes. It effectively manages the three cardinal symptoms of wasting (Xiao Ke) syndrome: polydipsia, polyuria and polyphagia.

Equilibrium treats both the cause and complications of diabetes mellitus. American ginseng (xi yang shen) much to rebuild the vital substance of the body and promotes the secretion of body fluids, treat polydipsia. Gypsum (shi gao) and Anemarrhena (zhi mu) are a pair commonly used to treat heat in the Middle Burner (Jiao). They asked Stomach fire's appetite and to relieve polyphagia. Scrophularia (xuan shen) between the lungs, stomach and kidneys of both replenish the vital essence and clear heat. According to oriental medicine, an elevated glucose level is equivalent to an excess of moisture retention in the body. Therefore, astragalus (Huang Qi) and Dioscorea (shan yao) are used to tonify Qi and strengthen the Spleen to enhance its functions to remove moisture. With their aromatic properties, White Atractylodes (bai zhu) and Atractylodes (Cang zhu) to strengthen the spleen and directly dry the moisture. Salvia root (dan shen) and Carthamus (hong hua) invigorate blood circulation and improve the overall effectiveness of the herbs by improved micro-circulation. Activating blood circulation, reduces the risk of atherosclerosis by preventing the accumulation of cholesterol on the inner walls of blood vessels. Finally, the lotus embryo (lian zi xin) and lotus stamen (lian xu) tonify the kidneys and control frequent urination.

II. Modifying the herbal treatment based on Wasting (Xiao-Ke) Syndrome
Balance is essential herbal formula used for lowering blood glucose, if the patient has no other significant complications. If patients with diabetes show signs and symptoms important the Upper, Middle and Lower Wasting (Xiao Ke) syndromes, treatment should be modified, by combining the balance with the following formulas:

1. Upper Wasting (Xiao-Ke) Syndrome is characterized by Lung heat drying body fluids, leading to symptoms such as fidgeting, polydipsia, dry red one language (with or without cracks) with a thin yellow layer and a powerful, rapid pulse (including cun position). Patients with Upper Wasting (Xiao-Ke) Syndrome should combine Equilibrium with Ginseng & Gypsum Combination (Bai Hu Jia Ren Shen Tang). 2. Middle Wasting (Xiao Ke) syndrome is characterized by the fire damaging stomach fluids, leading to such symptoms as polyphagia, constant hunger with good appetite, a language red with yellow coat, and slippery, force, rapid pulse. Patients with Middle Wasting (Xiao-Ke) Syndrome should combine Equilibrium with Rehmannia & Gypsum Combination (Yu Nu Jian). 3. Lower Wasting (Xiao Ke) Syndrome Kidney Yin deficiency is characterized by symptoms such as polyuria (especially at night), a language red with little or no coat, and a deep, thready, rapid pulse. Patients with Lower Wasting (Xiao Ke) Syndrome with Kidney Yin deficiency should combine Equilibrium with Rehmannia Six Formula (Liu Wei Di Huang Wan). 4. Lower Wasting (Xiao Ke) Syndrome with Kidney Yin and Yang is characterized by gaps polyuria (especially at night), teethmarks on both sides of the language, a language with a pale red white blouse, and a deep, thready, weak pulse. Patients with Lower Wasting (Xiao Ke) Syndrome Kidney Yin and Yang, the gaps should combine Equilibrium with Rehmannia Eight Formula (Ba Wei Di Huang Wan).

III. Modifying the herbal treatment based on complications
If patients with diabetes show signs and symptoms of major complications, treatment should be modified, by combining the balance with the following formulas:

1. For patients with high cholesterol, combined with Cholisma. 2. For patients with hypertension, combine with Gentiana Complex or Gastrodia Complex. 3. For patients with chronic disease from the accumulation of cholesterol leading to coronary artery disease, combined with traffic. 4. For patients with blurred vision or visual impairment, combined with Nourish. 5. For patients with impotence due to diabetic complications, combined with vitality for men. 6. For patients with recurrent infections of the urinary tract, combine with Gentiana Complex.

PRECAUTIONS
Patients should not stop using the drug abruptly, because there is a risk of hyperglycemia or diabetic ketoacidosis. Herbal treatments and should ride for 1 to 2 weeks before starting patients are degression of medication to ensure adequate control of blood glucose.

Concomitant use of medications and treatments herbal May have synergistic effects on lowering blood glucose. During the transition period, when patients take the medicines and herbs, their blood glucose levels should be monitored at least twice daily to assess the effectiveness of treatment and to avoid hypoglycemia. The dosage should be adjusted as needed to maintain blood glucose within the normal range. Treatment herbal May reduce the dosage and frequency of insulin injections needed, but it can never replace insulin, particularly in diabetes mellitus insulin-dependent (IDDM) patients. Patients with DID should be treated with insulin or a combination of insulin and herbs.


INSTRUCTIONS FOR LIFE
Lifestyle adjustments are absolutely critical for managing short-term and long-term diabetes. Patients should be encouraged to participate in daily exercises, the sleep of 10 h to enhance the restoration of the Yin in the body, and eliminate sugar, caffeine and carbohydrates in food. Other dietary May be useful based on the principal organ systems affected.


CLINICAL NOTES
For patients with type II, NIDDM, Equilibrium in combination with diet and provides excellent clinical results. Most patients will obtain satisfactory clinical results within three to four weeks of treatment herbal. Maximum efficiency May need six to eight weeks of treatment based on plants. Clinical effects include a significant reduction in blood glucose and less fluctuation of the day.


Diabetes mellitus is defined simply as an increase in blood glucose. Clinical manifestations of the disease, however, are much more complicated than its definition. Patients with chronic diabetes are often plagued by various complications, such as visual disturbances, a long healing of wounds, frequent recurrences of infections, impotence, etc., which must be dealt with in the whole treatment strategy.


CONCLUSION
The diagnosis and treatment of complex endocrine disorder and continues to pose a challenge for health practitioners. Diabetes mellitus commonly go in May that patients diagnosed with early stage Type II, NIDDM is often asymptomatic. In addition, as patients suffering from chronic diseases of Type II, NIDDM often have a wide variety of complications, diabetes mellitus is often overlooked or misdiagnosed. Once the correct diagnosis is made, diabetes and its complications can be managed effectively by the two drugs and western herbal remedies. In conclusion, medicine plant offers a safe and effective alternative for patients with diabetes mellitus.


CASE STUDIES
1. JK, a 45-year-old female, was 5'3 "and weighs 160 pounds. She had urinary tract infections, once or twice a month during the last 12 months. Other signs and symptoms included constant thirst, increased fluid intake, increased frequency and volume of urination. She was diagnosed with diabetes mellitus after testing positive for high levels of glucose in the blood. She was prescribed Equilibrium, 4 capsules TID before meals. Two weeks after the initial treatment, she reported significant improvement of signs and symptoms. Two months after the first? treatment, his blood glucose levels are within the ideal range. She ' was no urinary tract infections during these two months. She continues to take Equilibrium, 4 capsules TID before meals.


Note clinical urinary tract infection is a common complication of chronic diabetes. The frequency of infections, polyuria and polydipsia, in conjunction with age and body weight, a possible indicator of diabetes. Before treating the urinary tract infection, his blood glucose levels must first be tested to exclude diabetes. In this case, the persistence of high levels of blood glucose confirmed the diagnosis of diabetes mellitus. After treatment with the balance of two months, both the symptoms and complications of diabetes were under control.


2. AG, 60-year-old male, was 6'1 "and weighs 280 pounds. He was always hungry and ate two or three bowls of rice at every meal. He noticed that his cuts or scratches required a longer period time to heal, sometimes up to a month. His diagnoses are diabetes mellitus and high cholesterol. He received Equilibrium, 4 capsules TID for his diabetes, and Cholisma, 4 capsules TID for his cholesterol. After taken the herbs for three months, his blood glucose levels within the ideal and his cholesterol dropped from 260 to 220. His weight has also decreased from 280 to 255 pounds. He ate less and do not feel constantly hungry. He continues to take the two and balance Cholisma.


Clinical Note: high cholesterol levels are a common complication of diabetes mellitus. The absence of treatment, high cholesterol can lead to atherosclerosis, hypertension, coronary heart disease, angina pectoris and myocardial infarction. Therefore, effective treatment must address both blood glucose and blood cholesterol. In combination with dietary changes, this patient has shown excellent progress in reducing the blood sugar and cholesterol.

Copyright © 1998 by Lotus Herbs, All rights reserved. No part of this publication May be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except for a brief review, without the prior written permission of Lotus Herbs, Inc. Lotus Herbs, herbs Lotus logo, Lotus Collection, Lotus Collection logo, the articles of the oriental medicine clinic, the Lotus Classics, Lotus Classics logo are trademarks of Lotus Herbs, Inc.

Professional Use Only: This article is intended as a reference for practitioners of health care authorized, such as vocational training and expertise are essential to the safe and efficient use of grass. Similarly, all products made from plants are sold only to health professionals licensed. The advantages and disadvantages of each option based plants are presented in their entirety so that all doctors and patients can make informed decisions.

Structure and Function Claims: The information is presented in this article an accurate, truthful and not misleading manner. The claims are supported by modern research and referenced accordingly throughout the article. Nevertheless, the FDA requires the following statement: These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease.

Warning: Great care has been taken to maintain the accuracy of the information contained in this article. The information presented in this article is for educational purposes only. We can not anticipate all conditions under which this information and our products, or products of other manufacturers in combination with our products, may be used. In view of ongoing research, changes in government regulations, and the constant flow of information relating to Western medicine and Chinese, the reader is urged to check with other sources for all information updates. We assume no responsibility for the results achieved by applying the information in this article or to the safety and suitability of our products, alone or in combination with our products or with products from other manufacturers . Neither Lotus Herbs, Inc. nor the authors of this article can not be held responsible for errors or any consequences arising from the use of such information.

John K. Chen, Ph.D., Pharm., OMD, L.Ac. is a recognized authority on western pharmacology and Chinese medicine herbal. He graduated from the University of Southern California (USC) and School of Pharmacy at the University of South Baylo Oriental Medicine. He also received postgraduate training in China specializing in herbology and internal medicine.

Dr. Chen currently teaches medicine plants at USC, Chinese herbology at the University of South Baylo, and western pharmacology at Yo San University and Emperor's College. He is the chairman of the Committee on Herbal Medicinal Products for the American Association of Oriental Medicine (AAOM) herbal and a consultant to the California Association of Acupuncture and Oriental Medicine (CAAOM).

Dr. John Chen is the president and founder of Lotus Herbs, and is available for medical consultations through the Lotus Herbal Consultation Line. Tel: (626) 916-1070, Fax: (626) 917-7763;

Lotus Herbs: 1124 North Hacienda Blvd. La Puente, CA 91744.


Copyright 1998 All rights reserved. Written by Dr. John K. Chen, Ph.D., Pharm., OMD, L.Ac.

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