Diabetes Mellitus

GENERAL CONSIDERATION
Clinical diabetes mellitus represents a syndrome with disordered metabolism and inappropriate hyperglycemia due to either an absolute deficiency of insulin secretion or a reduction in its biologic effectiveness or both. The national institutes of health
in 1979 decided to defer a "functional" classification of diabetes that based upon insulin secretion characteristics or insulin sensitivity. It recommends classifying diabetes mellitus into 2 major types.

A. Type I. Insulin-Dependent Diabetes Mellitus (IDDM). This severe form is
associated with ketosis in the untreated state. It occurs most commonly in juveniles but also occasionally in adults.

B. Type II. Non-Insulin-Dependent Diabetes Mellitus (NTDDM). This represents a heterogeneous group comprising milder forms of diabetes that occur predominantly in adults but occasionally in juveniles. Two subgroups of patients with Type II diabetes are currently distinguished by the absence or presence of obesity.

a. Nonobese NIDDM patients. These patients generally show an absent or blunted early phase of insulin release in response to glucose.
b. Obese NIDDM patients. This form of diabetes is secondary to extrapancreatic factors that produce insensitivity to endogenous insulin.

In traditional Chinese medicine, the modern term for the condition is "emaciation-thirst disease," but in ancient Chinese medicine, it is called "Shi Yi" or "Xiao Dan." The diagnosis is mainly based on symptoms such as thirst, polydipsia, polyphagia, emaciation and polyuria.


Treatment in traditional Chinese medicine.


Herb therapy (Raw Herbs)

In traditional Chinese medicine, the condition is divided into four types: emaciation of the upper part of the body, emaciation of the middle part of the body, emaciation of the lower part of the body and stagnant blood and Qi.

A. For emaciation of the upper part of the body. The chief symptoms of the type are polydipsia, slow pulse and white coating of the toneue. The treatment is to supply the body fluids and reinforce Qi with Zheng Yan Tang Jia Jian.

B. For emaciation of the lower part of the body. The chief manifestation of this type is emaciation in spite of excessive appetite, accompanied by thirst and polyuria, substantive pulses and yellow coating of the tongue. The effective formula is Bai Hu
Tang Jia Jian for producing body fluids with pungent-cold drugs.

C. For emaciation of the lower part of body. The chief symptom is large amounts of milky urine accompanied by excessive thirst and drinking, with deep and rapid pulse and the black coating of the tongue. The formula for this type is Liu Wei Di Huang Tang Jia Jian.

D. For stagnant blood and Qi. The patient often feels pain in the precordial area,cold limbs, numbness of the limbs, loss or impairment of sensation of the limbs, retarded pulse and dark purple tongue or with tongue petechia, Tao Hong Shi Wu Tang Jia Jian is prescribed.

Some herb pills are also very effective for the disease. The commonly prescribed pills are Yu Quan Pills and Xiao Ge Pills and Liu Wei Di Huang Pills and Jiang Tang Wan