[TCM approaches for treatment of diabetes mellitus shift from emphasizing supplementing qi and nourishing yin to incorporating with removing toxin and intensifying yang].
The identification of the etiology and pathogenesis of diabetes mellitus in TCM viewpoint is directly related with the syndrome differentiation and therapeutic methods. According to the traditional view, the pathogenesis of diabetes mellitus was considered as founding on yin deficiency, with dry heat in the superficiality, therefore the basic therapeutic methods should be supplementing qi and nourishing yin. However, its efficacy in clinical practice was unsatisfactory. In order to establish the efficient therapeutic approaches, the author strongly recommended that physician should get the insight into the pathogenesis and syndromes of the illness and handle the yin-yang equilibrium, pay attention to not only the qi and yin deficiency, but also the yang deficiency, and further, the inner barbaric glucose-toxicity, which not only existed at the late stage, but also showed some cues in the initiative stage. Therefore, the author emphasized that in treating diabetes mellitus, besides the basic treatment for supplementing qi and nourishing yin, one should pay great attention to removing toxin and intensifying yang to achieve yin-yang equilibrium.
Lu
Fu-Er
FE
Institute of Integrative Traditional Chinese & Western Medicine, Tongji Medical College, Huazhong University of Science & Technology, Wuhan. felu@tjh.tjmu.edu.cn
D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy*; D003937:Diagnosis, Differential; D004365:Drugs, Chinese Herbal / Q000627:therapeutic use*; D006801:Humans; D008516:Medicine, Chinese Traditional; D008517:Phytotherapy; D019413:Qi; D016709:Yin-Yang
D004365:Drugs, Chinese Herbal