Articles

Diabetes Mellitus, Type 2

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Introduction

Diabetes in Chinese medicine is called Xiao Ke Syndromes. Chinese medicine has a long history of treating type 2 diabetes and has accumulated a rich experience in its treatment, specializing in prevention of complications of diabetes. According to Chinese medicine, the cause of this condition is rooted in abnormal function of lung, spleen, and kidney. Therefore, Chinese medicine divides diabetes into three types: upper Xiao (characterized by increased thirst), middle Xiao (characterized by increased appetite), and lower Xiao (characterized by increased urination).

Primary Treatments with Chinese Medicinal Herbs

Yu Quan Wan

Ingredients: Ge Gen (Pueraria), Tian Hua Fen (Trichosanthes Root), Mai Dong (Ophiopogon Root), Wu Wei Zi (Schizandra), Gan Cao (Licorice), Ren Sheng (Red Ginseng), Fu Ling (Hoelen), Wu Mei (Mume), Sheng Huang Qi (Astragalus Root), Zhi Huang Qi (Astragalus Root processed), Sheng Di Huang (Rehmannia Root)

Clinical Application:
Jia has treated 54 patients of diabetes with Yu Quan Wan as the base formula, adding or subtracting ingredients as a particular case warrants, and reported 42 cases significantly improved, 10 cases improved, and 2 cases with no response, tallying an overall effective rate of 96.3%. (1)

Wang Zhong Xue, et al. have used Yu Quan Wan to treat 6 cases of lipogenous diabetes, and reported satisfactory results. (2)

Li, et al. have used Yu Quan Wan to treat 18 typical diabetes cases for a duration of two months, and reported that 6 cases significantly improved, 7 cases improved, and 5 cases with no response. (3)

Other Treatments with Chinese Medicinal Herbs

Xiao Ke Bao Yuan Tang

Song Dai Po used a formula called Xiao Ke Bao Yuan Tang to treat 70 cases of type 2 diabetes. The herbal formula contains Shou Di (Rehmannia), Tian Hua Feng (Trichosanthes Root), Shan Zhu Yu (Cornus), Cang Zhu (Atractylodes), Dan Shen (Salvia), Mu Li (Oyster Shell), Ge Gen (Pueraria), Zhi Mu (Anemarrhena), Shan Yao (Dioscorea), Yuan Sheng (Schrophularia), Mai Dong (Ophiopogon Root), Jin Ying Zi (Cherokee Rose-Hip), Ren Shen (Ginseng), Huang Lian (Coptis), and Huang Qi (Astragalus Root). The formula is taken in water decoction form, twice a day. After 40 days, 20 patients showed clinical recovery, 26 patients had substantial progress, 16 patients made progress, and 8 patients showed no response. The total effectiveness rate is 85.7%. (4)

Yu Quan San

Jia Xiou Xia modified a classical formula called Yu Quan San treating 54 patients. Jia used Huang Qi (Astrapalus Root), Dang Shen (Salvia), Mai Dong (Ophiopogon Root), Wu Wei Zi (Schizandra), Sheng Di (Rehmannia Root), Shi Hu (Dendrobium), Zhi Mu (Anemarrhena), Shan Yao (Dioscorea), Tian Hua Fen (Trichosanthes Root), Sang Piao Xiao (Mantis Egg-Case), Ge Gen (Pueraria) and Huang Lian (Coptis). The results 96.3% effectiveness rate. (5)

Fu Fang Yi Qi Jiang Tang Tang

Liu Xue Lan used two different types of herbal treatment for type 2 diabetes. One treatment, using a standard formula, called Fu Fang Yi Qi Jiang Tang Tang. This treatment was applied to 23 patients. The second treatment was also applied to 23 patients. Liu divided the second group of patients into four different sub-roups according to differentiation theory in Chinese medicine. Sub-group A is called excessive inner fire group, taking a herbal formula called Xiao Ke Fang. Sub-group B is called the blood-stagnation group, taking a herbal formula called Yi Qi Hua Yu Tang. Sub-group C is called defiency of kidney and liver group, taking a herbal formula called Liu Wei Di Huang Wan (Rehmannia Six Formula). Sub-group D is called deficiency of ying and yang group, taking a herbal formula called Sheng Qi Wan. Meanwhile, all the patients used IV-injection of Dan Shen (Salvia), 20ml+90% physiological saline, 250ml per day, with thirty days as one treatment unit. When the glucose level rises above 11.9mmol/L, then medication is added to lower the glucose level. Liu received different results from the two treatments. The first treatment with the standard formula received 73.91% effectiveness rate. For the second group, which used different formulas, received 91.31% effectiveness rate. (6)

Acupunture & Acupressure

Acupuncture
Zhu Xiou Feng used acupuncture treatment for 246 diabetes patients. He chose Zu San Li (S 36), San Yin Jiao (Sp6), Qu Chi (LI11), and other points according to the symptoms of the patients. He used gentle manipulation, leaving the needles in the points for thirty minutes, and also combined with moxibustion for five minutes for each point once a day, with one month as one treatment unit. After one to four treatment units, 154 patients received substantial progress, 83 cases showed progress, 9 patients showed no response. The total effectiveness rate is 96.3%. (7)

Guo Shui Chi used acupuncture to treat type 2 diabetes for 60 patients. He divided his patients into three groups according to the differentiation theory in Chinese medicine. He applied acupuncture needles to Ge Shu (B17), Pi Shu (B20), Zu San Li (S36), Chi Ze (L5), Di Ji (Sp8), San Yin Jiao (Sp6), etc. once a day, with ten treatments as one treatment unit. 27 patients showed substantial results, 23 showed progress and 10 patients showed no change. The effectiveness rate is 83.34%. (8)

Li Dong Ling, et al. used acupuncture treatment treating 29 patients of type 2 diabetes. According to the Chinese medicine theory, these patients all belong to deficiency qi and ying condition. The method he used is a combination of acupuncture and diet. The main acupuncture points are He Gu (LI4), Fu Liu (K7), and Da Zhui (D14), leaving the needles in the points for twenty minutes for each time. 11 patients showed substantial progress, 16 patients showed progress and 2 showed no response. (9)

Combination of Acupuncture and Herbal Therapy
Fan Guan Jie observed a group of patients using a combination of acupuncture and herbal treatment. This group of people all belong to type 2 diabetes along with hyperlipidemia. He used Qi Hai (Ren6), Zhong Wan (Ren 12), Pi Shu (B20), Shen Shu (B23), etc. acupuncture points once a day, with five times as one treatment unit. Patients rest two days between acupuncture treatment units. Meanwhile, the herbal formula is given to the patients. It contains Ren Shen (Ginseng), Sheng Di (Rehmannia), Sha Shen(Adenophora), E Zhu (Zedoaria), Da Huang (Rhubarb), Wei Mao, San Qi (Notoginsing), and Gan Cao (Licorice). All the patients received a positive response on the level of cholesterol, triglycerides, and HDL. Among these three, the greatest change is in the triglyceride level. The combination of both acupuncture and herbs showed better results than the control group. (10)

Electrical Stimulation Therapy
Feng Sheng Li, et al. used impulse low-frequency of electro-stimulation for 45 patients of type 2 diabetes. The name of the apparatus used is called CDJ-E Diabetes Therapeutic Apparatus. The main acupuncture points used are Zhong Wan (Ren 12), Zu San Li (S36), and Yong Quan (K1). The electrode is applied to the points adjusting the frequency and strength of stimulation according to the patient's feelings. The patients were stimulated four minutes per point, once a day, with thirty times as one treatment unit. The glucose level two hours after a meal was decreased on an average by .44mmol/L, compared to non-treatment (P

References

  1. Jia Xiu Xia. Journal of TCM Correspondence School of Shanxi. 1996;(6):21-22.
  2. Wang Zhong Xue, et al. Journal of Changchun College of Traditional Chinese Medicine. 1994;10(4):20.
  3. Li Zong Cai, et al. Journal of Traditional Chinese Medicine. 1984;25(2):71.
  4. Song Dai Po, et al. Treatment of 72 Cases of Type II Diabetes with Shao Ke Bao Yuan Tang. Journal of Xin Jiang Traditional Chinese Medicine. 1988;16(2):17-18.
  5. Jia Xiu Xia. Clinical Observation on Modified Yu Chuan San for Treating Diabetes. Journal of Shan Xi Correspondence Studies of Traditional Chinese Medicine. 1996;(6):21-22.
  6. Liu Xue Lan. Comparison Study on Differential treatment for Type II Diabetes. Journal of Yun Nan Chinese Medicine and Herbs. 1999;20(1):16.
  7. Zhu Xiu Feng. Acupuncture treatment for 246 Cases of Diabetes. Journal of Chinese Acupuncture. 1991;11(1):5-6.
  8. Guo Shui Chi, et al. The Efficacy of Acupuncture treatment for 60 Cases of Diabetes. Journal of Shan Xi. 1992;13(10):460-461.
  9. Li Dong Ling, et al. Acupuncture treatment for 29 Cases of Deficiency of Qi and Ying Type of Non-Insulin Dependent Diabetes. Journal of Chinese Acupuncture. 1998;8(6):26.
  10. Fan Guan Jie, et al. Clinical Research on Combination of Acupuncture and Herbal Medicine for Treating Non Insulin Dependent Diabetes with Hyperlipidemia. Journal of Chinese Acupuncture. 1998;18(3):139-141.