The idea of “treating the disease” and diabetes prevention in Chinese medicine

  The term “treating the undiseased” first appeared in Suwen? The four qi tune Shen Lun”: “Therefore, the sage does not treat the sick to treat the sick, not to treat the chaos to treat the chaos, this is also called. The disease has become and then medicine, chaos has become and then cure, like thirst and wear well, bucket and cast cone, is not also late”, emphasizing the importance of “treating the undiseased”, laid the foundation of the theory of “treating the undiseased”, to the Tang Dynasty, the doctor Sun Simiao will In the Tang Dynasty, the doctor Sun Simiao divided diseases into three levels: “not yet sick”, “want to be sick” and “already sick”. One is to prevent diseases before they occur, that is, to take care of the body before they occur, and to improve the ability of positive energy to resist evil, so as to prevent the occurrence of diseases. The second is to prevent the change of disease, that is, after the human body has fallen ill, effective measures should be taken in time for early diagnosis and early treatment to interrupt the development, transmission or recurrence of disease. The third is prevention of recurrence after disease, that is, based on supporting the righteousness, strengthening the body and preventing the recurrence of old diseases.  The undiseased stage of diabetes, namely pre-diabetes, mainly refers to the low tolerance of diabetes, and people in this stage can often return to normal with early treatment. Diabetes has become a major chronic disease that poses a serious risk to human health. Once diabetes has developed, there is no cure for it. Throughout the development of diabetes, it is a concrete manifestation of the disease from “not yet sick” to “already sick”. The World Health Organization (WHO) diagnostic criteria for IGT are: fasting plasma glucose (FPG) <7.0 mmol/L, 2h plasma glucose (2hPG) >7.8 mmol/L and <11.1 mmol/L after 75g of oral glucose, and hypoglycemia, which refers to a person with higher than normal blood glucose level but has not yet reached the diagnostic criteria for diabetes, is a predictive factor for a high risk of type 2 diabetes. It is a high risk factor for type 2 diabetes. Patients do not have obvious symptoms and are usually detected during health check-ups or diabetes screening. The prevalence of IGT in China is as high as 4.72%, and more than 10% in large cities. The regression of people with low glucose tolerance can be one of three things: one is transformed into true diabetes, one remains unchanged, and one returns to normal. According to clinical observation, if people with low glucose tolerance are left unattended, 5%-15% of them will turn into diabetes every year, so these people are at high risk of developing diabetes. If appropriate lifestyle interventions are made for this group, such as proper diet control and increased exercise, the incidence of diabetes will be reduced by about 50%. Since people with low glucose tolerance are often accompanied by obesity, hypertension and hyperlipidemia, proper diet control and increased exercise can also be beneficial for weight loss and control of hypertension and hyperlipidemia.  The undiseased stage of diabetes, known as prediabetes, refers to low diabetes tolerance, and people in this stage can often return to normal with early treatment. Diabetes has become a major chronic disease that poses a serious risk to human health. Once diabetes has developed, there is no cure for it. Throughout the development of diabetes, it is a concrete manifestation of the disease from "not yet sick" to "already sick". The World Health Organization (WHO) diagnostic criteria for IGT are: fasting plasma glucose (FPG) <7.0 mmol/L, 2h plasma glucose (2hPG) >7.8 mmol/L and <11.1 mmol/L after 75g of oral glucose, and hypoglycemia, which refers to a person with higher than normal blood glucose level but has not yet reached the diagnostic criteria for diabetes, is a predictive factor for a high risk of type 2 diabetes. It is a high risk factor for type 2 diabetes. Patients do not have obvious symptoms and are usually detected during health check-ups or diabetes screening. The prevalence of IGT in China is as high as 4.72%, and more than 10% in large cities. The regression of people with low glucose tolerance can be one of three things: one is transformed into true diabetes, one remains unchanged, and one returns to normal. According to clinical observation, if people with low glucose tolerance are left unattended, 5%-15% of them will turn into diabetes every year, so these people are at high risk of developing diabetes. If appropriate lifestyle interventions are made for this group, such as proper diet control and increased exercise, the incidence of diabetes will be reduced by about 50%. Since people with low glucose tolerance are often accompanied by obesity, hypertension and hyperlipidemia, proper diet control and increased exercise can also be beneficial for weight loss and control of hypertension and hyperlipidemia.  How to prevent diabetes in Chinese medicine?  1. Diet: Chinese medicine believes that the occurrence of diabetes is related to diet, and good or bad diet control directly affects the effectiveness of treatment. Sun Simiao was the first pioneer in the world to propose dietary therapy, he once proposed that diabetic patients "three cautious, one drink, two room, three salty food and noodles." Tang Wang To also proposed restricting rice, meat and fruits. They all stressed that without diet, "even with the golden elixir can not be saved!"  2. Proper exercise: "The Treatise on the Origin of Diseases" suggests that patients with thirst should "take one hundred and twenty steps first, or a thousand steps if there are more, and then eat." The "Secret Essentials of Wai Tai" also emphasizes: "After eating, walk, and sit a little smoothly", advocating that after each meal, go out for a walk. This means that proper exercise is one of the effective measures to prevent and treat diabetes, which is completely consistent with the understanding of modern medicine.  3, smooth emotions: the occurrence and development of diabetes and emotions have a certain relationship. Therefore, it is necessary to educate diabetic patients to treat life and disease correctly, to "moderate happiness and anger" and to "reduce thoughts and worries". Keep the emotions and blood flowing smoothly, so as to facilitate the control and recovery of the disease.  4.Chinese medicine intervention: For different patients, taking appropriate Chinese medicine intervention, combined with diet and exercise therapy, can effectively prevent or delay the onset of type 2 diabetes.