Experience in Chinese medicine for diabetes

  Diabetes mellitus, called “thirst disease” by Chinese medicine, is believed to be the result of a combination of congenital endowment deficiency, physical weakness and acquired factors, and advocates comprehensive treatment. In fact, the principles of Chinese medicine for the treatment of diabetes do not conflict with Western medicine, the main need to pay attention to five aspects: The Yellow Emperor’s Classic of Internal Medicine records: “…… eating sweet and fat, fat people make internal heat, sweet people make the middle full, so its gas overflow, and turn to thirst.” The Jing Yue Quan Shu says: “thirst disease, rich and noble people sick of but the poor and lowly few.” This shows that Chinese medicine has long recognized that diabetes is a disease of the rich and the need to control diet. Sun Simiao, who was the first pioneer in the world to propose dietary treatment, believed that thirst disorders should be treated with caution by drinking alcohol and limiting salt. In addition, the diet should not be too full and should be light.  The ancients recognized long ago that proper exercise is one of the effective measures to prevent and treat diabetes. Diabetic patients should exercise under the guidance of a doctor, “to the extent of not fatigue”, according to the condition of the choice of walking, aerobics, taijiquan, swimming, ballroom dancing, etc.. In particular, taijiquan, with its relaxing, natural, stretching and gentle characteristics, is most suitable for diabetic patients.  Chinese medicine attaches great importance to the relationship between human emotions and health. Long-term emotional distress and liver qi stagnation will lead to the occurrence and aggravation of thirst disease, which is consistent with the understanding of modern medicine. Therefore, diabetic patients should “temper their emotions and anger” and “reduce their thoughts”, so as to keep their emotions happy and open-minded, and keep their qi and blood flowing to facilitate the control and recovery of their disease.  Chinese medicine believes that people are endowed with the qi of heaven and earth and that the changes of the four seasons have direct and indirect effects on the physiology and pathology of the human body, emphasizing the importance of following nature to preserve the right qi, advocating the prevention of wind in spring, heat in summer, dryness in autumn, and cold in winter, in order to achieve the purpose of “the right qi exists within, evil cannot dry up”. Diabetes is a lifelong disease, and patients should learn to self-care, so that they can enjoy their life as normal people. However, self-care is never the same as taking tonic products indiscriminately or for a long time.  It should be clear that not all diabetic patients are suitable for TCM treatment. type 1 diabetes is not suitable for TCM treatment, because type 1 diabetic patients need to rely completely on exogenous insulin to maintain life, and so far, there is no Chinese medicine that can replace insulin.