Diabetes mellitus
Hello Dr.
Lin,
1.
From the perspective of Traditional Chinese Medicine, what is the underlying issue with diabetes?
2.
The doctor mentioned that both medication and insulin injections are options; which one causes the least harm to the liver and kidneys?
Mr. Chen, 20~29 year old female. Ask Date: 2013/04/04
Dr. Lin Qingzhong reply Traditional Chinese Medicine
Dear Mr.
Chen / 22 / 0 Online User,
Hello,
1.
Diabetes is a common civilization disease worldwide, with an estimated over a million people affected in Taiwan.
Individuals with a family history of diabetes, obesity, high stress, or irregular lifestyles are at a higher risk of developing diabetes.
2.
The symptoms of diabetes include excessive eating, drinking, and urination, commonly referred to as the "three polys" in diabetes, which is known in Traditional Chinese Medicine (TCM) as "Xiao Ke Zheng" (消渴症).
3.
From the perspective of TCM, patients with diabetes often experience increased hunger and weight loss, frequent urination with foamy urine, weakness in the lower back and knees, poor peripheral circulation leading to cold extremities, and sexual dysfunction, which are manifestations of kidney Yang deficiency.
In clinical practice, initial treatment focuses on tonifying the kidneys, along with blood invigorating therapies, which often yield good results.
However, if diabetes is poorly controlled, vascular complications can lead to eye and nerve damage, and over time, damage to the internal organs such as renal failure and cardiac enlargement may occur.
Treatment should be tailored based on the condition and symptoms of the affected organs.
4.
Medication or insulin therapy should be administered according to the instructions of a specialist.
Regardless of whether medication or insulin is used, maintaining good blood sugar control is essential to mitigate the potential harm to the liver and kidneys caused by uncontrolled diabetes.
5.
In addition to Western medication, it is advisable to consult a qualified TCM practitioner for symptom differentiation and complementary treatment, which is generally safer and without side effects.
In the early stages of diabetes, TCM believes that there is a deficiency of kidney Qi, and it is important to tonify kidney Qi, along with dietary adjustments to reduce sugar, starch, and sweets, increase physical activity to prevent obesity, manage stress, and ensure adequate sleep.
This approach can lead to effective prevention and treatment outcomes.
Finally, I wish you well.
Director of the Department of Traditional Chinese Medicine, Fengyuan Hospital
Associate Professor, Nursing Department, Hungkuang University
Dr.
Lin Ching-Chung
Reply Date: 2013/04/04
More Info
Understanding diabetes from the perspective of Traditional Chinese Medicine (TCM) offers a unique approach that contrasts with Western medical practices. In TCM, diabetes, often referred to as "Xiao Ke" (消渴), is viewed as a disorder of the body's internal balance, particularly involving the organs responsible for digestion and metabolism, primarily the spleen and kidneys.
1. TCM Perspective on Diabetes: In TCM, diabetes is believed to stem from a deficiency in the spleen and kidneys, which are crucial for the transformation and transportation of nutrients. The spleen is responsible for the digestion of food and the production of Qi (vital energy) and blood, while the kidneys are seen as the source of Yin (cooling, moistening energy) and Yang (warming, energizing energy). When these organs are weakened, it can lead to an inability to properly process food and fluids, resulting in symptoms such as excessive thirst, frequent urination, and increased appetite. TCM practitioners may also consider factors such as emotional stress, dietary habits, and lifestyle choices when diagnosing and treating diabetes.
2. Medication and Insulin Use: Regarding the use of medications and insulin, TCM emphasizes a holistic approach. While Western medicine often focuses on controlling blood sugar levels through medications like Metformin or insulin injections, TCM may recommend herbal remedies and dietary adjustments to strengthen the spleen and kidneys, thereby addressing the root cause of the condition.
In terms of safety and organ health, the concern about the impact of medications on the liver and kidneys is valid. Generally, insulin therapy is considered safe for the kidneys when used appropriately, as it does not directly cause kidney damage. However, it is crucial to monitor kidney function regularly, especially in patients with pre-existing kidney issues. On the other hand, some oral diabetes medications can have side effects that may affect liver function, so it is essential to discuss these concerns with a healthcare provider.
In TCM, the goal is not only to manage blood sugar levels but also to restore balance within the body. This may involve the use of herbal formulas that are tailored to the individual's specific condition, addressing both symptoms and underlying imbalances. For instance, herbs that nourish the kidneys and spleen, such as Rehmannia and Astragalus, may be used to support overall health and mitigate the symptoms of diabetes.
In conclusion, understanding diabetes from a TCM perspective involves recognizing the importance of internal organ health and balance. While medications and insulin can be effective in managing diabetes, incorporating TCM principles may provide a more comprehensive approach to treatment. It is advisable for patients to work closely with both Western and TCM practitioners to create a personalized treatment plan that considers their unique health needs and concerns. Regular monitoring of blood sugar levels, kidney function, and overall health is essential for effective diabetes management.
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