Diabetes Flashcards
Upper jiao Tongue and Pulse
T: red tongue with thin yellow coating
P: Rapid
Upper jiao Signs and Symptoms
Excessive thirst
Dry throat and mouth, dry cough, excessive urination
Upper Jiao POT
Clear heat
Moisten the dryness
Nourish body fluids to stop thirst
Upper Jiao Chief Pathology
Injury of body fluids by lung heat
Upper Jiao Points
LU 10
LU 5
LI 11
Middle Jiao chief pathologies
1) Stomach fire
2) Spleen and stomach qi deficiency
Middle Jiao Stomach Fire Signs and Symptoms
Excessive appetite or propensity to hunger
Thirst with preference for cold drinks, dry lips, frequent urination, halitosis, emaciation, constipation
Middle Jiao Stomach Heat Tongue and Pulse
T: Pale
P: slipper rapid full
Middle Jiao Stomach Fire POT
Clear stomach heat
Moisten the dryness
Middle Jiao Stomach Fire Points
St 25
St 44
What are the two types of diabetes?
1) insulin insufficient
2) insulin resistant
What it the etiology for diabetes?
1) emotions
2) diet
3) excessive sexual activity
4) yin xu
5) depleting mingmen fire
What are the 4 main clinical features for diabetes?
1) polyuria (excessive urine)
2) polyphagia (excessive hunger)
3) polydopsia (excessive thirst)
4) weight loss
What are the 2 major complications for diabetes?
1) skin infections
2) edema
What is the Chief Pathology for diabetes?
yin xu with xu fire flare up
What are the 5 patterns for diabetes?
1) injury of BF by LU heat
2) ST fire
3) SP/ST Qi xu
4) KID yin xu with xu fire flare up
5) yin and yang xu
What are the LOWER JIAO pathologies?
1) KID yin xu with xu fire flare up
2) yin and yang xu
What are the basic points for diabetes?
UB-20/23
ST-36
SP-6
Jiaji T6-T8
How can you diagnose diabetes?
blood test
Name one basic point to use for
1) upper jiao
2) middle jiao
3) lower jiao
1) LU-11
2) RN-12
3) KID-3
What are the organs involved in Diabetes?
LU, SP, ST, LIV, KID, UB
What is the Chinese name for diabetes?
XIAO KE
How can you differentiate the location of the pathology?
upper= thirst
middle= hunger
lower=urination
Differentiate excess and deficiency:
SHI= thirst, preference for cold drinks, hunger, irritability, loose stool, frequent/dark urination, weight loss, rapid pulse
XU= hot flash, malar flush, night sweating, 5 palm heat, THIN/rapid pulse
What are the alternative treatments for diabetes?
1) plumblossom needle= T6-T12/L1-L5 (5-10min)
2) auricular= pancreas, endochrine, ST, thirst pt, corresponding organs
3) moxa= with ginger can expell heat and toxins
4) tx/prevent complications: skin infections (clear heat, release toxin)
edema (avoid cold herbs, tonify SP, dispell damp)
What are the education tips for diabetes?
1) reg. emotions
2) reg. sexual activity
3) reg. diet (avoid- junk food, refined sugar, alcohol, smoking, include- snacks, complex carbs)
4) reduce weight
Spleen and Stomach Qi Deficiency Signs and Symptoms
Excessive appetite or propensity to hunger with no desire to eat
Emaciation, SOB, fatigue, listlessness, loose stools, edema
Spleen and Stomach Qi Deficiency Tongue and Pulse
T: Pale
P: Weak
Spleen and Stomach Qi Deficiency POT
Tonify spleen and stomach Qi
Spleen and Stomach Qi Deficiency Points
UB 21
UB 20
Ren 12
Kidney Yin Deficiency with deficient fire flaring up Signs and Symptoms
Excessive urination, turbid urine
Dry mouth and throat, low back pain, weakness of the legs, restlessness, nocturnal emissions, insomnia, afternoon fever, night sweat
Kidney Yin Deficiency with deficient fire flaring up
Tongue and Pulse
T: Red with little coating
P: Thready and Rapid
Kidney Yin Deficiency with deficient fire flaring up
POT
Nourish kidney yin to check deficiency fire
Kidney Yin Deficiency with deficient fire flaring up
Points
Ren 4
Kid 3
Kid 7
Yin and Yang Deficiency Signs and Symptoms
Frequent and excessive urination, with clear or turbid urine
Thirst with no desire to drink, dark and withered complexion, dry and withered ear, edema, maybe scanty urine, early morning diarrhea, weakness and soreness of the lumbar and knees, intolerance to cold, cold limbs, impotence, early ejaculation
Yin and Yang Deficiency
Tongue and Pulse
T: Pale and tender
P: Deep and thready
Yin and Yang Deficiency POT
Tonify both Yin and Yang
Yin and Yang Deficiency Points
Ren 4
Du 4
Kid 3
Diabetes basic points
UB 20 UB 23 St 36 Sp 6 Jiaji T6-T8
Organs Involved
Kid Bladder Spleen Stomach Liver Lung
Chief Pathology
Yin Deficiency with Deficiency fire flaring up
Clinical Features
Weight loss Polyuria (frequent urination) Polydipsia (frequent thirst) Polyphasia (eat frequently) Fatigue Weakness Frequent skin infection Poor circulation
Etiology
Upper Jiao:
Emotions –> heat —> BF
Diet —> Damp heat
Middle Jiao:
St Yin Deficiency—–> kidney yin deficiency
Sp Qi Deficiency —-> kidney yin deficiency
( both due to excess sexual activity)
Lower Jiao:
Yin Deficiency —> Dryness.
Decline Mingman Fire
Definition
“Wasting and thirsting disease”
Characterized by persistent hyperglycaemia
- Insufficient insulin production 10-15%
- Insensitive to insulin ( resistance) 85-10%
Complications
- Skin infection —-> Carbuncles
2. Edema (Drink too much water, overuse cold herbs)
Patterns
Upper —–> Injury to BF by lung heat = Thirst
Middle —-> St fire = Appetite and hunger
—-> Sp/St Qi Deficiency = Appetite and
No desire to eat
Low —-> Kidney Yin deficiency with deficiency fire
Flaring up = Urination (turbid)
—>Yin and Yang Deficiency=Clear or turbid urine
Diagnosis
Blood Test
Diabetes thirst: Thirst:
- Disease - Normal
- Eat a lot
- Freq Urination
- Thirst with no reason
Pattern Differentiation
- Location - upper —> drink lots/Thirst
- Mid —-> Eat lots
- Low —> Frequent urination - Excess: Deficiency:
Heat/fire - yang ppl Deficiency Fire- yin pl
Eat lots Hot flash
Irritability Night sweat
Loose stools Malar flush
Thirst, drink cold water
Weight loss P: Thin, rapid
Frequent urination
P: Rapid
Treatment
Points: Upper —> lung 11
Middle —> Ren 12
Lower —> Kid 3
Plum blossom - 5-10 min
T6-T12, LI 5
Auricular - Pancreas, endocrine, SJ, corresponding
Organs
Moxa - Ren 4 (yang deficiency)
Can expel heat and toxins with ginger
Herbs
Education
- Regulate emotions
- Diet - Refined sugar
- Junk food
- Snack between meals
- Complex carbs
- Eliminate alcohol - Regulate sexual activity
POT
- Nourish Yin, clear deficiency fire
- Acute and early stage treat lung
Chronic and late stage treat Sp/St, Kid/UB - Jiaos - upper: clear lung heat, nourish kidney yin
- Mid: Clear St fire, tonify Sp Qi
- Low: Nourish Kid yin, warm yang - Treat/prevent complications
Skin= clear heat, release toxins
Edema = avoid cold herbs, tonify Sp, dispel
Dampness