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The Withdrawal from & Reduction of Use of Western Medications for Type II Diabetes Mellitus Based on Treatment Predicated on Pattern Discrimination abstracted & translated by Keywords: Chinese medicine, Chinese herbal medicine, type 2 diabetes mellitus, treatment based on pattern discrimination In issue #4, 2002 of the Zhe Jiang Zhong Yi Za Zhi (Zhejiang Journal of Chinese Medicine), Zhou Jian-yang published an article titled, “The Withdrawal from & Reduction of Use of Western Medications for Type II Diabetes Mellitus Based on Treatment Predicated on Pattern Discrimination,” on page 177. A precis of that article appears below. Cohort description: Seventy-five out-patients diagnosed according to WHO 1999 criteria for type 2 diabetes mellitus were included in this study. Among these, there were 33 males and 42 females with an average age of 53 years. The longest course of disease was five years and the shortest was two months, with an average disease duration of two years seven months. With Western medical hypoglycemic treatment, all these patients’ fasting blood glucose (FBG) was equal to or less than 7.5mmol/L, their postprandial blood glucose (PBG) was equal to or less than 11.1mmol/L, and their HbA1C was equal to or less than 7.5%. These 75 patients were divided into two group, a treatment group and a comparison group. There were no marked statistical differences in terms of age, sex, disease course, or blood glucose levels between these two groups. Treatment method: The patients in the treatment group were given either of two different formulas depending upon which of two patterns they manifested. The 16 cases who manifest a yin vacuity with heat exuberance received: Herba Taraxaci Mongolici Cum Radice (Pu Gong Ying), uncooked Gypsum Fibrosum (Shi Gao), and Flos Lonicerae Japonicae (Jin Yin Hua), 30g each, Sedimetum Urinae Hominis (Ren Zhong Bai), Flos Chrysanthemi Morifolii (Ju Hua), and Radix Sophorae Flavescentis (Ku Shen), 15g each, Rhizoma Coptidis Chinensis (Huang Lian), 6g, Folium Diospyros Khaki (Shi Ye), Lignum Euonymi Suberalati (Gui Jian Yu), Cortex Radicis Moutan (Dan Pi), and Rhizoma Anemarrhenae Aspheloidis (Zhi Mu), 10g each. If there was constipation, uncooked Radix Et Rhizoma Rhei (Da Huang) was added. If dampness was heavy, Rhizoma Atractylodis (Cang Zhu) was added. The other 28 cases who manifested a qi and yin dual vacuity pattern received: Fructus Ligustri Lucidi (Nu Zhen Zi), uncooked Radix Rehmanniae (Sheng Di), an duncooked Radix Astragali Membranacei (Huang Qi), 20g each, Radix Dioscoreae Oppositae (Shan Yao), Stylus Zeae Maydis (Yu Mi Xu), 30g, Fructus Lycii Chinensis (Gou Qi Zi), and Radix Salviae Miltiorrhizae (Dan Shen), 25g each, Sedimentum Urinae Hominis (Ren Zhong Bai), 15g, Radix Scrophulariae Ningpoensis (Xuan Shen), Tuber Ophiopogonis Japonici (Mai Men Dong), Folium Diospyros Khaki (Shi Ye), and Lignum Euonymi Suberalati (Gui Jian Yu), 10g each. If there were loose stools, Semen Coicis Lachryma-jobi (Yi Yi Ren) and Rhizoma Atractylodis Macrocephalae (Bai Zhu) were added. If there was abdominal distention, Radix Auklandiae Lappae (Mu Xiang) was added. The patients in the comparison group continued taking their original Western medications and did not add any Chinese medicinals or Chinese ready-made medicines. Two months equaled one course of treatment for both groups, and there was one week between each two successive courses. Treatment outcomes: Thirty out of 34 patients in the treatment group had normal blood sugar after stopping their Chinese medicinals. The shortest course of treatment in this group was three months and the longest was 24 months. They did not need to take any other additional hypoglycemic medications. In the comparison group 19 cases had unstable blood glucose and had to take additional hypoglycemic medications. Copyright © Blue Poppy Press, 2002. All rights reserved. For more information, see Bob Flaws, Lynn Kuchinski & Robert Casañas’s The Treatment of Diabetes Mellitus with Chinese Medicine available from Blue Poppy Press. |
