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There are about two kinds of diabetes in TCM: Yin Deficiency & Blood Heat Diabetes and Yang Deficiency & Cold Congealing Diabetes
Yin Deficiency & Blood Heat Diabetes:
If Yin in the body is deficient, Yin can't restrict Yang, just like no water and fire will be in hyperfunction, so the people will appear syndrome: Unexplained weight loss, Excessive thirst, Excessive urination, Excessive eating possible together with dry mouth and throat, dizziness, insomnia, palpitation, feverish sensation in the centers(palms, soles and chest) , tidal fever, flushed checks, night sweating, constipation, deep reddish tongue with scanty fur and thin and fast pulse etc.
It is blood heat affects insulin secretion, and also glucose application of organs, tissues and cells, that is why blood glucose and urine glucose higher than normal, and in this kind of diabetes blood glucose and urine glucose are obviously higher. Though the index of blood glucose and urine glucose is high, it is only relative, in fact the body is in shortage of glucose absolutely, the body needs glucose to offer energy, because 80% energy of body from glucose, 20% from proteins and fat, and at last appear Multipal System Organ Failure because of lacking energy.
Blood heat also will make blood vessels to be sclerosis and blood sticky, so circulation and microcirculation of body will appear problems, thus blood can't bring oxygen and nutrition into everywhere of the body smoothly, it increases speed of Multipal System Organ Failure.
Because of the shortage of energy, patients become fatigue, poor wound healing, infections, blurry vision, and also because of bad microcirculation, blood can't fetch metabolin away timely, so people skin itching, limb numb, blurry vision, if seriously, gangrene appear till amputation, and lose sight.
Yang Deficiency & Cold Congealing Diabetes:
Yin Deficiency & Blood Heat Diabetes is in the initial or medium term, it is relatively easier to treat, but if can't get the correct treatment during this stage, it will go into serious stage: Yang Deficiency & Cold Congealing Diabetes.
Yin and Yang is opposite, mutual forbearance but also produce, enhance each other. If Yin Deficiency can't be treated in a long run, Yang also will become deficient, in this stage, Yin and Yang both are deficient. Yang Deficiency just likes the earth without sun. Yang Deficiency & Cold Congealing Diabetes patients will appear possible syndrome below:
Lack of Qi (Breath is difficult in some degree), Not Want to Talk, Dispiritedness, Fatigue, Spontaneous Sweating, Dizziness, Palpitation, Pale or Sallow Complexion, Pail Lips and Nails, Pale and Tender Tongue, Thin and Weak Pulse. In this kind of diabetes, Unexplained weight loss, Excessive thirst, Excessive urination, Excessive eating which are typical in Yin Deficiency & Blood Heat Diabetes are unconspicuous anymore, and also blood glucose and urine glucose is higher than normal but not high as in Yin Deficiency & Blood Heat Diabetes.
Because Yang is in shortage also in the body and the blood flow becomes slow, it increases the microcirculation disturbance, the blood can't not bring enough nutrient into systems, organs and cells deep further, Multipal System Organ Failure is coming from now.
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