41. Diabetes--Wasting And Thirsting Disorder (Xiao Ke)
Definition
Excessive urine production (polyuria)
Excessive thrist (polydipsia)
Excessive food intake (polyphagia)
Classification & pathogenesis
Upper xiao: (mainly polydipsia due to Dryness-heat in the lung)
Middle xiao (mainly polyphagia due to heat of stomach)
Lower xiao: (mainly polyuria due to kidney Yin deficiency)
Relevant modern diseases
1. Diabetes mellitus
2. Diabetes insipidus
Etiology
1. Improper deit
2. Emotional stress
3. Overextertion
Herbal treatment
1. Upper xiao
The patient suffers mainly from polydipsia, thirsty right after drinking water, accompanied with restlessness, dry tongue and mouth, polyphagia and polyuria, red tongue with yellowish fur, slippery and rapid pulse.
Xiao ke fang
Tian hua fen---
Huang lian---
Sheng di huang, Ou zhi, Feng mi---
2. Middle xiao
The patient mainly has polyphagia with susceptibility to hunger, accompanied by emaciation, dry mouth, thirsty, constipation, polyuria, red tongue with dry and yellow fur, slippery, solid and forceful pulse. Yu nu jian
Shi gao, Zhi mu---
Sheng di huang, Mai men dong---
Niu xi---
3. Lower xiao
The patient mainly manifests as polyuria with turbid urine, accompanied with soreness and weakness in the loins, scanty red and sticky menorrhea, dry mouth and lips, emaciation, dysphoria with feverish sensation in the chest, palms and soles, red tongue with little fur, and deep, thready and rapid pulse.
Kidney yin deficiency: Liu wei di huang wan
Both kidney yin and yang deficiency: Jin gui shen qi wan
Acupuncture treatment
Upper xiao: HT 8, BL 15, LU 9, BL 13
Middle xiao: ST 44, SP 6, BL 20, BL 21
Lower xiao: KI 3, LR 3, BL 18, BL 23
Excessive urine production (polyuria)
Excessive thrist (polydipsia)
Excessive food intake (polyphagia)
Classification & pathogenesis
Upper xiao: (mainly polydipsia due to Dryness-heat in the lung)
Middle xiao (mainly polyphagia due to heat of stomach)
Lower xiao: (mainly polyuria due to kidney Yin deficiency)
Relevant modern diseases
1. Diabetes mellitus
2. Diabetes insipidus
Etiology
1. Improper deit
2. Emotional stress
3. Overextertion
Herbal treatment
1. Upper xiao
The patient suffers mainly from polydipsia, thirsty right after drinking water, accompanied with restlessness, dry tongue and mouth, polyphagia and polyuria, red tongue with yellowish fur, slippery and rapid pulse.
Xiao ke fang
Tian hua fen---
Huang lian---
Sheng di huang, Ou zhi, Feng mi---
2. Middle xiao
The patient mainly has polyphagia with susceptibility to hunger, accompanied by emaciation, dry mouth, thirsty, constipation, polyuria, red tongue with dry and yellow fur, slippery, solid and forceful pulse. Yu nu jian
Shi gao, Zhi mu---
Sheng di huang, Mai men dong---
Niu xi---
3. Lower xiao
The patient mainly manifests as polyuria with turbid urine, accompanied with soreness and weakness in the loins, scanty red and sticky menorrhea, dry mouth and lips, emaciation, dysphoria with feverish sensation in the chest, palms and soles, red tongue with little fur, and deep, thready and rapid pulse.
Kidney yin deficiency: Liu wei di huang wan
Both kidney yin and yang deficiency: Jin gui shen qi wan
Acupuncture treatment
Upper xiao: HT 8, BL 15, LU 9, BL 13
Middle xiao: ST 44, SP 6, BL 20, BL 21
Lower xiao: KI 3, LR 3, BL 18, BL 23
