十四、糖尿病 Diabetes ll

某，女，89岁， 治疗期间12.2011- 5.2014，体重：大约 160斤。 针灸、汤药

病史：面色恍白，头晕，视力减退，双腿乏力，夜尿勤。二型糖尿病，餐前血糖在16-21之间，服降糖药，血糖降不下来，体质日差。后来医生开出注射胰岛素，用量在12-16单位。（按照西医的标准，注射胰岛素是适用于l型糖尿病，应当是误治。）一直在服代文，每天吸氧。脚冷。

病机：气阴两虚，肝有湿热、脾阴阳两虚

治则：滋肾清肝、祛风化痰、强脊舒筋、补脾阴强脾阳

病例太长。简述如下：

经过一年左右调治，至2.16.2013稍有一过性头晕，心气稍有不足，一切均有进步。三米之外，电视屏幕小字看得很清楚，耳背减轻。至2.26.2013服后诸证缓解，特别是心脏。餐前血糖降至9，听力明显进步。停中药一个月，4.17.2013血糖升至12.6，头晕，嗜睡、记忆力下降明显、腿无力，手杖乏效，需推车代步。右肋痛甚，胳膊不能抬，牵扯痛甚，不能右卧睡。此乃肝气应于时，春气肝动。此间服疏肝养血、祛风化痰、温补下焦、补益脑髓。6.14.2013一直在服降糖药，餐前血糖降到8. 神可、寐可、纳可、便下、时有困顿，健忘甚。6.26.2013药后大效，已经去杖行走，此前连推车行走都困难了。拍了正步走的录像。右肋下痛已经很轻。胳膊可举过头。头晕很轻。身子已不发冷。记忆力完全恢复。

此病西医完全依靠胰岛素，且无法控制诸多并发症。中医在此病的认识上与西医不同，认为从饮食切断糖类摄入是因果倒置，不合此病机理。患者从开始接受中医治疗（针灸、汤药）后，遵嘱饮食不需任何禁忌，从西瓜、苹果，到香蕉、巧克力，想吃什么吃什么，直到过世。困扰老人晚年的诸多病证：失眠、乏力、记忆力、视力衰退、头晕，等悉数消失。且不要被血糖数据吓着，在一定程度上，人体调节血糖说明功能正常。按照老人后来的话说，我现在怎么什么病也没有了。直到过世前一小时，还在看雍正王朝电视剧。体重160斤，90岁高龄，3次摔倒，仅一次造成骨盆骨裂、一次脚踝肿大、一次膝盖肿大，全部靠中医在一个月之内调治痊愈。一直没有发生老人最害怕的“困床”局面，日常生活除洗澡外，无须人帮助。一个重要的原因是老人从小有病看中医，对中医治病笃信不移。只是近年西医降糖药、降压药、吸氧风行，才开始转为西医治疗，直到症状多年得不到缓解，才又转回中医。证明中医在治疗慢性病方面确有独特优势。



89 years old female, treatment from Dec.2011 to May 2014.Weight; Abt 80kgs (175bls), H:165cm (5'4")

Acupuncture and herbal therapy

History: pale, dizzy, very poor vision, weak legs, frequent night pees, Before meal B/S ranging 16-21. Oral hypoglycemic agent would not work. Doctor administered Insulin injection, one daily. cold feet.

Diagnosis: Deficiency of Qi and Yin. damp heat in Liver and Qi and Yin deficiency

Principle: nourish Yin in Liver and Yang in spleen and kidney and expel wind.

Acupuncture and herbal therapy

Too long record. Here is the brief:

Till Feb 16, 2013, all symptoms decreased except transient vertigo and weak heart function, short of breath. Vision and hearing ability greatly improved, able to see clearly the daily news caption on the screen. Feb 26 no short of breath. b/s dropped to 9. suspend herbs for a month, only taking Diovan.

Apr 17,2013 b/s up to 12.6. dizzy, daytime drowsiness, poor memory, weal legs, crane would not work, need support of walking chair. unable to lie on right side.  this is due to Spring that triggered Liver Qi unsteady. Till May 21, in spite of taking drugs, b/s back up to 12.6. Started taking herbal therapy, taking hypoglycemic medication since June 14, 2013, and pre-meal blood sugar has dropped to 8. Till Jun 26, everything looked good, walking without cane. I took a video of for her walking in marching stance. Could raise arms over head level and minor dizziness and gained great memory. 

Conclusion: diabetics only rely on hypertension, and many patients end up by seeing no effect at all no matter how much you take. CM has a different understanding, believing that cutting off 

to be continued