A case of TCM differentiation and treatment of diabetic ketoacidosis, nourishing the lungs and kidneys, warming the yang and diuresis

Diabetic ketoacidosis is an acidosis induced by a severe shortage of insulin caused by a sharp rise in blood sugar. It is an acute complication in the development of diabetes.

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Diagnosis and treatment of diabetic ketoacidosis from traditional Chinese medicine focuses on classification and differentiation, and the main types in clinical practice Spleen and stomach yang deficiency, heart and kidney yang deficiency, heart and lung qi deficiency, lung and kidney qi deficiency, stagnation of water and qi, heart and spleen weakness, food accumulation of phlegm and heat, qi and yin deficiency, damp and hot immersion syndrome, heart and lung qi deficiency, liver depression Heat-transformation syndrome, deficiency of both yin and yang, and accumulation of phlegm-heat syndrome, can achieve a certain therapeutic effect by differentiation and treatment based on this type.

Zhu, female, 65 years old. The main complaint is a 15-year history of diabetes. Diabetic ketoacidosis occurred one year ago. Although he took Chinese and Western medicine for many times, the condition could not be effectively controlled.

First visit: deep and rapid breathing, smell of rotten apples in exhalation, backache, fatigue, Dizziness, sunken eye sockets, shortness of breath when moving, edema of limbs, less urination, pale mouth without thirst, pale tongue, white and greasy fur, deep and weak pulse. , warming yang and promoting water.

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Prescription: red ginseng, Atractylodes macrocephala, Poria cocos, roasted licorice, hippocampus, Gecko, Paeoniae Alba, Ginger, Aconite, Yam, Eucommia, Achyranthes bidentata.

Usage: 10 doses, decocted in water, 1 dose per day, 3 doses per day.

In order to consolidate the treatment of diabetes, insist on taking it. Follow up a case by regular visits to 1 year, everything is normal.

Note: According to deep and fast breathing, fatigue and fatigue It is lung qi deficiency, and then it can be judged as kidney qi deficiency based on backache and deep and weak pulse. Because of limb edema and less urination, it can be judged as water vapor stagnation, and because of light mouth without thirst, it can be judged as cold, so it can be judged as lung and kidney qi deficiency. License suspension.

Hai clam decoction is used to absorb the qi of the lungs and kidneys, and Zhenwu decoction is used to warm yang and diuretic water. Add yam to nourish the lungs and kidneys, Eucommia and Achyranthes bidentata to strengthen the kidneys and bones. The prescriptions and medicines work together to achieve their effects.

Note: All kinds of compatibility, prescriptions, prescriptions, etc. involved in this article must be used for reference and application under the guidance of TCM practitioners face to face, and do not try blindly! This article is only for the reference of professional Chinese medicine practitioners, and it cannot be used as a prescription. Please do not try the medicine blindly. This platform does not assume any responsibility arising therefrom!

Red Ginseng