Construction of TCM determination of treatment based on syndrome differentiation system of type 2 diabetes:thinking and method / 中华中医药杂志

ABSTRACT

Type 2 Diabetes Mellitus(T2DM) is classified as two types according to somatotype,one is obesity or overweight,the other is normal or emaciation.It can also be classifi ed as two types according to symptoms,one is accompanied with typical syndromes(polyuria,polydipsia,polyphagia and weight loss),the other one is not.Generally speaking,the typical syndrome is not obvious among the patients with obesity or overweight,which is coincident with the theory about stuffy and fully sensation in the middle energizer and interior heat mentioned in emperor’s internal classic.So the therapeutic method is regulating the function of the middle energizer,evacuating full and stagnation,resolving phlegm and removing pathogenic heat.The typical syndrome is obvious among the patients with normal bodily form or emaciation,which is according with the traditional theory about defi ciency of yin and dryness-heat.So the therapeutic method is nourishing yin and clearing heat.The two types above are absolutely different.