Diabetes insipidus
[Overview]
Diabetes insipidus is due to a lack of antidiuretic hormone (central or pituitary diabetes insipidus), or antidiuretic hormone response against defects in kidney (nephrogenic diabetes insipidus) caused the endocrine disease. To polydipsia polydipsia, polyuria, low specific gravity of urine as the main clinical features. According to the cause can be divided into primary and secondary diabetes insipidus diabetes insipidus; according to the severity can be divided into complete and partial diabetes insipidus diabetes insipidus; according to duration of disease can be divided into temporary and permanent diabetes insipidus diabetes insipidus. The disease can occur at any age, more common in young, male to female ratio of approximately 2:1. Diabetes insipidus is a traditional Chinese medicine, “Diabetes”, “get rid of hate” and other areas.
[Etiology and pathology]
Cause of diabetes insipidus are both internal and external causes. Yin or Yang within the body as endowments, external affectionate emotional disorders, eating partial addicted workers want to over, trauma and surgical trauma. In short, no more than the lung, stomach, kidney and other organs damaged, lost Mizutsu cloth disorders, which cause disease.
Pathological changes of the ferrite Yin, emotional disorders, eating spicy fragrant dry side addicted to the goods, within the interference caused by hot, darling Wei Huo fumigation, leaving Dryness Jin injury. Yin depletion, Jin can not compress water measured polydipsia drink to save themselves. Dryness of gold dry, Goldwater can not with students, there is no joint to open, close is not solid then drink one by one. Or because of the coke Deficiency, transportation of disorders, caused by fluid gasification negative, not on the water-chun Cheng, down but not up, the mouth in polydipsia, polyuria. In addition, there are workers who want to over-yin injuries or trauma, surgical trauma resulting in damage to the soul, kidney by Qiang, fluid can not gasification, astringent, directly towards the bladder and polyuria, thirst and then drink hi. Prolonged course endless, every so refined gas depletion, Yin and Yang, Qi and Yin and yin and yang walls of the card.
[Diagnostic points
1 urine, day and night urine output of 5 to 10 liters or more, pale urine, with dry mouth, decreased saliva, dry skin, constipation dehydration.
(2) specific gravity (relative density) is low, often between 1.001 ~ 1.005. Excited about the release of antidiuretic hormone to the method of examination can not be stimulated to a significant reduction in urine output. X-ray, CT, MRI and other tests, to determine the intracranial tumor, inflammation, trauma and other pathological reasons.
[Type] dialectical
1 Heat lung and stomach symptoms: polydipsia polydipsia and polyuria, consumption Valley good hunger, constipation. Red tongue, dry yellow flood pulse number, or breakdown.
Syndromes: the fire of the heart the stomach fumigation, Tianjin Dryness caused by injury, Yin depletion, water-chun is not measured polydipsia polydipsia cloth to help themselves; Dryness of kumquat, Goldwater can not with students, there are no joint opening, closing is not solid polydipsia and polyuria and more; strong stomach fire, the consumption Valley good hunger; Lung and Large Intestine, lung Tianjin loss, loss of profit intestinal organs, the dry end constipation; red tongue, dry yellow, for the fiery signs of disability allowance, Heat illness is the beginning of flood pulse, progression of the disease, injuring Yin-chun, for the breakdown pulse.
(2) symptoms of weakness in the sun: face Bai Shaohua, faint tired fatigue, poor appetite, thirst, polydipsia, frequent urination, urinate clear water. Pale tongue, greasy, weak pulse.
Syndrome analysis: “yang, if days and days”, the spleen and stomach Yang, transportation of disorders, poor appetite can not measure blood metaplasia, surface Bai Shaohua, faint tired fatigue; body fluid lost in gasification, down but not up, the mouth to drink, frequent urination, urinate clear water; pale, greasy fur, weak pulse, weakness in the sun for the levy.
3 loss of kidney yin symptoms: frequent urination volume, dry lips to drink, emaciation, minimalist looking, waist and knees.Red tongue, thin small, the pulse breakdown.
Syndromes: kidney essence, the main astringent for the body of the Yin Ye.
Kidney failure solid, then frequent urination volume; Yin-chun loss, loss of kidney yin, water loss of resources, not on the order, the dry lips to drink; virtual sex fluid less, sufficient to support the body in the loss, the body weight loss, looking minimalist; Lumbar kidney organs, kidney bone, kidney Yaoxisuanruan; red tongue, thin small, thin veins or a few, are loss of kidney yin deficiency heat or the like.
4 Qi and Yin Deficiency symptoms: weight loss, fatigue, spontaneous sweating, shortness of breath, dry mouth, polydipsia and polyuria, backache, or five upset hot, constipation. Nenhong tongue, thin white fur less fluid, less pain, weak pulse.
Syndromes: Yin Deficiency, visible weight loss, fatigue, spontaneous sweating, shortness of breath; lung and stomach deficiency, kidney disorders, the day on Shezao, polydipsia and polyuria, backache; deficiency heat measured five upset hot, constipation ; Nenhong tongue, thin white fur less fluid, less pain, weak pulse, both Qi and Yin of the sign.
5 yin and yang deficiency symptoms: mouth to drink, dry skin, weight loss, drink a steep one, waist and knees, impotence, premature ejaculation, cold limbs, pale white. Pale tongue, white, weak pulse or sink slightly.
Syndromes: interdependence of yin and yang, yin course of time, will damage and yang, yin and yang virtual; lung and stomach and kidney, were seen to drink dry mouth, dry skin, weight loss; deficiency, not gasification body fluid, the drink a steep one; kidney in the next, then the waist and knees; Vital Huoshuai, the impotence, premature ejaculation; Yang Yun can not warm, then cold limbs, pale white; pale tongue, white, weak pulse or sink micro-, yin and yang are both true of the levy.
[Type] treatment
1 Heat treatment of lung and stomach are: Qingwei Xiehuo, YangYinShengJin.
Recipe: White Tiger Decoction.
Gypsum 30 g (down) Anemarrhena 9 Kashagan Ref 15 Winter oats Dendrobium 15 g 15 g 15 g 15 grams of yam TCS Cornus 9 grams 3 grams of licorice.
Subtraction with the disease: more than polydipsia, Shenpi fatigue, plus 6 grams of ginseng to Qi Sheng Jin; easy to eat hungry, plus berberine 3 grams, gardenia than 6 grams, to the bitter cold clear stomach fire; constipation, plus habitat 15 grams, Scrophulariaceae 15 grams, with moist laxative; than in urine, Ghassan prostitute octopus 9 grams, Rosa laevigata 9 grams, 9 grams raspberries to kidney Guse.
(2) weak governance in the sun: through the yang qi spleen fluid.
Recipe: Wu Ling San addition and subtraction.
Poria 9 g Polyporus 9 grams Atractylodes 9 Keze diarrhea 9 g Gui Zhi 9 grams Codonopsis 12 Shamir 12 grams 12 grams yam reference subtraction with the disease: lassitude evident, plus Ginseng 9 g, with Qi and spleen; cold extremities, loose stools, plus tuber 9 g, dried ginger 3 grams, the temperature in the spleen.
3 yin loss rule is: Kidney Yin, thirst.
Recipe: Liu Wei Di Huang Pill.
Rehmannia 12 grams 12 grams yam dogwood turtle version of 15 g 10 g 15 Shamir, Ref 15-day winter winter oats oysters 30 grams 15 grams plus or minus with the disease: heat obviously, Fan sweats who change Rehmannia living to 12 grams, and addTreats 9 grams, 9 grams Zhimu to Kidney heat; frequent urination volume, plus treating diabetes 9 grams, 12 grams octopus Sang prostitute to kidney reduction of urine.
4 Therapeutic Qi Deficiency: Qi Yin, Kidney Gujing.
Recipe: Shengmaisan Liu Wei Di Huang Pill.
Codonopsis 12 Winter oats Schisandra 6 grams 9 grams 12 grams 12 grams yam habitat Cornus 9 g Poria 9 g 9 Keze diarrhea addition and subtraction with the disease: sweating, heart palpitations, plus keel, oysters, 30 grams, with sweating the town center; thirsty Fanre, plus gypsum 30 g (down), Anemarrhena 9 grams, to heat fluid Chufan; constipation, plus Scrophularia 15 grams to Yin relax; deficiency worse, plus 9 g of ginseng, Astragalus 15 grams to make up their strength.
5 yin and yang rule is: Warming Yin, reduced urinary L-chun.
Recipe: Jinbian Shenqi Pill.
Fuzi 9 grams of cinnamon powder 2 grams (versus service) habitat Rehmannia 9 g 9 g 15 g yam Cornus 9 g Poria 9 Keze diarrhea Jinyingzi 9 g 9 g 9 g raspberry addition and subtraction with the disease: fatigue, shortness of breath, Astragalus 15 grams, Codonopsis 12 grams to Qi tonic; impotence, premature ejaculation, increase Curculigo 9 grams, 9 grams Epimedium, Dodder 9 grams, to kidney yang.
[Chinese medicine]
1 Zhibai yellow nine 6 grams each time, 3 times a day.
2 Pill 6 grams each time, 3 times a day.
[Simple] side
White ginseng 9 grams, 30 grams of Dendrobium, 15 grams of yam, oyster 30 grams a day, 3 times service. For diabetes insipidus, thirst and urination, fatigue are physically weak.
[Other therapies]
Acupuncture: Select Feishu, the wind pool, gu, Zusanli, Shenshu Sanyinjiao and other points, reinforcing-reducing. With cold limbs, plus the relevant element, Vital Points.
Auricular therapy: selection umbilical points, endocrine, sympathetic, God the door, thirsty point, lung and kidney, bladder and other points, each 2 to 3 points, the needle 20 minutes or buried the needle.
Water treatment:
(1) live mussels from meat, mash water, warm clothes Dunshu several times a day.
For diabetes insipidus heat polydipsia, polyuria were.
(2) 120 g Radix decoction taken even with the dates 120 grams of black sesame seeds 100 grams of dates, 60 grams, 60 grams of drugs yam, black hen 1 (500 grams) of food into the casserole stew crisp 1 week 1. Those for diabetes insipidus Jiubingtixu.
[Note]
1 patients with diabetes insipidus during treatment should be given enough water to prevent dehydration, loss of potassium, but also should prevent excessive drinking caused the water intoxication.
2 Patients should be increased nutrition, salt diet, avoid spicy foods.
3 to maintain optimism, avoid mental stimulation, to create a good environment to rest.
4 should be avoided surgery, trauma, injury of the hypothalamus, pituitary; to prevent and treat encephalitis, meningitis; tumor treated, so as to prevent the occurrence of diabetes insipidus.