Diabetes according to Chinese Medicine
The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
Diabetes factsheet
Possible causes and remedies:
Symptoms: Dizziness Incontinence Forgetfulness and six other symptoms
Recommended formula: Sang Piao Xiao San
Symptoms: Cramps Insomnia Dry eyes and fourteen other symptoms
Recommended formula: Qi Ju Di Huang Wan
In Chinese Medicine, diabetes can be associated with six so-called "patterns of disharmony". Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted. It is not equivalent to the Western concept of "disease", as a matter of fact here diabetes can be caused by six different patterns.
To understand whether someone's diabetes might be caused by a given pattern, one needs to look for signs and symptoms associated with the pattern beyond what one might typically experience from diabetes alone. For instance when diabetes is caused by the pattern Bladder Deficiency with Cold, patients also experience symptoms such as disorientation, forgetfulness, incontinence and lower back pain. Similarly, patients with Bladder Deficiency with Cold typically exhibit deep (Chen) or weak (Ruo) pulses as well as a pale tongue with thin white coating.
We've listed below a description of the six patterns associated with diabetes so that you can start to get an understanding of the various possibilities according to Chinese Medicine.
Once identified, patterns are often treated using herbal formulas. Drinking herbal infusions is the most common remedy in Chinese Medicine, together with acupuncture. Here we detail below sixteen formulas that can help treat the various patterns associated with diabetes, depending on which pattern fits your profile.
The six "patterns of disharmony" associated with diabetes
The Bladder is a so-called "Fu" Organ. Learn more about the Bladder in Chinese Medicine
Bladder Deficiency with Cold
Pulse type(s): Deep (Chen), Weak (Ruo)
Tongue coating: Thin white coating
Tongue color: Pale
Recommended herbal formula: Sang Piao Xiao San
Symptoms: Dizziness Incontinence Forgetfulness Disorientation Lower back pain Feeling of cold Frequent urination White urethral discharge Urine the color of rice water - grey and cloudy
Diabetes might be due to Bladder Deficiency with Cold if the condition is paired with typical pattern symptoms such as disorientation, forgetfulness, incontinence and lower back pain. Similarly, patients with Bladder Deficiency with Cold typically exhibit deep (Chen) or weak (Ruo) pulses as well as a pale tongue with thin white coating.
The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine
Liver Yin Deficiency
Pulse type(s): Empty (Xu), Floating (Fu)
Tongue coating: Complete absence of coating
Tongue color: Normal (light red)
Recommended herbal formula: Qi Ju Di Huang Wan
Symptoms: Cramps Insomnia Dry eyes Dry skin Dry hair Dizziness Amenorrhea Depression Blurred vision Scanty periods Muscle weakness 'Floaters' in eyes Numbness in the limbs Feeling of aimlessness Diminished night vision Withered and brittle nails Dull-pale complexion without lustre but with red cheekbones
Diabetes might be due to Liver Yin Deficiency if the condition is paired with typical pattern symptoms such as dizziness, numbness in the limbs, insomnia and blurred vision. Similarly, patients with Liver Yin Deficiency typically exhibit empty (Xu) or floating (Fu) pulses as well as a normal (light red) tongue with complete absence of coating.
The Lungs is a so-called "Zang" Organ. Learn more about the Lungs in Chinese Medicine
Lung Yin Deficiency
Pulse type(s): Rapid (Shu), Empty (Xu), Floating (Fu)
Tongue coating: Complete absence of coating
Tongue color: Red
Recommended herbal formulas: Yang Yin Qing Fei Tang, Qing Zao Jiu Fei Tang, Bu Fei E Jiao Tang, Jiu Xian San, Bai He Gu Jin Tang, Mai Men Dong Tang
Symptoms: Insomnia Dry cough Dry mouth Tiredness Thin chest Weak voice Dry throat Malar flush Hoarse voice Night sweats Tickly throat Aversion to speak Hot palms and soles Thin body lacking strength Feeling of heat in the afternoon Low-grade fever in the afternoon
Exterior Heat and Dryness can invade the Lungs and exhausts the Body Fluids. If it is not dealt with for a long time, it leads to Lung Yin Deficiency. Typical manifestations are dry cough, throat and mouth, aversion to speak as well as Hoarse voice.
Other factors can cause this pattern such as the Deficiency of Kidneys or Stomach Yin as well as prolonged Lung Qi Deficiency due to excessive smoking or use of voice.
Empty-Heat symptoms appear if the Lung Yin Deficiency condition is not treated for a while. Patients can feel malar flush, low-grade fever as well as Heat in the palms and chest, especially in the evenings.
Lung Yin Deficiency generally occurs in middle-aged and elderly patients as a result of overwork, irregular diet and smoking. However, it can also occur in a child after whooping cough.
The Stomach is a so-called "Fu" Organ. Learn more about the Stomach in Chinese Medicine
Stomach Yin Deficiency
Pulse type(s): Empty (Xu), Floating (Fu)
Tongue coating: Partial absence of coating
Tongue color: Red
Recommended herbal formulas: Mai Men Dong Tang, Yi Wei Tang Shen Ling Bai Zhu San, Mai Men Dong Tang, Yi Wei Tang
Symptoms: Thirst Retching Dry mouth Hiccuping Dry throat Dry stools Constipation Poor appetite Slight thirst Bleeding gums Epigastic pain Epigastric pain No desire to eat Feeling of hunger Feeling of fullness Hot palms and soles Desire to drink in small sips Feeling of heat in the afternoon Slight feeling of fullness after eating
The Stomach is responsible for receiving foods and drinks, ripening them and sending them to the Spleen for further digestion. Therefore, the Stomach is the origin of Body Fluids. It is also an Organ that likes Cold and Dampness which are both Yin characteristics. Stomach Yin Deficiency harms this functions and cause Dryness and Heat. As a result, symptoms such as thirst, dry stools, dry mouth and dry throat appear. It also cause the tongue coating to fall off.
Due to lack of Body Fluids, there is constipation with dry stools. Retching and hiccups may also occur as Stomach's Qi downward function is impaired.
If the Yin Deficiency situation last for a long period of time, it can potentially develop Empty-Heat. It's typical manifestations are often quite mild and appears only in the afternoon or evening, such the mild fever or feeling of heat. The patients experiences thirst or hunger but there is no desire to drink or eat, or they only drink in small sips. They also prefer warm liquids and their appetite is poor.
The Stomach is a so-called "Fu" Organ. Learn more about the Stomach in Chinese Medicine
Stomach Fire or Stomach Heat
Pulse type(s): Floating (Fu), Slippery (Hua)
Tongue coating: Yellow coating
Tongue color: Red
Recommended herbal formula: Yu Nu Jian
The Kidneys is a so-called "Zang" Organ. Learn more about the Kidneys in Chinese Medicine
Kidney Yin Deficiency
Pulse type(s): Rapid (Shu), Empty (Xu), Floating (Fu)
Tongue coating: Complete absence of coating
Tongue color: Red
Tongue shape: Cracked
Recommended herbal formulas: Liu Wei Di Huang Wan, Zuo Gui Wan, Zhi Bo Di Huang Wan, Bai Zi Yang Xin Tang, Qi Bao Mei Ran Dan, Yu Nu Jian
Symptoms: Anxiety Vertigo Sweating Tinnitus Insomnia Back pain Tiredness Lassitude Dizziness Bone ache Depression Infertility Malar flush Poor memory Constipation Night sweats Little sperm Restlnessness Five palm heat Lower back pain Evening anxiety Poor constitution Diminished hearing Nocturnal emissions Scanty dark urination Premature ejaculation Menopausal hot flushes Excessive sexual desire Dry mouth and throat at night Feeling of heat in the evening Low-grade fever in the afternoon Thirst with desire to drink in small sips
This pattern often accompanies Kidney Essence Deficiency, as Kidney Yin includes Essence. When both element are depleted in the Kidneys, not enough Marrow is generated to fill the Brain, thus the symptoms of dizziness, tinnitus, vertigo and poor memory. The dizziness is mild and the tinnitus is often gradual and slow, like a rushing water sound. Marrow is also essential for nourishing the bones, thus the pattern also leads to symptoms like back and bone pain.
Essence Deficiency also gives rise to symptoms like nocturnal emissions, infertility or little sperm.
Body Fluids is also a form of Yin, therefore Yin Deficiency causes some degree of Dryness, resulting constipation, scanty dark urine as well as a dry mouth and throat, especially at night.
When Kidney Yin Deficiency proceed for a long time without being treated properly, it can develop some Empty Heat symptoms such as night sweats, five palm heat, feeling of heat or fever in the afternoon or evening, malar flush, thirst but only with desire to drink in small sips and anxiety in the evening.
The sixteen herbal formulas that might help with diabetes
Mai Men Dong Tang
Source date: 220 AD
Number of ingredients: 6 herbs
Key actions: Nourishes the Stomach. Generates Body Fluids. Directs Rebellious Qi downward.
Why might Mai Men Dong Tang help with diabetes?
Because it is a formula often recommended to help with the patterns Lung Yin Deficiency and Stomach Yin Deficiency which are sometimes associated with diabetes. If any of these patterns look like something you might suffer from, this formula might help (although please seek confirmation with a professional practitioner beforehand).
Yu Nu Jian
Source date: 1624 AD
Number of ingredients: 5 herbs
Key actions: Drains Heat from the Stomach. Nourishes Yin.
Why might Yu Nu Jian help with diabetes?
Because it is a formula often recommended to help with the patterns Stomach Fire or Stomach Heat and Kidney Yin Deficiency which are sometimes associated with diabetes. If any of these patterns look like something you might suffer from, this formula might help (although please seek confirmation with a professional practitioner beforehand).
Sang Piao Xiao San
Source date: 1116 AD
Number of ingredients: 8 herbs
Key actions: Regulates and tonifies the Heart and Kidneys. Stabilizes the Essence. Stops leakage.
Why might Sang Piao Xiao San help with diabetes?
Because it is a formula often recommended to help treat Bladder Deficiency with Cold, a pattern sometimes associated with diabetes. If it looks like you might suffer from Bladder Deficiency with Cold, this formula might help (although please seek confirmation with a professional practitioner beforehand).
Qi Ju Di Huang Wan
Source date: 1350 AD
Number of ingredients: 8 herbs
Key actions: Nourishes Kidney and Liver Yin. Improves vision.
Why might Qi Ju Di Huang Wan help with diabetes?
Because it is a formula often recommended to help treat Liver Yin Deficiency, a pattern sometimes associated with diabetes. If it looks like you might suffer from Liver Yin Deficiency, this formula might help (although please seek confirmation with a professional practitioner beforehand).
Yi Wei Tang
Source date: 1798 AD
Number of ingredients: 5 herbs
Key actions: Strengthen the Stomach. Creates Body Fluids.
Why might Yi Wei Tang help with diabetes?
Because it is a formula often recommended to help treat Stomach Yin Deficiency, a pattern sometimes associated with diabetes. If it looks like you might suffer from Stomach Yin Deficiency, this formula might help (although please seek confirmation with a professional practitioner beforehand).
Symptoms related to diabetes
Dizziness Insomnia Lower back pain Depression Dry mouth Dry throat Tiredness Night sweats Malar flush Hot palms and soles
