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Journal of Chinese Integrative Medicine ›› 2009, Vol. 7 ›› Issue (9): 823-826.doi: 10.3736/jcim20090905

• Original Clinical Research • Previous Articles     Next Articles

Traditional Chinese medicine diagnosis and treatment of type 2 diabetes in Tianjin urban population

Xin-yue Zhi    

  1. Department of Epidemiology, School of Public Health, Tianjin Medical University, Tianjin 300070, China
  • Received:2009-05-18 Accepted:2009-07-21 Online:2009-09-20 Published:2009-09-15
  • Contact: Xin-yue Zhi E-mail:zhixinyue@tijmu.edu.cn

Objective

To explore the traditional Chinese medicine (TCM) diagnosis and treatment of type 2 diabetes in Tianjin urban population.
Methods

A cross-sectional study was conducted on hospital patients with type 2 diabetes in TCM hospitals of different levels in Tianjin from 2003 to 2007. The multiphasic stratified cluster sampling method was adopted in selecting the target hospital. Finally 3 496 patients were selected as the survey sample. Then the constituent ratios of diabetes in different syndrome types were calculated.
Results

In this study, the descending sort proportion of TCM syndrome types of type 2 diabetes in Tianjin urban population was deficiency of both qi and yin, stagnation of phlegm-dampness, exuberant heat due to yin deficiency, deficiency of both yin and yang, and blood stasis and qi stagnation. Most of the diabetes patients with deficiency of both qi and yin, deficiency of both yin and yang, and stagnation of phlegm-dampness were older than 60 years. Most of the diabetes patients with exuberant heat due to yin deficiency were 50 to 59 years old, while the diabetes patients with blood stasis and qi stagnation were 40 to 49 years old. The frequency of Danggui (Angelica sinensis) use was high in the diabetes patients with deficiency of both qi and yin; the frequency of Chenpi (Citrus reticulate Blanco) use was high in the diabetes patients with exuberant heat due to yin deficiency; the frequency of Baishao (Radix Paeoniae Alba) use was high in the diabetes patients with deficiency of both qi and yin; the frequency of Gancao (Radix Glycyrrhizae) use was high in the diabetes patients with stagnation of phlegm-dampness; and the frequency of Xingren (Semen Armeniacae) use was high in the diabetes patients with blood stasis and qi stagnation.
Conclusion

The main syndrome types of diabetes patients in Tianjin urban area are deficiency of both qi and yin, stagnation of phlegm-dampness and exuberant heat due to yin deficiency. And the patients are mainly older than 50 years. The most frequently used herbs are Danggui (Angelica sinensis), Chenpi (Citrus reticulate Blanco), Baishao (Radix Paeoniae Alba), Gancao (Radix Glycyrrhizae) and Xingren (Semen Armeniacae).

Key words: Type 2 diabetes mellitus, Traditional Chinese medicine, Syndrome, Chinese herbal drugs

Table 1

Syndrome distribution of type 2 diabetes in traditional Chinese medicine [Cases (%)]"

Syndrome type Gender constituent ratio
Male Female
Deficiency of both qi and yin 720 (45.9) 970 (73.6)
Stagnation of phlegm-dampness 390 (24.9) 207 (15.7)
Exuberant heat due to yin deficiency 307 (19.6) 108 (8.2)
Deficiency of both yin and yang 94 (6.0) 33 (2.5)
Blood stasis and qi stagnation 40 (2.6) 1 (0.1)
Other types 17 (1.1) 0

Table 2

Age distribution of type 2 diabetes [Cases (%)]"

Syndrome type Gender constituent ratio in different age range
<40 years 40-49 years 50-59 years 60-69 years ≥70 years
Deficiency of both qi and yin
Male 0 103 (14.3) 109 (15.1) 149 (20.7) 359 (49.9)
Female 9 (0.9) 113 (11.6) 144 (14.8) 356 (36.7) 348 (35.9)
Stagnation of phlegm-dampness
Male 0 0 123 (31.5) 105 (26.9) 162 (41.5)
Female 0 0 36 (17.4) 38 (18.4) 133 (64.3)
Exuberant heat due to yin deficiency
Male 18 (5.9) 45 (14.7) 174 (56.7) 23 (7.5) 47 (15.3)
Female 0 0 90 (83.3) 0 18 (16.7)
Deficiency of both yin and yang
Male 0 0 0 67 (71.3) 27 (28.7)
Female 0 0 23 (69.7) 10 (30.3) 0
Blood stasis and qi stagnation
Male 0 22 (56.1) 0 0 18 (43.9)
Female 0 1 (100) 0 0 0
Other types
Male 0 17 (100) 0 0 0
Female 0 0 0 0 0

Table 3

Frequency of traditional Chinese herbal medicine in type 2 diabetes with different syndrome type"

Traditional Chinese
herbal medicine
Deficiency of
both qi and yin
Stagnation of
phlegm-dampness
Exuberant heat due
to yin deficiency
Deficiency of
both yin and yang
Blood stasis
and qi stagnation
Total
Danggui (Angelica sinensis) 256 134 156 80 146 772
Chenpi (Citrus reticulate Blanco) 106 125 289 89 123 732
Baishao (Radix Paeoniae Alba) 135 79 156 195 126 691
Gancao (Radix Glycyrrhizae) 122 198 108 117 145 690
Xingren (Semen Armeniacae) 97 99 101 69 122 488
Dangshen (Radix Codonopsis) 101 108 90 105 43 447
Huangqin (Radix Scutellariae) 65 89 139 52 100 445
Danshen (Radix Salviae
Miltiorrhizae)
100 34 51 108 114 407
Fuling (Poria) 88 90 79 101 46 404
Baizhu (Rhizoma Atractylodis
Macrocephalae)
76 75 84 99 70 404
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