Clinical Observation Of Xuanbai Chengqi Decoction On "Dawn Phenomenon" Of Type 2 Diabetes Mellitus With Lung Heat And Viscera Retention

Objective: To explore the clinical effect of xuanbai chengqi decoction on "dawn phenomenon" of type 2 diabetes mellitus with lung heat and viscera retention,to provide new ideas and methods for the treatment of dawn phenomenon in clinical practice.Methods: In this study,60 patients who met the inclusion criteria were randomly divided into control group and experimental group,30 in each group.On the basis of diabetes education,regular and quantitative diet,exercise of the same intensity and individualized treatment plan,the control group kept the original treatment plan unchanged,while the experimental group added Xuanbai Chengqi Decoction on the basis of the original treatment plan.The observation course of the two groups was 2 weeks(if the "dawn phenomenon" disappeared for 3 consecutive days in the course of treatment,the treatment course could be terminated in advance).After the course of treatment,observe the changes of TCM symptom score,fasting blood glucose,2 hours postprandial blood glucose,the difference between fasting blood glucose and the lowest blood glucose at night and other related indicators before and after treatment.Results:1.The TCM syndrome integral of the experimental group and the control group before and after treatment was calculated respectively.It was found that the TCM syndrome integral of the two groups was lower than that before treatment,and the improvement of TCM syndrome integral of the experimental group was significantly better than that of the control group(P < 0.01);after treatment,the total effective rate of the experimental group was 93.33%,and the total effective rate of the control group was 66.67%,that is to say,the comprehensive effect of the experimental group was significantly better than that of the control group(P <0.01)。2.The difference between the highest blood glucose before breakfast and the lowestblood glucose at night(BG1),the difference between the highest blood glucose 2 hours after breakfast and the highest blood glucose before breakfast(BG2)in the experimental group were significantly larger than those in the control group(P < 0.01)And analysis,we found that the average daily blood glucose and the fluctuation range of blood glucose in the two groups were lower than that before treatment,and the effect of the experimental group was significantly better than that of the control group(P < 0.01).3.During the treatment,the vital signs of the patients were stable and no adverse events were found.Conclusion: The clinical symptoms of type 2 diabetic patients with dawn phenomenon,who belong to the type of lung heat and Fu sthenia,can be significantly improved by adding Xuanbai Chengqi Decoction.At the same time,To a certain extent,it can reduce the blood glucose level and the fluctuation of blood glucose.It is proved that TCM treatment can provide a new way to solve the "dawn phenomenon" of type 2 diabetes.