Experience Analysis Of Shengsang Jiangtang Decoction In The Treatment Of Type 2 Diabetes Based On The Idea Of "Simultaneous Treatment Of Sanxiao"

Objective:Type 2 Diabetes Mellitus belongs to the category of "diabetes" in Chinese medicine and was first described in the Yellow Emperor’s Classic of Internal Medicine.The sanxiao refer to the difference between upper,middle and lower elimination,and the difference between lung dryness,stomach heat and kidney deficiency,but clinically the symptoms of sanxiao are seen together.The theory of "simultaneous treatment of sanxiao" has been widely used to guide clinical practice.This paper compares the basic content and development of the theory of sanxiao in a holistic manner based on the literature of the past,and explores its rich connotations,summarizes the idea of "simultaneous treatment of sanxiao".The workshop will also discuss Professor thinking,formulation characteristics and clinical experience in the treatment of type 2 diabetes based on the idea of "simultaneous treatment of sanxiao",advancing fresh concepts for improved Chinese medicine preventive and treatmente.Methods: This article is divided into three parts: research on the origin and flow of the disease of diabetes,an overview of the theory of the sanxiao,and regarding the use of Shengsang Jiangtang Decoction in clinical settings to treat type 2 diabetes,using the 5th edition of the Chinese Medical Canon and the Chinese Knowledge Network(CNKI)as the main search platform.The first part was searched using the ancient disease names of diabetes,such as "diabetes","elimination of disease","spleen disease" and "sanxiao",to sort out the evolution of the disease names through the ages,summarize the etiology,pathogenesis and clinical characteristics,select the relevant literature that is consistent with the symptoms of excessive drinking,polyphagia,polyuria and physical wasting,and summarize the treatment methods and prescriptions.In the second part,we trace the origins of the theory of sanxiao,to comprehensively collect the relevant contents of its treatment of type 2diabetes,to summarize the connotation of the theory of sanxiao,and to analyze the significance of the clinical application of the idea of "simultaneous treatment of sanxiao".In the third part,each of the constituent drugs of Shengsang Jiangtang Decoction was searched as the subject term to summarise the nature,astringency,efficacy and pharmacological effects of each drug,study the combination characteristics,and summarise Professor Deng Xiaomin’s clinical knowledge of using it to treat type 2 diabetes,and the clinical experience in the treatment with the application of Shengsang Jiangtang Decoction is summarized with medical cases.Results:1.By summarizing and organizing the documents collected from Chinese Medical Dictionary and the Chinese Knowledge Network,we have comprehensively summarized and reviewed the treatises on the disease of extinction from the perspective of historical development,and systematically sorted out many aspects of the disease,such as its name,etiology,clinical characteristics,treatment and prescriptions,and laid the foundation of the literature for the study of the disease of extinction.2.By searching the 5th edition of the Chinese Medical Dictionary,90 results related to the theory of sanxiao were filtered out after eliminating unrelated search results and duplicate entries,from which the development trajectory of the idea of sanxiao was clarified.It began in the Yellow Emperor’s Classic of Internal Medicine,was founded in the Tang and Song dynasties,enriched in the Jin and Yuan dynasties,and perfected in the Ming and Qing dynasties,comprehensively explaining the guiding significance and clinical practice of the idea of sanxiao in the prevention and treatment of type 2 diabetes.3.By reviewing the literature,we have summarized the properties of the drugs in this formula from the Chinese medicine aspect,and the pharmacological properties of each drug in the formula from the modern medicine aspect,which can effectively improve the symptoms of diabetes.4.Combined with the analysis of medical cases,we summarize Professor’s experience in the treatment of type 2 diabetes mellitus with Shengsang Jiangtang Decoction based on the idea of "simultaneous treatment of sanxiao",which is mainly based on concurrent changes and the characteristics of the patient’s constitution.Conclusion:1.The idea of sanxiao began in the Yellow Emperor’s Classic of Internal Medicine,was founded in the Tang and Song dynasties,enriched in the Jin and Yuan dynasties,and perfected in the Ming and Qing dynasties,and has important application to the diagnosis and treatment of type 2 diabetes in Chinese medicine.2.The location of diabetes is mainly responsible for the lung,stomach and kidney,involving many internal organs and prone to various complications in the later stages of the disease.The idea of "simultaneous treatment of sanxiao" in the treatment of type 2 diabetes has proven to be effective and is worth promoting.3.Professor Deng Xiaomin has formulated his own Shengsang Jiangtang Decoction based on the idea of "simultaneous treatment of sanxiao",which takes into account the symptoms of the upper,middle and lower eliminations.His prescription focuses on the relationship between the internal organs,making full use of the bias of the medicine to correct the bias of the internal organs and striving for a dynamic balance of yin and yang.In the clinical application,drugs are added according to the patient’s constitution,and the internal organs are localized according to the patient’s co-morbidities,and when necessary,meridian prescriptions are used to increase the clinical efficacy and achieve better prevention and treatment of the disease.