| Objective:Based on the concept of differentiation of six meridians and appropriate technology of traditional Chinese medicine,this study evaluated the curative effect of the combination of six meridians differentiation and treatment combined with appropriate technology of traditional Chinese medicine in the prevention and treatment of diabetes mellitus in community,in order to further improve the level of community medical treatment.Combined with the relevant technology of traditional Chinese medicine,improve the level of community residentsundefined medical and health care.Methods: 1500 cases of diabetes mellitus were selected from Qinghe community in Tianqiao district of Jinan and Yongqingsi street community in Zhangqiu district by random cluster sampling.According to the principle of random sampling,547 patients were divided into two groups: treatment group(290 cases)and control group(257 cases).Both the treatment group and the control group took the healthy lifestyle as the primary intervention measures and took the routine clinical medication to control blood glucose.On this basis,the treatment group combined with six meridians differentiation and treatment prescription combined with the appropriate Chinese medicine(acupuncture and moxibustion therapy),12 weeks as a course of treatment.High density lipoprotein(HDL)and low density lipoprotein(LDL),triglyceride(TG)and glucose concentration(TG),and total cholesterol(TC)were compared.Results:1.There was no significant difference in the index data of the patients before treatment(P > 0.05).2.The patients in the treatment group had 6 kinds of TCM physiques,which were divided into four groups according to the classification,such as cold-heat disorder,yang-Ming disease of stomach and intestine damp-heat,sun disease of blood stasis,too-yin disease of spleen deficiency and dampness,little yang disease of liver depression and qi stagnation,and yang-Ming heat-flourishing and qi-yin deficiency.3.The above six kinds of constitution were divided into 6 groups.The fasting blood glucose in the treatment group was significantly lower than that in the control group(P < 0.05),and the fasting blood glucose in the treatment group was significantly lower than that in the control group(P < 0.05).4.The indexes of blood lipid,high and low density lipoprotein,glycosylated glucose protein and triglyceride in the six groups were lower than those in the control group,and the difference was statistically significant(P < 0.05).5.6 groups of patients were treated with traditional Chinese medicine(TCM)and appropriate techniques,and observed the improvement of TCM syndrome,including 78.85% of Taiyin spleen deficiency syndrome,78.26% of sun blood stasis syndrome,83.33% of Yangming gastrointestinal dampness-heat syndrome.Compared with the control group(64.59%),there were 84.09%,75.93%,84.78%,84.78% and 64.59% respectively in the syndrome of syncope yin,stagnation of liver qi and stagnation of qi and yin,and the statistical data of the comparison between the two groups were analyzed.The difference was statistically significant(P < 0.05).6.The TCM syndrome scores of the six groups were significantly different from those of the control group(P < 0.05)after the treatment of traditional Chinese Medicine(TCM)and appropriate Chinese Medicine(TCM)techniques(P < 0.05).Conclusions:1.There were 6 types of syndromes(Shaoyang liver stagnation syndrome,Taiyin spleen deficiency syndrome,sun blood stasis syndrome,Yang Ming gastrointestinal damp-heat syndrome,syncope Yin cold-heat dislocation syndrome,Yang Ming heat-heat syndrome and Qi-yin deficiency syndrome)in the community diabetes patients in Jinan area according to the syndrome differentiation of six meridians(Shaoyang liver depression qi stagnation syndrome,Taiyin spleen deficiency dampness syndrome,sun blood stasis syndrome,Yang Ming heat and heat deficiency syndrome).Sini Powder,Lizhong decoction,Taohe Chengqi decoction,Gegen Qinlian decoction,Wumei Pill,Bamboo Leaf plaster decoction and so on were used in the treatment,and the therapeutic effect was good.2.On the basis of routine treatment of western medicine,diabetes patients can control blood sugar more effectively and improve the effective rate of clinical treatment by differentiation of six meridians and combination of traditional Chinese medicine(TCM)with appropriate techniques of traditional Chinese medicine(TCM).3.The combination of six meridians differentiation and treatment combined with appropriate techniques of traditional Chinese medicine is effective and feasible for the intervention of Type 2 diabetes mellitus population,and provides strong theoretical support and guidance for the prevention and treatment of diabetes mellitus in the community. |
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