Study On The Management Of TCM Characteristic Chronic Disease Of Type 2 Diabetes Mellitus With Qi And Yin Deficiency Constitution

Objective: By observing auricular point sticking in the treatment of type 2diabetes mellitus(T2DM)patients with both Qi and Yin deficiency,fasting blood glucose,2 hours after meals,glycated hemoglobin,blood lipid(total cholesterol triglyceride)The effect and mechanism of auricular acupoint sticking in the treatment of patients with Qi-yin deficiency of type 2 diabetes mellitus were discussed.In the process of chronic disease management,the advantages of TCM characteristics in chronic disease management were paid attention to and individualized management was implemented.Methods: According to TCM diagnosis and constitution criteria and WHO diabetes diagnosis criteria,T2 DM patients with syndrome differentiation of Qi and Yin deficiency constitution were clinically collected and randomly divided into treatment group and control group according to random number table method.All cases were treated with routine hypoglycemic drugs for blood glucose control,low-salt,high-quality,low-protein and low-fat diet,exercise guidance and other general management according to T2 DM treatment guidelines The treatment group was treated with auricular point sticking method on the basis of the control group,and the course of treatment was 12 weeks.Hb AIc blood lipid(total cholesterol triglyceride low density lipoprotein)fasting blood glucose was measured before and after the treatment,and the change of TCM syndrome score was observed before and after the treatment.Results: 1.After 12 weeks of treatment,the levels of blood glucose,fasting blood glucose,glycosylated hemoglobin,total cholesterol,triglyceride and low density lipoprotein in the experimental group decreased to different degrees,and the difference was statistically significant compared with that before treatment(P<0.05).2.After 12 weeks of treatment,the transformation score of TCM constitution in the treatment group decreased significantly(P<0.05),and the difference was statistically significant(P<0.05).3.After 12 weeks of treatment,the levels of blood glucose,fasting blood glucose,glycosylated hemoglobin,total cholesterol,triglyceride and low density lipoprotein in the control group increased to different degrees,and there was no statistically significant difference compared with those before treatment(P>0.05).4.After 12 weeks of treatment,the conversion score of TCM constitution in the control group did not decrease significantly(P>0.05),and the difference was not statistically significant(P>0.05).Conclusion(s): The auricular point sticking and pressing method can improve the blood sugar,glycosylated hemoglobin,blood lipid and other indicators 2hours after meal and improve the symptoms of disease in patients with type 2diabetes with deficiency of both qi and yin.This method is superior to conventional treatment alone in improving glycosylated hemoglobin,blood glucose,blood lipids and disease symptoms,and has clinical significance.