A review on TCM treatment of type 2 diabetes mellitus with insomnia
Diabetes is a metabolic disease characterized by hyperglycemia.In recent years,due to the influence of many factors,the prevalence of diabetes has increased significantly worldwide,and it is easy to be accompanied by various acute and chronic complications,which has become an urgent public health problem.Due to physiological and psychological factors,the number of patients with diabetes accompanied by insomnia is gradually increasing.Diabetes accompanied by insomnia is a common chronic complex disease in clinical practice,seriously affects the quality of life of patients.Western medicine treatment is relatively limited,mainly applies sedative and hypnotic drugs on the basis of controlling blood glucose,which cannot fundamentally solve the problem.Traditional Chinese medicine has the advantages of definite clinical effects,mild medication,various treatment methods,and high acceptance of patients in the treatment of diabetes with insomnia.In TCM,diabetes accompanied by insomnia is classified as"Ddiabetic insomnia".Based on previous understanding,modern doctors summarize the pathogenesis of this disease as the imblance between Yin(阴)and Yang(阳).In the TCM treatment of diabetes accompanied by insomnia,many doctors attach importance to the sedative effect and the effect of lowering blood glucose of single flavor medicine.They make application of the addition and reduction of compound prescription according to the syndrome,give symptomatic treatment from the etiology and pathogenesis of the disease,pay attention to the interaction of the heart and kidney,nourishing Yin and calming the spirit,nourishing blood and promoting blood circulation and other treatment methods.The frequently applied prescriptions include Jiaotai Wan(交泰丸),Huanglian Ejiao decoction(黄连阿胶汤),Suanzaoren decoction(酸枣仁汤),Xuefu Zhuyu decoction(血府逐瘀汤).The combination of TCM and Western medicine and combination of internal administration and external treatment are given.The article focuses on the etiology and pathogenesis of diabetes mellitus with insomnia,and reviews the treatment of diabetes mellitus with insomnia,from single medicine,traditional Chinese medicine compound,the integrative medicine,TCM characteristic therapy and other aspects,so as to provide reference for the follow-up clinical research of diabetes mellitus with insomnia,and provide new ideas for the clinical treatment of this disease.