Effect Analysis of Acupuncture and Moxibustion in Treating T2DM Patients with Dual Deficiency of Yin and Yang Syndrome

LI Yuqin; LIU Zhicheng; XU Bin

Abstract：Objective:To observe the clinical effect of acupuncture in treating T2DM with dual deficiency of yin and yang syndrome and analyze the factors affecting the effect. Methods:108 patients suffered from T2DM with dual deficiency of yin and yang syndrome were treated for 3 month with acupuncture. The fast-ing plasma glucose(FPG),fasting leptin(FLP),fasting insulin(FINS),insulin sensitivity index(ISI),homeosta-sis model assessment of insulin resistance ( Homa-IR ) , homeostasis model assessment-Beta (Homa-β),body fat and fat calculator were observed,and the relationship between the effect and the syndrome,age,obesity degree(A%),course of disease,gender,pathogenesis and inducement were analyzed. Results:Among the 108 patients treated with acupuncture,in 32 patients achieved significant effect,in 50 patients it proved to be ef-fective,and the total effective rate was 75.93%. The FLP,FPG,FINS,Homa-IR,total cholesterol(TC),triglyc eride(TG),low density lipoprotein cholesterol(LDL-C),high density lipoproteincholesterol(HDL-C),weight、body mass index(BMI) and body fat percentage(F%) after treatment were significantly lower than before treatment (P<0.01),while the ISI、Homa-β、HDL-C was significantly higher(P<0.01). The effect was related to the patients’ age,A% and the course of disease,the younger the age,the better the effect,the lower the A%,the better the effect and the shorter the course of disease,the better the effect. Conclusion:The mechanism of acupuncture treating T2DM is through positive adjustment of the fat-pancreatic endocrine axis,to reduce lep-tin resistance and insulin resistance,and induce the patient body’s endocrine,glycometabolism and lipid metabolism return to normal. The clinical effect of acupuncture in treating T2DM of dual deficiency of yin and yang syndrome is closely related to the patients’ age,A% and the course of disease.