AP and the Digestive / Gastrointestinal Tract

SPLEEN/PANCREAS/DIABETES (2/2) (see immunity-blood diseases also)

Choate_C5 (1996) Diabetes mellitus from the perspectives of WM and TCM: Part 5.

Ear AP

Symptom	Ear AP points
Thirst:	Endocrine, LU, Thirst
Hunger:	Endocrine, ST
Frequent urination:	Endocrine, KI, BL
To increase insulin:	Pancreas

Method
Insert and retain needles for circa 15 min. 10 treatments constitute one course. Cutaneous AP Tap along both sides of the spine, emphasizing the region between T7 through T10. Each session should last circa 5-10 min every 1-2 d.

Moxibustion
For dryness in the mouth, burn 100 cones at BL27. For frequent urination, moxa can be burned at the tips of the little finger and toe (Taiyang Jing-Well points, SI01, BL67), as well as at points along the cervical vertebrae [e.g. GV14].

Other Prescriptions.
Thirst and emaciation: CV24, BL44, TH01, KI02 [Source: PUB]. Use up to 200 cones moxa (cumulative) at CV04 [Source: BBQS]. According to SX differentiation supplement with: SP06, SP08, SP09, ST40, GV20, LI04.

Remarks.
AP is to be used only as a supplementary method for treating this disease, and must be combined with other medication.
Among diabetic patients, the body's resistance to disease is usually very low, rendering it more easily to infection. Therefore, sterilization of the needles must be particularly rigorous.
Normal dietary restrictions for diabetics apply.

The foregoing discussion of point formulas was taken from AP-Comprehensive Text, (Shanghai). The following discussion is taken from a lecture presented by Prof Qui Mao-liang, Vice President of the China National AP Assoc.

Differentiation and Treatment According to the TH

1.        Upper Jiao
Upper Jiao Wasting: injury of Jin-Ye by LU-Heat. Treatment Principle: strengthen LU and tonify Yin.

Points:	Functions:
BL13	strengthen LU, clear LU-Heat
LU05	clear LU-Heat
CV23	nourish Jin-Ye
ST36	assist BL13 in strengthening LU

Treat every 1-2 d. Needles are retained for 30 min. Apply reinforcing method. In cases of severe thirst with very red tongue, apply reducing method.

2.        Middle Jiao
Middle Jiao Wasting: injury of Yin by ST-Dryness. Treatment Principle: Clear ST-Dryness and tonify Yin. Points: BL20, BL21, ST36.

To Clear ST-Dryness: ST44.
To Clear ST-Dryness and Heat: KI03.
To tonify Yin: M-BW12, Pancreas pt. [1.5 cun lat to T8] (indicated for SP-Xu).

Treat every 1-2 d, using the reinforcing method (Bu). If Heat is severe apply reducing method (Xie). Retain needles 30 min.

3.        Lower Jiao
Lower Jiao Wasting: exhaustion of KI-Jing and KI-Yin. Treatment Principle: tonify KI and tonify Jing.

Points:	Functions:
BL13	Tonify KI.
CV04	Nourish and stabilize KI.
SP06	Benefits KI, SP, LV.
KI03	Tonify KI, pacify Empty-Fire.

Apply Xie (reinforcing) method. Treat every other day. Retain needles 30 min.

Discussion.
Patients commonly present with mixed Syndromes. Treatment should be given according to the main clinical manifestations. Where there are clear signs of 2 Shi signs, e.g. thirst and excessive appetite, treat both. Flexibility in treatment is necessary, for example:
1.        If there is thirst, yellow dry tongue coating, overflowing pulse, select points from Yangming Channels.
2.        If there is Yin-Xu and uprising of Yang, with symptoms such as low-grade fever, night sweats, malar flush, deep-red tongue body, Fine and Rapid pulse, select PC05 and GV13 to clear Fire-Xu.
3.        If night-sweating is severe, add SI03.
4.        KI-Yin-Xu can lead to Qi-Xu. Alternatively Heat can consume ST-Yin leading to Qi-Xu. In Qi-Xu Syndromes, such as shortness of breath after exertion, spontaneous sweats, Deep Thready pulse, apply moxibustion to CV06 and CV04.
5.        In KI-Yang-Xu, with Cold limbs, lower limb oedema, copious urination, pale tongue with white coating, Thready Deep, Weak pulse, apply moxibustion to GV04 and CV04.

Chinese system of food cures
Chinese nutrition uniquely differs from modern Western nutrition in that it determines the Qi energies and therapeutic properties of foods instead of analysing the chemical constituents of them, for example:

Spinach: cooling; strengthens all organs, lubricates SI and LI, quenches thirst, promotes urination. Boil tea from spinach and chicken gizzard. Drink 1 cup 3x/d. Or cook spinach with seaweed to cleanse the Xue and Clear Hot skin eruptions and itchy skin.

Also, Chinese nutrition takes into consideration such factors as method of preparation, body type, season, and one's geographical location in determining the appropriate diet. It is used both as a healing system and a disease prevention system. The advantage of Chinese nutrition lies in its flexibility in adapting to every individual's needs in the prevention of disease, and treatment of the whole person.

Diabetes Food Remedies
Sugar in the urine as one of the main signs of diabetes was included in the TCM classic, A Collection of Diseases, by Wang Shou, published in 752. For the first time in Med history, diabetes was listed among the 1100 diseases in the book. He recommended pork pancreas as treatment for the disease, and also used a special method of testing sugar in the urine: The patient passed urine on a wide, flat brick to see if ants gathered to collect the sugar. That method of testing urine was >1000 yr ahead of Richard Thomas Williamson (1862-1937), who invented a test for the same purpose. The Chinese author's treatment using pork pancreas was similar to modern treatment by insulin. In TCM, however, thirst, weight loss, fatigue, and sugar in the urine are considered the key symptoms of diabetes. When a patient recovers from any of these symptoms, the diabetes treatment is considered successful.

Case reports
1. 25 diabetics were treated at the Canton Coll of TCM by dried bitter melon slices; each dosage/d consisted of 250 g dried bitter melon slices boiled in water. The levels of their blood sugar taken 2.5 h after meals, and of their urine sugar taken 24 h after meals, were both statistically very significant; the same method has subsequently been applied on diabetic rats, which also led to a significant decrease in the level of blood sugar. The same report concludes that the effects of dried bitter melon are comparable to those of insulin. Results are said to be better if 100 g fresh clams are boiled in water with the dried bitter melon slices.

2. At the International Symposium on the Effects of Ginseng held in the Soviet Union in 1954, a report indicates that ginseng can lower the level of blood sugar; and from his experiments, a Chinese doctor also noted that ginseng can reduce the level of blood sugar by as much as 40-50 mg/100 ml blood; such effects can continue for >2 wk after the patient stops taking ginseng. Moreover, in some cases, insulin intake can be reduced while the patient is taking ginseng.

3. In TCM Herbal Med, pork pancreas has a neutral energy and a sweet flavour. It was used as an ingredient in a dietary formula to treat diabetes in China that was originally published in 1846 in a Chinese diet classic, New Collected Works of Proven Dietary Recipes; following is the recipe:

Boil a pork, beef, or lamb pancreas in water with 200 g yam; season with some salt. Divide into 4 parts. Eat each part once a day for 4 d. Or cut up a pork pancreas and bake until dry over low heat; grind into powder. Take 3-5 g in warm water each time, 3x/d. Or wash the pork pancreas, remove and discard all the white fat, and cut into thin pieces; boil over low heat in water with 20 g corn silk; season with some salt. Eat daily.

Choate_C6 (1996) Diabetes mellitus from the perspectives of WM and TCM: Part 6.

Vegetable and Grain Remedies for Diabetes
Bamboo Shoots: Cooling. Strengthen ST, resolves mucous, promotes diuresis. Blend bamboo shoots and celery juice, warm up and drink 1 cup 2x/d. Eat plenty of bamboo.

Bok Choy: Cooling. Clears Heat, lubricates SI and LI, quenches thirst. Drink boy choy and cucumber juice.

Celery: Cooling. Tonifies KI, SP and ST, Clears Heat, promotes diuresis, lowers blood pressure. Drink 3 cups lightly boiled celery juice daily. Or combine celery, yam and pumpkin to make vegetable pie.

Corn Silk: Neutral; sweet. Promotes urination; affects LV and GB; lowers blood sugar. Boil corn silk with watermelon peel and small red beans in water. Drink as soup for relief of chronic nephritis with edema and ascites.

Kohlrabi: Neutral; bitter; sweet; pungent. Detoxicates. Crush 10 g kohlrabi seeds into pwdr. Mix with a glass of boiling water. Strain through cheesecloth over a bowl and squeeze out all liquid. Drink the liquid as tea first thing in the morning to induce bowel movements and urination.

Mung Bean: Cold; sweet. Clears Heat; quenches thirst; aids edema in lower limbs. Make soup from mung beans, barley and rice. Or soak 100 mg mung beans overnight; boil in 3 cups water over low heat; drink 2x/d. Or grind mung beans into powder and take 15 g pwdr. dissolved in warm water 2x/d.

Mushroom (Chinese Black or Shitake): Neutral; sweet. Strengthens ST; promotes healing; lowers blood pressure counteracts cholesterol; lowers blood fat levels. Soak, blend with soak water; heat like soup and take on an empty stomach to Clear toxins from SI and LI. Or bake until it appears burned on the surface; eat 10 g 2x/d; or eat fresh.

Pearl Barley: Cooling. Promotes diuresis; str. SP; clears Heat.
Blend barley and water, boil and drink the liquid. Or cook soupy barley and eat like porridge. Pumpkin: Cooling. Dispels Damp; reduces fever; particularly beneficial for diabetes. Eat a slice of pumpkin with every meal or bake pie with pumpkin, yam and potato.

Snow Peas: Cold. Strengthens middle warmer, detoxifies, promotes diuresis, quenches thirst. Cook snow peas, blend juice; take 1/2 cup 2x/d.

Soybeans: Cooling. Clears Heat; detoxifies; eases urination; lubricates LU, SI and LI. Drink plain soy milk or eat tofu to Clear Heat Syndromes.

Soybean Sprouts: Cooling. Promotes diuresis; Clears Heat, esp. in the ST. Boil 4 hrs; drink tea lukewarm. Continue over a period of 1 mo to relieve hypertension.

Spinach: Cooling. Strengthens all organs; lubricates SI and LI, quenches thirst; promotes urination. Boil tea from spinach (incl. roots) and chicken gizzard; drink 1 cup 3x/d. Or cook with seaweed to cleanse the Xue and Clear Hot skin eruptions and itchy skin.

String Bean (Green Bean): Neutral; sweet, tonic for KI and SP. Boil 50 g dried string beans (with the shells) in water. Drink as soup once a day to relieve diabetes, thirst, and frequent urination.

Sweet Potato (Yam): Neutral; sweet. Tonic for SP-ST and Qi; Clears Heat; detoxifies. Cook soup with winter melon. Or mix 50 g yam pwdr with 10 g pwdr American Ginseng. Dissolve 15 g in warm water; drink 3x/d.

Sweet Rice (Glutinous): Warm; sweet. Used to tonify Qi. Affects SP, ST, and LU. Relieves excessive urination, perspiration, and diarrhoea. Cook 50 g sweet rice with 60 g Job's tears and 8 red dates. Eat at meals to relieve various kinds of chronic diseases.

Tomato: Slightly cooling. Promotes Jin-Ye; quenches thirst; strengthens ST; cools Xue; clears Heat; calms LV. Eat at least 1 raw tomato/d on an empty stomach.

Turnip: Cooling. Clears Heat; removes Damp. Boil with tops as a side dish.

Water Chestnut: Cold; sweet. Clears fever and indigestion; promotes urination; affects LU and ST. Boil 5 water chestnuts in water with 1 fresh mandarin orange peel. Drink as tea 3x/d to relieve hypertension. Or Peel 100 g water chestnuts and chew them slowly in the morning and evening; or drink water chestnut juice to cure sore throat, haemorrhoids, and mouth canker.

Winter Melon: Cooling. Clears Heat; detoxifies; quenches thirst; relieves irritability; dispels Damp. Drink the fresh juice or make soup; drink 3x/d.

Wheat Bran: Cool; sweet. Affects the ST.

Clinical report
A treatment of diabetes: steam 60% wheat bran and 40% all-purpose flour; add an adequate amount of vegetable oil, eggs and vegetables. Eat at meals to relieve diabetes. The proportion of wheat bran decreases as conditions improve. No drugs or nutritional supplements are given in this treatment. In 13 diabetics treated, blood sugar dropped to below 140 mg% in 3/13 cases and to 180 mg% in 7/13 cases; after treatment (which lasts from 4 d to 89 d), sugar in the urine changed from ++++ or +++ to negative in 10/13 cases; but in general, sugar in the urine changed to negative within 1 mo, along with the disappearance of neuritis associated with diabetes.

Animal Product Remedies for Diabetes.
Abalone: Neutral; sweet; salty. Detoxicates; sharpens vision. CI for persons with weak digestion. Boil 20-25 g abalone with 250-300 g fresh radish in water. Drink as soup once every other day. Repeat 6-7X as a treatment program. (This is a time-honoured recipe in TCM for diabetes).

Beef: Neutral; sweet. Tonifies SP, ST, Qi-Xue; affects the ST and SP. Boil lean beef with yam to make soup.

Clam (freshwater): Cold; sweet; salty. Detoxicates; sharpens vision; acts on LV and KI. Freshwater clam saliva is especially beneficial for diabetes. Cook clam with chive. Boil 150 g chives with 200 g clam and suitable seasoning. Drink in a day.

Milk: Cow's milk is Neutral; sweet. Pushes downward; tonic for LU and ST; produces Jin-Ye and lubricates SI and LI; affects HT, LU, and ST. Contraindicated with diarrhoea or mucous discharge. Mix equal amounts cow's milk and goat's milk. Drink the milk as a substitute for tea or juice to improve the physical condition of diabetes patients and frequent urination.

Pork: Neutral; sweet; salty. Used to lubricate dryness; affects SP, ST and KI. Cut up 100 g lean pork (red meats) to boil in water with 100 g Job's tears over low heat for 2 hrs. Eat at meals.

Fruit Remedies for Diabetes
Crab Apple: Neutral; sweet and sour. Quenches thirst; obstructive, affects HT, LV, and LU. Boil 10 partially ripe fresh crab apples in an adequate amount of water until the water is reduced by half. Drink the soup and eat the fruit to quench thirst and relieve diarrhoea.

Guava: Warm; sweet. Obstructive and constrictive; stops diarrhoea.
Crush 90 g fresh guavas; squeeze out the juice to drink before meals; 3X/d to alleviate SX of diabetes.

Peach: Very cooling. Clears Heat; aids diabetes. Eat fresh peaches.

Plum: Neutral; sweet; sour. Produces Jin-Ye; promotes urination and digestion; affects LV and KI.

Strawberry: Cooling. Lubricates LU; promotes Jin-Ye; strengthens SP. Drink 1 glass fresh juice 2X/d.

Mulberry: Slightly Cold. Quenches thirst; detoxifies; ton. KI; lubricates LU. relieves constipation; Calms Shen-Spirit; promotes diuresis. Boil mulberries as tea and drink 1/2 cup 2X/d.

Recipes
Winter Melon Soup
3 qt. vegetable broth.
3 cups chopped and peeled winter melon.
2 carrots.
2 celery stalks.
1 onion.
12 Mushrooms (Chinese Black or Shitake), stems removed.
6 oz. tofu noodles or finely sliced baked tofu.

Cook until tender (circa 25 min.) Then season with 1 tsp chives, 1 Tbls. tamari, 1 tsp peanut oil. Serves 4.

Choate_C7 (1996) Diabetes mellitus from the perspectives of WM and TCM: Part 7.

Stuffed Pumpkin
Cut the top off a small pumpkin; clean out the seeds and strings; save the lid. Fill with the following mixture:
3 cups cooked rice or barley.
1 Tbls crushed, toasted sesame seeds.
23 stalks celery, sliced.
1 Tbls parsley.
1 tsp thyme.
1 tsp sage.
1/2 tsp rosemary.
1 Tbls tamari.

Cover with pumpkin lid and bake at 350 degrees for 1.25-1.5 h. (Fork will easily go into pumpkin when done). Serves 4-6.

Azuki Bean and Squash Casserole
1 cup azuki beans, soaked overnight.
2 6-8 inch pieces of kombu.
1 small butternut squash or other winter squash.

Cover beans and kombu with water and simmer circa 1 hr, adding water as needed. Then add the cubed and peeled squash. Cook until tender (circa 1/2 hr) Stir in a pinch of sea salt or 1-2 tsp tamari. Serves 4.

Herbal remedies for diabetes mellitus
While AP is a distinctive feature of TCM, China's Herbal Med has many parallels to, and is a part of the general quest for effective medicines to treat illness. Our ancestors knew their dependence upon nature in both health and sickness. Led by instinct, taste and experience, they used plants, animal parts and minerals that did not belong to their usual diet. Until well into the 20th century, much of the pharmacopoeia of scientific Med was derived from the just this type of herbal lore. Today in the USA, circa 25% of the prescriptions dispensed by pharmacies contain at least one active ingredient derived from plant material.

The 20th century has also seen a revival of the more natural Med as an outcome of the increasing discontentment with conventional Med. By utilizing natural substances together in their whole form in accurate formulations, effectiveness will be maximized and side effects minimized. This is contrary to conventional Med that extracts or synthesizes active chemicals which often, over time, produce drastic side effects due to their partiality.

Xiao-Ke (Wasting and Thirsting) is a Syndrome which manifests as increased intake of both fluids and solids, emaciation, polyuria, and glycosuria; it broadly corresponds with diabetes mellitus. A list of herbs and herbal formulas, whose effectiveness in treating Xiao-Ke has been confirmed through time-tested use and modern pharmacological research, follows.

Individual Herbs
Radix Anemarrhenae Asphodeloidis (Shi Mu): Bitter; Cold. Enters LU, KI, ST. Clears Heat; quells Fire; generates Jin-Ye. Comb w/ Rx Trichosanthis.

Radix Astragali (Huang Qi): Sweet; slightly warm. Enters SP, LU. Tonifies SP and Qi. Comb w/ Rx Dioscorea Oppositae (Shan Yao) and Rx Rehmanniae Glutinosae (Sheng Di Huang).

Tuber Asparagi Cochinchinensis (Tian Men Dong): Sweet; bitter; Cold. Enters LU, KI. Moistens LU and nourishes KI; used for LU and KI-Yin Xu.

Radix Codonopsis Pilosulae (Dang Shen): Sweet; neutral. Enters SP, LU. Tonifies Qi, Jin-Ye and the Middle Jiao. In general the functions of this herb are analogous to Radix Ginseng (Ren Shen), although not as strong. Clinically used to tonify Qi of SP & LU. Dang Shen has a vasodilatory effect on terminal blood vessels.

Herba Dendrobii (Shi Hu): Sweet; slightly salty; bland; Cold. Enters ST, LU, KI. Nourishes ST-Yin Xu. Comb/w Tuber Ophiopogonis Japonici (Mai Men Dong) and Rx Trichosanthis (Tian Hua Fen) for abdominal discomfort associated with ST-Yin Xu.

Radix Dioscoreae Oppositae (Shan Yao): Sweet; neutral. Enters SP, LU, KI. Benefits LU and nourishes KI (Yin & Yang). Comb/w Rx Trichosanthis (Tian Hua Fen) for irritability and thirst associated with injured Jin-Ye.

Radix Ginseng (Ren Shen): Sweet; slightly bitter; slightly warm. Benefits Yin and generates Jin-Ye. Tonifies LU, Qi, SP and ST; benefits HT and Calms the Shen-Spirit. Some patients can lower their insulin by taking this herb.

Radix Glycyrrhizae (Gan Zao): Sweet, neutral (raw); sweet, warm (honey-baked). Enters all 12 Main Channel (mainly ST, SP) Tonifies SP and Qi: commonly used for SP-Xu Syndromes.

Fructus Lycii Chinensis (Gou Qi Zi): Sweet; neutral. Enters LV, KI. Nourishes and tonifies LV & KI: used for Yin and Xue Xu.

Fructus Mori Albae (Sang Shen): Sweet; cool. Enters LV, KI. Nourishes Yin and Xue. Comb w/Rx et Caulis Jixueteng (Ji Xue Tang) for Yin-Xu.

Tuber Ophiopogonis Japonici (Mai Men Dong): Sweet; sl bitter; sl Cold. Enters LU, ST, HT. Nourishes Yin and clears Heat. Experimentally has lowered serum glucose, speeded recovery of islets of Langerhans, and increased glycogen storage levels in rabbits with artificially induced diabetes mellitus.

Poria Cocos (Fu Ling): Sweet; bland, neutral. Enters HT, SP, LU. Strengthens SP and harmonizes the Middle Jiao; transforms Phlegm and eliminates Damp.

Rhizoma Polygonati (Huang Jing): Sweet; neutral. Enters SP, LU. Tonifies SP: used for SP- or ST- Xu and debility after prolonged illness. Also, tonifies Jing-Essence after a chronic wasting disease. Comb w/ Rx Dioscoreae Oppositae (Shao Yao) and Rx Astragali (Huang Qi).

Rhizoma Polygonati Odorati (Yu Shu): Sweet; sl Cold. Enters LU, ST. Nourishes Yin and moistens dryness: used for Dry Heat of LU and ST or Yin Xu Syndromes with cough, dry throat, irritability, thirst and intense hunger, and constipation.

Fructus Pruni Mume (Wu Mei): Sour; warm. Enters LV, SP, LU, LI. Generates Jin-Ye; alleviates thirst: used for thirst from Heat Xu or Xu of Qi and Yin. Comb w/ Rx Trichosanthis (Tian Hua Fen) for thirst and irritability from injured Jin-Ye.

Radix Puerariae (Ge Gen): Sweet; acrid; cool. Enters SP, ST. Nourishes Jin-Yeh; alleviates thirst, esp from ST-Heat. Comb w/ Rx Trichosanthis (Tian Hua Fen) and Tuber Ophiopogonis (Mai Men Dong) for thirst.

Radix Rehmanniae Glutinosae (Shu Di Huang): Sweet; sl warm. Enters LV, KI, HT. Nourishes the Yin: used for KI-Yin Xu. Lowers blood pressure and serum cholesterol.

Fructus Schisandrae Chinensis (Wu Wei Zi): Sour; warm. Enters LU, KI. Restrains Jing-Essence. Used for Xu Syndromes of LU or KI. Calms Shen-Spirit. Recent reports state this herb increases usage of both LV glycogen stores and serum glucose. Comb w/ Radix Codonopsis (Dang Shen) and Ophiopogonis Japonici (Mai Men Dong) for symptoms associated with exhaustion from Qi and Yin.

Scrophulariae Ningpoensis (Xuan Shen): Salty; sl bitter; Cold. Enters LU, ST, KI. Nourishes Yin; Clears True Heat or Internal Heat. Lowers blood sugar, dilates blood vessels.

Radix Trichosanthis (Tian Hua Fen): Bitter; slightly sweet; sour; cool. Enters LU, ST. Quells Heat; promotes Jin-Yeh. Comb w/ Rx Glehniae Littoralis (Sha Shen), Tuber Ophiopogonis Japonici (Mai Men Dong), and Rx Rehmannieae Glutinosae (Sheng Di Huang) for ST-Heat induced injured Yin.

Stylus Zeae Mays (Yu Mi Xu): Sweet; neutral. Enters BL, SI, LV. Promotes urination.

Herb Formulas.
LU- & ST- Heat & Drought: Bai Hu Jia Ren Shen Tang [White Tiger & Ginseng]. Clears Qi-Heat and the Yangming (LI-ST) Channel. Tonify Qi and increase Jin-Ye.

KI-Yin-Xu: Liu Wei Di Huang Wan [Rehmanniae 6 Formula] and Zuo Gui Wan [Replenishing the Yin (left) Pills]. These formulas reinforce LV-Yin and KI-Yin. Tian Wang Bu Xin Dan [King's Mind-Easing Tonic Pills]. Nourishes HT-Yin & KI-Yin-Jing-Essence; sedative.

Yin-Xu & Yang-Xu combined: Jin Gui Shen Qi Wan [Pills to Restore KI-Qi and Ba Wei Di Huang Wan Function of KI]. Replenishes KI-Yang; to warm the lower part of the body.

Yin-Xu and Yang-Xu in the Upper Jiao: Bai Hu Jia Ren Shen Tang [see above].

Yin-Xu and Yang-Xu in the Middle Jiao: Yu Nu Jian [The Fair Maiden Decoction]. Eliminates intense ST-Heat or ST-Fire; replenishes Ying-Essence.

Choate_C8 (1996) Diabetes mellitus from the perspectives of WM and TCM: Part 8.

Yin-Xu and Yang-Xu in the Lower Jiao: Liu Wei Di Huang Wan [see above] Yin Gui Shen Qi Wan [see above] and You Gui Wan [Replenishing the Yang (right) Pills]. Replenishes KI-Yang; treat spermatorrhoea.

Patent Formulas.
Yuechung Pills (also known as Yu Quan Wan [Jade Spring Pills]): Nourish Yin, strengthen KI, LU, & SP; dispel Phlegm-Heat; relieve thirst; circulate fluid; regulate appetite; Calm Shen-Spirit. A classical RX for "sugar urine disease", used for both juvenile and insipid diabetes in mainland China. The United Pharmaceutical Factory, Szechuan, PRC.

Specific Juk Tsyn Wan: Produces saliva, quenching thirst; relieving fever, alleviating mental uneasiness; vitalizing Xue activity, nourishing KI; invigorating the nervous system and improving appetite. Kwangchow United Factory of Chinese Med, PRC.

BIBLIOGRAPHY.
Western Medical Sources.
1.Merck Manual, 14th Edition, Merck & Co. Inc. 1982 2.Bricklin, Mark, The Practical Encyclopedia of Natural Healing, Rodale Press, 1983. 3.Fishbein's Illustrated Med & Health Encyclopedia, H.S. Stuttman Co. Ind, 1978. 4.Biermann, June and Barabara Toohey, The Diabetics Total Health Book, J.P. Tarcher Inc. 1980 5.Whitaker JM Reversing Diabetes, Warner Books, 1987. 6.Turtle JR Diabetes Mellitus: Recent Knowledge on Aetiology, Complications and Treatment, Academic Press, 1984. 7.A Monograph on the Nature, Diagnosis and Treatment of Diabetes Mellitus, The Upjohn Co. 1960. 8.Guyton AC Textbook of Med Terminology, WB Saunders Co. 1976.

TCM Sources.
1.Kaptchuk TJ The Web That Has No Weaver, Conydon & Weed, 1983 2.Chen JF A Haemorrheological Study on the Effect of AP in Treating Diabetes Mellitus, Chung i tsa chih (JTCM) 7(2):95-100, 1987 3.Li CY Fundamentals of Chin Med, East Asian Med Society, Paradigm Pub. 1985 4.O'Connor J AP: A Comprehensive Text, Eastland Press 1981 5.Yeung HC Handbook of Chin Herbs and Formulas Vol II, Inst of Chin Med 1985 6.Ni MS The Tao of Nutrition, Union of Tao & Man, 1987 7.Lu HC Chin System of Food Cures-Prevention and Remedies, Sterling Publishing Co. 1986 8.Fratkin J Chin Herbal Patent Formulas-A Practical Guide, Inst for TCM, 1986 9.Bensky D Chin Herbal Med-Materia Medica, Eastland Press, 1986. 10.Qui ML The Treatment of Diabetes by AP, CMJ (UK) 15:3-5, 1984.