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Analysis of diabetic autonomic neuropathy based on "Wuzang bi" in the Inner Canon of Yellow Emperor
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DOI   10.11656/j.issn.1672-1519.2022.08.13
Key Words   Inner Canon of Yellow Emperor;Wuzang bi;diabetes;autonomic neuropathy
Author NameAffiliation
WANG Bin Endocrinology Department, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China 
PANG Pai Endocrinology Department, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China 
ZHAO Xudong Endocrinology Department, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China 
YANG Qianjing Endocrinology Department, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China 
Abstract
    There are numerous forms of diseases that involve bi syndrome of traditional Chinese medicine,including autoimmune diseases,neuromuscular diseases,infection,and metabolism-related diseases. The proposal in the Inner Canon of Yellow Emperor of "Wuti bi" and "Wuzang bi" has had a long-term impact on subsequent generations. Diabetic peripheral neuropathy,also known in modern Chinese medicine as "Xiaoke bi",is characterized by limb numbness,pain,feeling of cold,and weariness caused by qi and blood meridian obstruction,comparable to "Wuti bi". Another type of diabetic neuropathy is diabetic autonomic neuropathy,which primarily affects the visceral autonomic nerve and sympathetic nerve,resulting in dysfunction of numerous visceral systems and sharing many parallels with "Wuzang bi". For example,the autonomic neuropathy of the heart,gastrointestinal,urogenital organs,and sympathetic neuropathy of regulating sweat secretion induced by diabetes are highly similar to those of "Wuzang bi",such as heart bi,spleen bi,liver bi,pulmonary bi,and bladder bi. From the perspectives of etiology and pathogenesis,syndrome features,and therapeutic concepts of "Wuzang bi" in the Inner Canon of Yellow Emperor,the author attempts to analyze the understanding of diabetic autonomic neuropathy.

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