糖尿病嘴里发甜的症状不普遍，但存在（见英文）

另外，我对内经在约两千年前就对糖尿病有这样的认识印象深刻。虽然不全面，也说出了糖尿病一个典型的类型，并且认识到是脾出了问题（我假设中医的脾包括胰脏），实际是很高明的，可惜治疗的办法有限。其实少吃多跑（生活方式改变）不用药便可生效，可惜内经没有说，估计那些富人是不会少吃多动的。

不知伤寒论是否论述过消渴症。我想内经出现的年代比伤寒论出现的年代生活要好，能看到糖尿病，张仲景就没这么运气了。

http://www.kidney-cares.org/type-2-diabetes/246.html

Why Diabetics Have Sweet Taste in Mouth

2012-09-29 10:39

In some conditions, patients with Diabetes may experience a dry mouth together with a sweet taste even if they have not ate any sweet foods. Even if they drink plenty of water, the sweet taste doesn’t get any better, thus making the patients rather puzzled. Is it that Diabetes has worsened or any complication is causing the taste? Actually, there are two main inducing causes of the symptom:

One is gastrointestinal tract disorder.

Diabetic digestive system disorder is a complication of Diabetes.

Dysfunction in digestive tract will result in abnormal secretion of certain kinds of enzymes. Higher levels of amylases in spittle will stimulate taste buds on your tongues, thus resulting in the sweet taste in mouth. When Diabetes also damage the nerves that regulate functions in gastrointestinal tract, they patients may have accompanying symptoms such as vomiting, nausea, diarrhea, constipation, etc.

The other reason for the sweet taste in mouth is high levels of blood glucose.

For the patients with Diabetes, poor controlling of blood glucose can cause sweet taste in mouth. For the one hand, the amount of glucose in spittle increases as blood sugar level is rising, thus causing the taste of sweetness in their mouth. For the other, high blood sugar may cause a complication called diabetic ketoacidosis. Ketoacidosis occurs when glucose in bloodstream can not be utilized by the body as energies. Instead, the body will use the stored fat for energy. Ketones as byproducts of fat will build up in human body. This will cause fruity or sweet taste in mouth. Ketoacidosis is common in Type 1 Diabetes, and rarely seen in Type 2 Diabetes.

For Diabetics, controlling blood sugar is essential to alleviate the symptom. Taking good care for personal oral hygiene is also important. Poor oral health and high blood sugar in spittle may offer a good environment for germs to breed in mouth thus causing the sweet taste. Talk with your doctor to get specific treatment guidance. For any concerned issue, you may also submit your information to us and get expert help for free.

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• 中医理论都是相关联的，因此是活的，要解释内经要以经解释经，不能断章取义。 -难忘初心- ♀ (0 bytes) () 10/17/2016 postreply 15:11:34