You are right Monika. Though diabetes is primarily a disease of the Spleen, characterized by excessive Fire in the Spleen Yang, often combined with Liver Qi issues. However, as you correctly noted, when there is a Tai Yin disorder in someone with a Tai Yin constitutional type, the considerations you mentioned become especially relevant.
In most cases, we see an underactivity of Tai Yin — cold and deficiency — presenting with symptoms such as bloating, vomiting, poor appetite, abdominal pain, and diarrhoea. In these situations, it is beneficial to strengthen Tai Yin through Equal Qi treatments combined with FG and/or UG, however preferably via using Shao Yin, since its Qi lies beneath the Tai Yin layer, providing better protection for that person.
If there is an excess Qi condition in Tai Yin for example, Spleen – Lung heat (yellow phlegm, and shortness of breath), first determine whether it originates from cold and/or deficiency. If so, the heat is a reactive condition, and the underlying deficiency should be treated first.
If, on the other hand, it is a primary heat condition in Tai Yin, there are several possible approaches, one of which is worth discussing here. When applying sedation, always include another point that supports the Tai Yin, not forgetting the pulse and the birth chart configuration. Joan
