Professor Zhu Zhangzhi: From the spleen theory, the treatment of diabetes should pursue the "authenticity" International Conference of Cyberpathology

A 100-year-old man, still in good spirits, can you think of him as a "sugar friend" with a history of diabetes for more than 40 years? If you have diabetes, you can still live to be 100 years old, which is a real case
in the clinical diagnosis and treatment of Professor Zhu Zhangzhi.

"Lowering blood sugar in diabetics is only a superficial goal, and more importantly, the longevity and health of diabetic patients is the most important goal of
treatment.
" A few days ago, at the 18th International Conference of Cyberpathology, Professor Zhu Zhangzhi, honorary vice chairman of the 7th Committee of the Diabetes Branch of the Chinese Association of Traditional Chinese Medicine and the First Affiliated Hospital of Guangzhou University of Chinese Medicine, repeatedly emphasized the real goal of
diabetes treatment in an interview with the media.

Seek truth in the classics of Chinese medicine

"TCM has a long history and rich clinical experience
in the treatment of diabetes.
When encountering confusion in clinical work and looking for breakthroughs, we should follow the guiding value of classic works, and the guiding value of the Yellow Emperor's Inner Canon to the five internal organs and clinical disciplines is very important
.
Professor Zhu Zhangzhi emphasized
.

"Drink into the stomach, swim the essence, go up to the spleen, disperse the sperm, return to the lungs, channel the waterway, and infuse the bladder
down.
The four cloths of water essence, the five meridians in parallel, the four times and five dirty yin and yang, the degree of
normality.
This classic original text from the "Yellow Emperor's Inner Canon" discusses the whole process of normal human fluid and energy metabolism, and becomes the basis for
future generations to explain the physiological pathology of the digestive system.
In the pathological state, the initial stage and intermediate links of human fluid metabolism and energy metabolism are also closely related to
the function of the spleen and stomach.

Mizutani subtle is transported through organs such as the gastrointestinal tract to generate jin liquid, which is infused into the spleen, returned to the lungs through the scattering of sperm by the spleen, and then dispersed throughout the body
through the vaporization of the lungs.
In a sick state, abnormal energy metabolism will produce various metabolic diseases or phlegm and dampness, which are all related to
diabetes, nodules, polyps, etc.
as modern medicine says.

"The spleen and stomach are the foundation of the day after tomorrow, the source of qi and blood biochemistry", the spleen and stomach play a vital role in the normal metabolism of qi, blood and liquid in the human body, regulate the spleen and stomach, make the infusion of qi and blood liquid normal, and the human body can function
normally.

Professor Zhu Zhangzhi emphasized that the normal function of the spleen and stomach is also an important part of the long-term stability of
the human body.
Therefore, the treatment of diabetic patients can not only look at the improvement of blood sugar, blood pressure, blood lipids, insulin resistance and other indicators, it is very important to treat diabetes by regulating the spleen and stomach, this effect is also infinite, but it is difficult to show through
biochemical indicators.

"Understanding diabetes from the spleen and stomach is to follow the classic works, have a theoretical source, and have also achieved good clinical results
.
" Professor Zhu Zhangzhi pointed out that with a solid foundation in traditional Chinese medicine and rich clinical experience, as well as inheriting the scientific spirit of innovation, Academician Wu Yiling treated type 2 diabetes from the spleen and stomach more than 20 years ago, put forward the theory of the pathogenesis of spleen deficiency and fluid infusion disorder and qi network obstruction, established the treatment principle of strengthening the spleen and invigorating the qi channel, and formed the Jinlida granules
.

Jinlida granules are selected to benefit the temper, Cangshu, Peilan dry spleen and dampness, fairy spirit spleen warm spleen yang, lychee nucleus smooth temper, bitter sophora, huanglian diarrhea spleen fever, yellow essence, wheat dong nourishing spleen yin, kudzu root to clear qi, salvia through the spleen, and finally achieve "through the vein, transport the spleen jin", so that the body's jin metabolism returns to normal, jin is self-generated and self-sufficient
.

Professor Zhu Zhangzhi emphasized that the combination of Jinlida granules is very suitable for patients with type 2 diabetes, its role is not only to reduce glucose, but more importantly, to significantly improve symptoms, improve the quality of life of patients, and play an important role
in health and longevity.

Identifying the "true and false" in diabetes treatment

"In the clinical treatment of diabetes, we must learn to distinguish between true and false problems
.
" Professor Zhu Zhangzhi pointed out that in clinical practice, diabetic patients are often virtual, cold and hot, and need to be carefully distinguished
.

A diabetic patient with a light tongue and thick moss, many doctors diagnosed moist heat when they saw the thick and greasy moss, and used Yin Chen Artemisia decoction to clear the heat and remove dampness, ignoring the essence of the light tongue
.
Professor Zhu Zhangzhi pointed out that spleen deficiency is not only insufficient temper, including the inability to effectively exercise the function of the spleen, ignoring that the deficiency of temper is the root cause of
yellow moss and yellow greasy moss.

The symptom of spleen deficiency is the most common and initial important stage of
diabetes.
The spleen and lungs belong to the yin, the spleen cannot be transported normally, the lungs cannot be effectively suppressed, and its weakness is first, resulting in phlegm and wet water drinking
.
At this time, it can be appropriately accompanied by plaster, Yinchen, huanglian and other drugs to clear heat and remove dampness, but the root cause of the disease is that the spleen and stomach function is abnormal
.
Therefore, the focus should be on abiding by the treatment principles
of managing the spleen, regulating the spleen, tonifying the spleen, warming the spleen, and reducing dampness.

Professor Zhu Zhangzhi believes that for those who are initially diagnosed with type 2 diabetes, have a fat body, yellowish complexion, loose and loose stools, easy stomach and stomach pain after eating, bitter mouth, dry throat, weak limbs, cough, spitting, or nausea and vomiting, they can use Jinlida granules to regulate from the spleen and stomach
.

Integrative treatment of traditional Chinese medicine and western medicine: a new trend in diabetes prevention and treatment

In recent years, under the guidance of the national strategy of "paying equal attention to traditional Chinese medicine and Western medicine", traditional Chinese medicine has been incorporated into the national diabetes prevention and treatment system, and gradually formed a diabetes prevention and treatment model
with the coordinated development of modern medicine and traditional medicine in China.

The Chinese Guidelines for the Prevention and Treatment of Type 2 Diabetes (2020 Edition) point out that the treatment of diabetes by traditional Chinese medicine follows the principle of dialectical treatment and plays a role
in synergistic hypoglycemia, improvement of symptoms and signs, prevention and treatment of complications, improvement of quality of life and tertiary prevention.

The 2020 edition of the Guidelines recommends that type 2 diabetes mellitus have a deficiency of qi and yin, and on the basis of the application of metformin and other hypoglycemic drugs, you can add Zinlida granules
.
In a multicenter, randomized, double-blind, placebo parallel controlled study of 192 patients with type 2 diabetes mellitus conducted by Academician Tong Xiaolin of the Chinese Academy of Sciences, the addition of the drug can further reduce glycated hemoglobin by 0.
92%, reduce fasting blood glucose by 1.
34mmol/L, and blood sugar 2 hours after meals by 3.
0mmol/L, significantly improve the islet β cell function index (P<0.
05), and improve symptoms such as thirst, fatigue and constipation.
And the security is high<b11>.

Another meta-analysis of 1810 patients with type 2 diabetes mellitus conducted by Academician Tong Xiaolin showed that adding this drug to conventional hypoglycemic drugs can further reduce glycosylated hemoglobin (0.
6-0.
72%), improve islet function, and reduce body weight
.

"In the treatment of diabetes, Chinese medicine and Western medicine each play an important role
.
" Professor Zhu Zhangzhi emphasized that in clinical practice, we must achieve the integration of traditional Chinese and Western medicine, the equal importance of traditional Chinese and Western medicine, and the integration of traditional Chinese and western medicine, which is the best treatment mode for diabetes and the gospel of
Chinese patients.

On the whole, whether the treatment effect of diabetes is good or not, not only depends on whether blood sugar, blood lipids, blood pressure and other indicators have improved, whether the weight is up to standard, etc.
, but also to improve the physical quality of diabetic patients, so that he can live a long and healthy life, and live to 80, 90, or even 100 years old
like a normal person.
Professor Zhu Zhangzhi emphasized that only by treating the spleen and treating the root of the disease, giving full play to the advantages of traditional Chinese medicine, and achieving the organic combination of traditional Chinese medicine and western medicine can the treatment goal
of making diabetic patients live a long and healthy life.