Traditional Chinese medicine believes that a reasonable diet structure can make the spleen and stomach healthy, nourish yin and promote fluid production, and the flow of body fluid can divide qi and body fluid into four parts, thus achieving the effect of stabilizing blood sugar. That is to say, increasing carbohydrate intake on the basis of reasonable calorie control will not only increase patients' blood sugar, but also enhance insulin sensitivity and improve glucose tolerance. Therefore, in order to maintain a reasonable diet structure, we must not lose staple food, or we must control blood sugar through starvation.
Many of my patients have gone through the detour of "not eating staple food to control blood sugar". Now, let's take a patient as an example: a 58-year-old woman with diabetes for many years, her blood sugar is 96.3mmol/L, her urine sugar (++) has been treated in many places, and she has taken many medicines. She wants to control her blood sugar by not eating staple food, but her blood sugar has been unstable. After the consultation, I learned that the patient is usually thirsty, overeating, hungry, tired and weak, and dizzy at night. The patient's tongue coating is thin and white, and his pulse is thin. Because she doesn't eat staple food for a long time, her spleen and stomach are cold. The spleen and stomach metabolize qi and blood by absorbing subtle grains. The serious deficiency of qi and blood leads to the loss of five internal organs, qi and yin, liver and kidney, so her blood sugar can not be effectively controlled.
So in the treatment of this patient, my thinking is very clear. Patients drink too much, urinate too much, lose weight, all three disappear, the five internal organs are weak, and the essence is exhausted. Therefore, the treatment is mainly to strengthen the spleen and nourish yin, replenish qi and tonify kidney. In spleen, I use raw astragalus and Pseudostellaria heterophylla to replenish qi and nourish yin; Mume, Ophiopogon japonicus, Trichosanthis Radix and Dendrobium nobile nourish yin and clear heat, nourish lung and stomach. Mume tastes sour and can moisten lung qi, nourish liver yin and astringe liver yang. The next step is to nourish kidney essence, which is the source of gasification. In the recipe, raw yam is used to strengthen the spleen, promote fluid production and strengthen the kidney; Radix Scrophulariae and Radix Rehmanniae nourish kidney yin and purge kidney deficiency and fire; Schisandra chinensis, Cornus officinalis, ootheca mantidis and Polygonum multiflorum Thunb supplement and seal biochemical kidney meridian. The whole prescription takes care of the lung, spleen, liver and kidney, and the medicine tastes mild, produces essence and exhausts, and the triple energizer circulates.
During the medication, instruct patients to gradually increase the staple food. After half a month, the patient drank less, urinated less frequently, ate normally, slept significantly, and had no dizziness. The patient's mental state was comfortable, and his fasting blood sugar dropped to 6.3mmol/L, and his urine sugar (+). Continue to take medicine and increase the staple food. After one month, all symptoms were eliminated, blood sugar was stable and urine sugar was normal. Subsequently, the original prescription was made into pills to consolidate the curative effect.
Therefore, having diabetes does not mean that you can't eat staple food. As long as the syndrome differentiation is accurate, eating staple food is very helpful for strengthening the spleen and stomach. Ok, that's all for today. If you have any questions, you can leave me a message in the comments section.