How does fluid – the essential source of life – arise? What is its manifestation? What is the material basis? It is true that fluid is produced by the water and grain that is drunk into the stomach, as the saying goes: “Drinking into the stomach, overflowing essence, upward transmission to the spleen, spleen qi dispersing essence, upward return to the lungs, through the water channel, downward transmission to the bladder, water essence in all directions, the five meridians in parallel ……”. The “essence” of “spleen qi disperses essence” and the “essence” of “water essence spreads in four directions” both include The “essence” of “Spleen Qi disperses essence” and the “essence” of “water essence spreads in four directions” both include “fluid”. Of course, after the fluid is produced, it still needs to be distributed, and the fluid cannot be distributed without the cooperation of the lungs, heart, liver, kidneys, large and small intestines and other internal organs. So, what exactly is fluids from the perspective of modern medicine? Of course, it includes gastric fluid, joint fluid, tears, sweat, semen, all kinds of normal secretion of mucus and lubricating fluid and so on. How are these body fluids produced? The author thinks that their production is closely related to insulin. In other words, insulin is the root cause of the production of these body fluids! As the only negative hormone in the body, insulin is responsible for generating body fluids and ensuring that the body is full of fluids. In other words, insulin is the material basis of yin and fluids, or fluids! As far as diabetic patients are concerned, type 1 diabetes is an absolute lack of insulin, manifesting as dry mouth, great thirst and drinking, extreme emaciation, dry stools, wrinkled skin, panic and palpitations, a lack of fluids, yin deficiency and fire; while type 2 diabetes, characterized by obesity, is mostly hyperinsulinemic. The side effect caused by too much insulin injection is edema of the lower limbs in addition to hypoglycemia. Some people may say that blood sugar is not necessarily elevated in patients with dry syndrome, so what is the explanation? It has been reported in the literature that the concentration of insulin in the tear fluid of patients with dry syndrome is significantly lower than that of normal people, which further proves that the lack of fluid is extremely closely related to the decrease of insulin secretion! Therefore, it is reasonable to believe that insulin is the material basis of yin-jin, or “fluid”, which is the “water of life”! The treatment of thirst disorders must be based on the surplus and deficit of fluids and the state of circulation. As in a year of drought, when the sun is blazing and the wind is dry, when the rivers are dry and the earth is parched, it is necessary to divert water from the west to the east and from the south to the north, and to borrow water from outside to make up for the shortage. By extension, for type 1 diabetes, which is dominated by absolute insulin deficiency, due to the lack of fluid and water, the phase fire is hyperactive and the deficiency fire is delusional. Most of the symptoms are thinness, easy to eat and drink, thirst, dry stools, restless sleep at night, fatigue, dry and red tongue, thin and small tongue, thin yellow tongue coating or thin white tongue coating with little fluid, which is the sign of fluid deficiency and lack of yin and fluid. Insufficient water and fluids should be cleared from heat to produce fluids and nourish Yin and moisten dryness. According to the different deficiencies of the internal organs, the treatment method is different. 1, nourish the lung Jin lung is located in the west, and the west is the plateau of the place, snow and ice accumulation, only the sun is warm, ice and snow melting, cold water from the birth, this gold also produces water. However, the snow and ice is not helpful, where does the water come from? Want to snow water under the mountain, must make the source of snow and ice is abundant, there is a constant flow of water. Therefore, those who replenish water should nourish the lung yin, with the raw pulse drink, Mai Men Dong Tang, Sha Shen Mai Dong Tang, Bai He Gu Jin Tang, etc.; 2. Clear the stomach heat to nourish yin and produce fluid. If the patient has hyperthermia of the stomach, manifesting as great thirst leading to drinking, drinking does not quench the thirst, dry tongue, red and oily face, and a large number of flooded pulse, the formula uses Baihu plus ginseng soup, bamboo leaf and gypsum soup, benefit stomach soup, Ganlu drink, etc., and can also use yu zhu, dendrobium, Zhi Mu, Huai Shan, maitong, etc.; 3, nourish kidney yin. If the patient has frequent urination, dry mouth at night, soreness and weakness of the waist and knees, thin and red tongue, yellow and dry tongue coating, and fine pulse, it is mostly due to the deficiency of kidney yin, so the formula should be chosen from Six Flavors Dihuang Tang, Thirst Dissipation Formula, Zuo Gui Tang, Seven Flavors Du Qi Wan, or add Mai Dong, Xuan Shen, Sheng Di, Mulberry, Fructus Lycii, Fructus Maidenhair, etc.; 4. If the patient is troubled with sleeplessness, dry eyes, red tongue with little coating and thin pulse, it is mostly liver yin deficiency, so use sour date soup, peony soup, liver nourishing soup, etc., or use wu mei, wolfberry, dogwood, chasteberry, dried lotus seed, wu wei zi, Qin Pi, oyster, etc.; 2. Drain water channels Type 1 diabetes is an absolute lack of fluid, while most insulin levels in type 2 diabetes are not low, especially a large proportion of obese type 2 The reason why type 2 diabetics’ insulin levels are not low or even higher than normal people is that they cannot lower blood sugar well because there is severe insulin resistance, which means that insulin cannot play a good role in lowering blood sugar. Although there are differences between pre-receptor, receptor itself and post-receptor, it can be seen that insulin, the “fluid”, cannot be distributed all around the body, but accumulates in the blood, internal organs, chest and abdominal cavity, subcutaneous, lower limbs, etc., forming phlegm and dampness, stagnation and water drink, thus causing the place that needs fluid nourishment to be not moistened, so there is wasting at the same time. The symptoms include accumulation of visceral fat, atherosclerosis of the internal cavity of blood vessels, and thirsty desire to drink while having edema in the lower limbs. In ancient times, when Da Yu healed water, he learned the lesson of his father, Jiu Jiu, who failed to “annihilate” and focused on draining, and finally succeeded. The body’s fluids are also like the water of rivers, good for irrigating growth and bad for the people. If the fluid is sufficient, if it can circulate around the body, nourish the limbs and bones, the five organs and nine orifices, then the yin and yang will be balanced, the qi and blood will be harmonized, and the person will be healthy; if it cannot “spread water and fluid, the five meridians will be parallel”, but stays and accumulates somewhere, then it will become phlegm and drink, turbidity and dampness, and even stasis of blood, then the disease will come immediately. Therefore, the treatment of type 2 diabetes is also like the Great Yu’s treatment of water, which focuses on draining. The main reason for draining is because there are bends or blockages. For the human body, yin and yang, qi and blood, and fluids must be circulated around and run to all parts and corners of the body. Where there is a blockage, it is also a disease! Therefore, we must always pay attention to the stagnation, so that the Yin and Yang qi, blood and fluids run smoothly. 1.Qi stagnation – it is advisable to use the formula of Chai Hu, such as Xiao Chai Hu Tang, Chai Hu Gui Zhi Tang, Chai Hu plus Dragon Bone and Oyster Soup, Si Wei San, Yi Yao San, Ji Ming San, etc., in order to smooth the central mechanism and open up the meridians, which is beneficial to stabilize the patient’s mood and distinguish stress factors. 2.Dampness and stagnation – Huo Xiang Zheng Qi San, Yin Chen Wu Ling San, Pig Ling Tang, Chai Ling Tang, Plus and Minus Zheng Qi San, etc. are recommended to dissolve the dampness in the middle jiao and dispel the dampness in the meridians. 3, damp-heat blockage – according to the site of damp-heat blockage and clinical manifestations are different, can be used respectively angelica fever soup, bai tou wen tang, san ren tang, almond soup, scutellaria slippery stone soup, calamus yujin tang, ephedra lian qiao red bean soup, etc.. Damp-heat in the upper and lower, in the surface and in the interior, in the qi and blood, in the viscera and in the meridians, the formula changes with the evidence, flexible addition and reduction. 4, blood stagnation – blood stagnation, may not necessarily be stasis. There are reports that diabetic patients have stasis of blood from the beginning to the end – roughness, narrowing and even occlusion of blood vessel walls, increased whole blood viscosity and plasma viscosity are seen in the nail wrinkle microcirculation. Therefore, activating blood circulation and removing blood stasis is an important part of the diabetic treatment process. Peach Kernel Cheng Qi Tang, Resistance Tang, Tonic Yang Returning Five Soup, Peach Red Four Objects Soup, Blood Mansion and Blood Stasis Soup, etc. Also, leeches, centipedes and scorpions can be dried and powdered in capsules, which are beneficial to improve the enhanced coagulation function and elevated fibrinolytic function in diabetic patients. 5, deficiency stagnation – that is, stagnation due to deficiency. “Qi is the handsome of blood, deficiency of qi is the inability of the blood to move, deficiency of qi is the “water” line is not smooth, fluid can not be smoothly reached can lead to water and dampness stay, dampness blocking the qi machine will appear chest tightness, abdominal distension, etc., can use white atractylodesan, thick park ginger half summer licorice ginseng soup, four reverse rational soup, fragrant sand six The use of Bai Zhu San, Hou Pu, Ginger, Gan Gan Cao and Ginseng Tang, Si Wei Li Zhong Tang, Xiang Sha Liu Zi Tang, etc. 6, wind and cold obstruction – thirst disease patients more deficiency, easy to cause the wind and cold of the evil attack, obstructing the meridians, appearing hands and feet cold, pain, paralysis and other symptoms, can choose Gui Zhi Tang class formula, Gui Zhi Ma Huang each half of the soup, Ge Gen Tang, Xiao Xuan Life Tang, Da Qing Long Tang and so on. Third, the diversion of flooding obese type 2 diabetic patients, often belong to the spleen deficiency phlegm and dampness, phlegm, drink, water, dampness, turbidity from the same source, phlegm and dampness gathered for a long time, or with blood stasis can be coagulated into accumulation, or can be gathered and drink, drink is like a flood of dikes, urgent diversion to protect the capital town without danger. In the human body that is the benefit of dampness and turbidity, the benefit of dampness Wu Ling San, Chun Ze Tang, Ling Gui Zhu Gan Tang, Chai Ling Tang, etc., the turbidity of the available plus or minus Zheng Qi San, Ping Gastric San, Ginseng Ling Bai Zhu San, Er Chen Tang, etc.. Fourth, solid earth to control water As the saying goes: soldiers to stop the water to cover the earth, the flood, increase the dam, solid dike, is the common method. For the person, “earth” is the spleen, which is the basis of the posterior, the source of Qi and blood biochemistry. If the earth is weak, it can cause flooding. “Spleen deficiency” has the differences of spleen-yang deficiency, spleen-spleen deficiency, spleen-yin deficiency and spleen-blood deficiency. The main manifestations of spleen-yang deficiency are unheated at the end of the four spleens, abdominal distension and abdominal pain, less colorful face, loose stools, no transformation of the complete grain, light and fat tongue with teeth marks on the side, sunken and weak pulse or slow and weak pulse, especially at the guanshu level. Spleen qi deficiency is mainly manifested by tiredness of limbs, shortage of breath and lazy speech, intolerance to persistence, withered face, pale tongue with white fur and weak pulse. The treatment is to benefit the spleen qi, using Huangqi Jianzhong Tang with flavour, Tonifying Zhong Yi Qi Tang, Yi Qi Smart Tang, Shengyang Yi Stomach Tang, Shengyang Dispersing Fire Tang, etc. The treatment of diabetic retinopathy caused by blurred vision and flying mosquitoes by combining Sheng Pu Huang Tang with Yi Qi Smart Tang (Astragalus, Phellodendron, Manchuria, Pueraria Mirifica, Radix et Rhizoma, Radix Paeoniae Alba, Radix et Rhizoma Glycyrrhizae) is very effective. The main manifestations of spleen deficiency are poor appetite, abdominal distension after eating, fatigue and weakness, etc. The treatment should be key to spleen transportation, and the formula should be chosen from Ping Gastric San, Bao He Tang and Pu Jiang Xia Cao Ginseng Tang. Wood is born in the east, where the dragon lives (the dragon lives in the East Sea), and the dragon can raise clouds and spread rain to irrigate everything. Conjugate Yin wind and wood is the Qi of growth, and the growth of wood can not be separated from the sun, earth and rain, that is, the growth of wood, need fire, earth and water. In turn, wood and is the bridge between fire, earth and water, earth through wood to solid, so as not to lose water, so that the water becomes turbid; fire depends on wood to birth, to warm the spleen and earth around; water depends on wood to cross, in order to nourish everything; gold, wood, water, fire and earth five elements are mutually reinforcing, in order to maintain the normal image of heaven and earth. In the human body, the rise of liver wood depends on the sufficiency of kidney yang, but also depends on the nourishment of kidney water, so that the dragon can rise and fall. Therefore, it is often used to strengthen the Yang of the spleen and kidney and lower the fire of the pericardium, especially the use of Wu Mei to send but also to receive, to ascend but also to converge, so that the pungent and warming, bitter and sweet tonic fused in one furnace and the momentum to be developed, is really a brilliant! Sixth, the source of clear water can be drunk, water turbidity can not help thirst. The only way to make turbid water drinkable is to heat and distill it so that it becomes clear. type 2 diabetes patients with hyperinsulinemia are like turbid water flooding, although thirsty but not clear water to moisten. The reason why the originally drinkable clear water becomes turbid water is because of the deficiency of spleen and kidney yang qi. The spleen yang deficiency cannot transport water and dampness, and the kidney yang deficiency cannot warm the spleen and earth, so there is no fire in the earth, and heat cannot stay for a long time; secondly, there is no fire at the bottom of the kettle, so it cannot evaporate fluid to present to the mouth and tongue and spread around the body. Therefore, it is necessary to take heavy doses of Gui, Zhen Wu, and Li Zhong to warm the essence of the first and second heaven, so that the Yang of the spleen and kidneys can flourish, and the source can be cleared. This Keqin called: “strong yang to eliminate yin and shade, by flow of dirt to clear the source of water” also. In today’s diabetic patients, the most common manifestations are fatigue and weakness, thirst, easy sweating and coolness, lack of warmth in the hands and feet, unpleasant stools (or dry, or not dry and difficult to come out, or loose), a pale and dull tongue with fat, with teeth marks on the side like a knife, white and smooth tongue coating or even watery, and a sunken and weak pulse. Mostly evidence of spleen and kidney yang deficiency. Spleen qi deficiency is tired, yang deficiency can’t transform the fluid to present the fluid is thirsty, yang deficiency can’t solidify outside, qi deficiency can’t take in fluid so see sweating and cool; yang deficiency can’t steam and transform, qi deficiency can’t spread, fluid can’t moisten the large intestine, or yang deficiency can’t transform qi to nourish yin, yin and fluid is insufficient, large intestine can’t moisten and have unpleasant stools. The dull and fat tongue with teeth marks is the result of Yang deficiency not being able to transform drinks and water-dampness impregnation; the sunken and weak pulse is a typical witness of Yang deficiency in the spleen and kidney. Many patients see what is described in the “Medical Method Roundup”: “green tongue, …… pulse breath without energy”. The treatment is with Zhen Wu Tang, Shen Zi Rizhong Tang, Fu Ling Si Wei Tang, Jin Kui Kidney Qi Wan, etc.