There is no concept of "pancreas" in ancient Chinese medicine books. It was not until the late Republic of China that Chinese medicine paid attention to the pancreas. But ancient Chinese medicine had already done dissection, so why didn’t they notice it?

The physiological anatomical location of the pancreas is behind the stomach, and the head of the pancreas is connected to the duodenum, so the ancients included it in the small intestine. The current study of the significance of the pancreas is due to the trouble brought to us by the pancreatic islet. However, this way of thinking is obviously contrary to the traditional thoughts and theories of traditional Chinese medicine. It is difficult to be recognized by most traditional Chinese medicine doctors. It is also a territory that modern Chinese medicine practitioners dare not set foot in for fear of deviating. Ancient saying.

Diabetes is a disease category proposed by Western medicine very early. Its general symptoms are similar to those of diabetes in traditional Chinese medicine. Typical medical records are based on three more and one less. However, in the vast majority of medical records in recent years, there are almost no symptoms of "three excesses and one deficiency". Currently, some Chinese medicine practitioners explain that "three excesses and one deficiency" is a summary of the combination of upper, middle and lower diseases, and does not appear in a single medical record. ’ I personally think this argument is a bit far-fetched. According to my statistics, less than 20% have one or two typical symptoms, and about 60%-80% have no clear conscious symptoms (most people are detected during physical examinations, and are diagnosed after a period of observation, forming the diagnostic criteria for diabetes) , Let’s not discuss whether the current diagnostic criteria for diabetes are reasonable. As far as this group is concerned, the current treatment effect is very disappointing. (Excluding factors such as those liar doctors and fake medicines) Neither Western medicine nor traditional Chinese medicine has made breakthrough progress, and the current treatment of Western medicine basically only focuses on lowering blood sugar indicators. This type of patients will have a new round of symptoms after long-term medication. No one cares about endocrine disorders and damage to liver and kidney function. In formal and traditional Chinese medicine hospitals, the treatment method is completely based on syndrome differentiation and the traditional theoretical guidance of three eliminations, and there are some results, but the statistical effect is obviously discrete. However, many TCM specialty outpatient clinics adopt standardized prescriptions and treatment principles, but the effects are greatly reduced. It is true that many treatments can indeed relieve symptoms, improve indicators, and can even be discontinued for a period of time, but overall there is neither a substantial clinical breakthrough nor a complete theoretical breakthrough.

Here, can I boldly ask a question: Regarding the concept of 'blood sugar', is the three-match theory correct? Is high blood sugar the diabetes in traditional Chinese medicine? I personally disagree.

It should be noted that the concept of diabetes in traditional Chinese medicine should include some of the current diabetic patients, but it does not use blood sugar as the standard, but the symptoms and syndrome types of diabetes as the standard. We can use the traditional three elimination theory to treat this group that conforms to the concept of thirst elimination in traditional Chinese medicine, which will not be discussed below. And other diabetic patients who are only identified by blood sugar indicators may not fall into the category of diabetes.

Since the concept of "blood sugar" in Western medicine is quoted, the concept of "insulin-islets-pancreas" in Western medicine will be used. From this, a series of questions arise. How does Chinese medicine treat the pancreas and islets? What is its traditional Chinese medicine function in the body? What are its likes and dislikes? How does it relate to the whole? What traditional theories of Chinese medicine can we learn from?

I would like to introduce some ideas here, so that knowledgeable people can discuss it together.