The diabetes, type-1 diabetes, is the almost, I think young kids’ diabetes. ..But most time with treatment, used the Traditional Chinese Medicine, the type-2 diabetes is more successful. Okay, type-2 diabetes, this is because the problem with your body that cause blood glucose level to this high. Okay, they’re normal. This is also we called hyperglycemia. Type-2 diabetes is the most common form of diabetes. If you have the type-2 diabetes, as your body does not use insulin properly, this is called insulin resistance. As the first, your pancreas makes extra insulin to make up for it, but over time, isn’t able to keep it up and can’t… But it can’t forever, to make the enough insulin to keep your blood glucose at normal levels. So this is the diabetes the, for example, generally introducing.

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Hi, welcome to the class. My name is Julie Zhu. I’m a faculty member of Five Branches University. I am very honored to be invited to give you guys a brief talk about traditional Chinese medicine for Diabetes.

00:00 Speaker 1: Okay, everyone, we’re going to get started. Thank you for joining us. In case you don’t know what webinar you’re at, you’re at the webinar TCM for Diabetes here at Five Branches University with Professor Julie Zhu. Really quick, just a reminder, this Saturday, March 19th, we’re going to be having an event at our San Jose campus called Experience Studying Traditional Chinese Medicine. So, basically, what you do is you come and you join us this Saturday, and you get to learn what it’s like to be a student here at Five Branches University.

01:27 S1: She’s a graduate of Shanghai University of traditional Chinese medicine and pharmacology. So she has nearly 30 years of experience treating a variety of diseases with acupunctures and Chinese herbs, and she specializes in women’s health and pain management.

[background conversation]

01:54 S1: So, just for everyone’s knowledge, this is the sixth webinar of our TCM webinar series. In this series, we look into how TCM can help many of the diseases that Americans face today. So please join us to learn more. Our next webinar will be in April, and that is TCM for Dermatology. And after that, in May, we will have a very interesting webinar, TCM for Cancer Therapy. So just a little information about our webinar, our webinars go from 5:00 to 6:00 PM, and the agenda is basically me introducing the webinar and the professor, and then the professor giving her lecture. And after the lecture, we’ll have a short poll, and then you can ask the professor any questions you may have. And really quick, just to remind you, any questions you have for the professor in the lecture, please ask them in the “Go to webinar” pop-up in the questions portion, and we’ll get them to the professor for you. Alright, thank you so much for joining. Here’s Professor Julie Zhu, and we hope you enjoy it.

[background conversation]

03:10 Julie Zhu: Hello. Good evening, everybody. I’m Dr. Zhu. Actually we’re discussing today, we have the discussion, the topic is diabetes. What’s the diabetes? I think everybody knows what diabetes is. The diabetes is known as the very common disease in this world. Actually, diabetes, we can just divide it; type-1 and type-2.

[background conversation]

04:01 JZ: As everybody knows, the diabetes, type-1 diabetes, is the almost, I think young kids’ diabetes. It is usually diagnosed in the children and the young adult. Only have the 5% of the people with diabetes have this form of this disease. In type-1 diabetes, this is because the body does not produce the insulin, and then the body breakdown the sugar and the starch, you eat into a simple sugar called glucose, which it is used for energy. Insulin is a hormone that the body needs to get glucose from the blood stream into the cells of the body. With the help of the insulin therapy and other treatments, even young children can learn to manage their condition and live longer, and healthy livers. This is what we discuss in the diabetes type-1.

05:33 JZ: But most time with treatment, used the TCM, the type-2 diabetes is more successful. Okay, type-2 diabetes, this is because the problem with your body that cause blood glucose level to this high. Okay, they’re normal. This is also we called hyperglycemia. Type-2 diabetes is the most common form of diabetes. If you have the type-2 diabetes, as your body does not use insulin properly, this is called insulin resistance. As the first, your pancreas makes extra insulin to make up for it, but over time, isn’t able to keep it up and can’t… But it can’t forever, to make the enough insulin to keep your blood glucose at normal levels. So this is the diabetes the, for example, generally introducing.

07:30 JZ: Okay, from the TCM, so as you read from the TCM, we treated diabetes long time already, almost 1,000 of year. From TCM, we’re always discussing the diabetes that has the principle pathogenesis of the yin deficiency. What’s the yin deficiency? The yin deficiency, that means the body have the internal heat; the more heat inside that damage the yin deficiency. Actually, diabetes is attributed to the yin deficiency and proper diet. Proper diet, that means eat something, too much sugar, too much protein, too much fat, and sometimes the patients have very emotional disorder. The emotional disorder will relate to the liver. So liver for the body is very important. It involves the digestion. If some people live very stressful, the emotional and the anxiety, they affected spleen, makes spleen weaker.

08:51 JZ: So make digesting just like lower. It’s just another, I think the causes. And the other is over-strain. That means overstressed people work so hard, even the physical and psychological. So they work so hard, they always damage some related to the liver and the spleen and the kidney. So this is the another reason. Other reason is excessive activity. This also damages the kidney. Damaging kidney, this means most, with the kidney your whole life, the immune system is for the body. So if a kidney deficiency, we also consider the yin deficiency and the excess deficiency and the Qi deficiency, even the yang deficiency. So this come from the body. So from the TCM, we consider the diabetes always damaged. They’re related to the lung and the stomach and the kidney.

[pause]

10:33 JZ: Yeah, they’re related to the lung. Actually, the lung is the major organ in Upper Jiao. In the TCM, we call it Upper Jiao, that manifests as the patient’s always very thirsty, very dry mouth, and they want to drink lots of water, and if they drink lots of water, they still feel very thirsty. So that means, we call the “lung yin deficiency”, lots of internal heat in the lung, so the people always feel thirsty and dry mouth. Okay, that’s… We can discuss in the lung. Okay, lung is the very important organ involved in diabetes. Other is the stomach, stomach, as everybody know, so we consider stomach is Middle Jiao. Middle Jiao, that means they involve lots of the digestion, with the liver and the spleen and the gallbladder.

11:50 JZ: So if you eat something like too much sugars or too much of the fats, too much protein, they’re always, they make internal heat in the stomach, so this means what the patients always want to eat, always wants to eat. They’re always hungry, they always just like to eat, some like a fruit. So that means the patients, they’re not using the insulin properly, because too over. So we also consider this, that was… There’s heat in the stomach. When the food is not distributed lung, the stomach and the kidney were suffering from the secondary yin deficiency. As the secondary yin deficiency, we used to consider from the lung and from the stomach, we also talked about very lots of heat in the stomach, so make the people wants to eat all the time.

13:22 JZ: Then they affect the kidney. The kidney is the root of diabetes. The kidney, we know is the root of the diabetes. And the kidney, the same like the… The balance give enough energy inside, and essence inside, and the blood inside, and the Qi inside. So the basic, they’re very normal to digest the… The TCM weaken so that they involve to the urination. So the people, if they have diabetes, they always frequently went to the urine, and with the urine, have to tube it inside. That is weakened because the kidney have something, deficiency inside. And also kidney yin is the foundation, that has supply the food for the internal body. Once the kidney yin deficient, is yin deficiency, lung and the stomach yin will not have their source, and eventually become deficiency too.

15:02 JZ: So diabetes, we always consider the three organs is very important for this disease, lung, stomach and the kidney. The main pathogenesis lie in yin. We always consume. Consumption of the yin food leads to the dryness and the dryness heat in the body. The dryness of heat in the body, that means the body have no enough water. So with yin deficiency as the principle aspect, and the dryness heat as the secondary aspect. And often with the presence of the blood stasis from retention, that means with the patients if they have diabetes, their blood sugar very high, and make the blood very thick and thinner. So this means make the blood circulation more slowly, slowly.

16:31 JZ: Okay, this is another, is the worst thing of the diabetes, have the pathogenesis like in the yin deficiency and the blood stasis from the retention. So from retention, that’s in the blood very just sticky and hard to make the circulation, so slower. So lots of something happened. For example, lots of people if they have diabetes, they have the easy heart attack and stroke, because the blood is thinner or very sticky. If the patients have diabetes, they long, prolong the yin deficiency, impair the yang. That mean yang. Yang is in the body we consider because the energy. This will result in the deficiency of both yin and the yang, as well as the deficiency of both Qi and the yin.

17:37 JZ: So from the TCM, we always consider blood, have the Qi and the blood, they are both very important materials in your body. Another is the yin and the yang. From the TCM also, we always consider, discuss the yin and the yang. Yin is your body food. Yang is your body energy. If they lost the balance, that’s something happened for like diabetes, for the peoples can’t digest very well, that will happen. Okay. We’ll continue discussing the diabetes. The symptoms, what’s the symptoms for diabetes? This we know. Often, that has no symptoms in the beginning, early stage. They just like a patient say, “I have very good appetite. I eat very well. I like to eat.” But sometimes, maybe you can just like, if you eat too much, you always hungry, you always just wanna eat. Okay, this you can…

19:04 JZ: I think let’s think about this. Maybe you have the pre-diabetes, or maybe just the borderline diabetes. Yes, often. But sometimes no symptoms at early stage, just, yeah, normal. If the patient has symptoms of always being thirsty, the thirsty means that, if we drink lots of cold water, hot water, you’re still thirsty, and that means the signs you have the diabetes. Another is hungry. The people always hungry, always want to eat, always maybe eat lunch at 12:00, but after 1:00, I find I’m hungry again. That means, yeah, you think this you will have the diabetes, something wrong inside. Other is the patient’s frequent urination. The frequent urination just like we always relate to the kidney. We say kidney Qi. You suck your urination, they hold urination.

20:16 JZ: If the kidney Qi deficiency, so the peoples going to the urines very often, and very, just like long and very clear, that means the patient have the diabetes. Some peoples go to urination one day, most five times, especially night time, they have often, three times, four times at night. This is abnormal. The patient, they will consider you have something wrong inside. The most we consider, diabetes. Even the patients they eat lot, they drink lot, they still feel very tired, very tiredness. This is another symptoms. If young people, they will always feel very tired. When you wake up, still feels tired. Okay. Actually, young people they have lots of energy. If people have very tiredness, that means you have to think this is diabetes.

21:24 JZ: Other symptoms, just in the patients even eat lot, even drink lot, they still lost lots of weight. In other words, some people is, yeah, diabetes, they lost lots of weight. It’s not very good. And at the late stage, the people also feels something like very itchy in the body, the skin very itchy. And some people is numbness or some people the blur vision, they see no very clear. And the skin numbness and especially in the toes numbness. So we also consider some people have the diabetes. This diabetes can be find any age. But young age, some start very carefully because of type-1. But it most, more come in mid-age and older people. It’s the middle age and the older people. From the TCM, the diabetes we consider just… We discussing already, huh?

22:51 JZ: And the diabetes, we always consider yin deficiency. Yin deficiency include the lung, stomach, and kidney. Another is because the lung-related, or the spleen-related, stomach-related, kidney, so this means lung also involved in metabolism and the urination. The lung is very important for… In the TCM, they will send the Qi going to the downwards. So some people urination too much because we consider the lung is weak. Weak, that means they have the yin deficiency or Qi deficiency. They’re related. This is the lung. And improper diet, what’s it mean, improper diet? People eat too much sugar, too much sweet food, and they were related to diabetes, too much the sugar retention in the body, so the diabetes will happen. That’s one is…

24:08 JZ: Another is the people get older, the endocrine and the insulin is not enough to start digesting the sugar, so also then get diabetes. Other was the emotional disorder, emotional disorder, that means the patient, for example, has too much worry, too much stress, too much anxiety, too much… They work so hard from the work or some… That will also affect the digestion. If the patient this time eat too much of the sugar like chocolate, like some candy or some candy and desserts, they make the stress lay down but eat too much sugars also. Then from the TCM, we consider they relate to the diabetes. And over-strain, we discussed already, over-strain just means…

25:21 JZ: Some people are very just like labor, they work so hard, they use the body so long work, so they will make the diabetes, it’s too much of the work. And the excess sexual activity, this is the most that we consider men, the mid age in the men, they always work so hard and they would support family. So, if this time too much the sexual activity, they always make kidney deficiency. Kidney deficiency, as we said, kidney deficiency most time, if they have the deficiency they have to make urination frequently. So, people always go to bathroom often, so they lost lots of water in their body and it make the kidney yin deficiency.

[background conversation]

27:19 JZ: Okay, diabetes in the TCM classification… Okay. And I think there’s lots of people in the beginning, they find, maybe they find they didn’t… Because in the beginning they have no symptoms. When they find, maybe the patient get long time already. So, this insufficient yin fails to the support function of yang, that means they lost the balance, yin and the yang balance. So, this result the yang become deficiency, and the deficiency of both yin and yang. So, most of we consider if the patient, if the imbalance of the yin and the yang, there are lots of issues happened and more complicated, very complicated, and it involved multiple organ symptoms. So, diabetes with multiple organ symptoms like lung, stomach, and the liver, and the spleen, and the kidney.

28:38 JZ: These organ, most, there’s zang organs we call zang organ involved. The TCM we have the zang and the fu. Zang includes the lung, liver, spleen, and heart, and the kidney. Fu organ will involve like large intestine, small intestine, and bladder, and the gallbladder, and also we call involved the San Jiao that means, we discussed before and Upper Jiao and Middle Jiao and the Low Jiao. The three Jiao, this is like a river ,they’re involved in digestion and they are involved in urination. So, that make peoples, I think this therefore, very simple, we discussed in the diabetes, and then the treatment, the treatment for diabetes from the TCM, we use the needle and we use the herbs, the needling…

29:56 JZ: Actually we do the acupoint, acupuncture point. We put this channel, for the lung channel, and spleen channel, and stomach channel, and the kidney channel. This put in this channel, we adjusted the yin and yang, we can reduce heat from the lung. And a stronger stomach and help you digestion. And nourish the kidney, yin and yang, we’ll make balance. So this we have lots points. For example, we have the lung 7 and the lung 5, and the last point, maybe after you learn, you know this. And the formula, we have lots of formula, actually for diabetes. For the formula, we have Xiao Ke Wan and some, you know, lots there. Actually, most the herbs we used very well. For example, like Huang Qi, Tian Hua Fen, some last herbs, it’s very good for diabetes.

[background conversation]

31:26 S1: Alright, everyone. Really quick, we’re just gonna have you guys participate in a poll. Once again, if you have any questions for the professor, please feel free to ask in the questions portion of the “Go to meeting” pop-up, “Go to webinar” pop-up on the side of your screen.

31:44 JZ: It’s question.

31:44 S1: Alright. The first question, Professor, comes from Judy, and, “Can TCM help heal diabetes if the patient has been using insulin for many years?”

31:57 JZ: Actually, the TCM, the herbs, and the acupuncture, we can reduce the problem from diabetes. Some people, for example, they eat too much, we can use the needle, less eat. And some people have the neuropathy or some pain, we can reduce the stimulation of the point, we can less pain. And…

32:33 S1: And so her question is, can TCM help heal diabetes if the patient has been on insulin for many years?

32:43 JZ: Many years? How many years?

32:47 S1: Julie… Judy, if you’re listening, how many years has the patient been on insulin?

[pause]

[background conversation]

33:09 Speaker 3: About six to seven years.

33:10 S1: Okay. About six to seven years.

33:11 JZ: Oh, six and seven years?

33:14 S1: Yeah.

33:14 JZ: But you’re diagnosed by doctors type-1 and type-2?

33:21 S1: Judy, if you’re listening, is it type-1 or type-2 diabetes?

33:27 S3: Type-2.

33:28 S1: Type-2.

33:28 JZ: Oh, type-2?

33:30 S1: She’s been on insulin for six or seven years of type-2 diabetes.

33:34 JZ: But most time with the type-2, we don’t use the insulin. What’s going on? I need detail, some information.

33:45 S3: What’s your suggestion?

33:46 S1: Yeah, just what your suggestion is.

33:47 JZ: I suggest maybe… Yeah, this, I think is why use the type, the insulin. Sometimes type-2, we don’t use the insulin, but you also, the diabetes only six or seven years, it’s no longer, right?

34:04 S1: No, I don’t think so.

34:06 JZ: Yeah, it’s not there longer, but how it is? I can ask you a question? How old is you?

34:12 S1: Oh, yes. So Judy, how old are you? If you don’t mind us asking.

[pause]

34:22 S1: While she’s answering, there was another question. What are the actual meds/herbs for diabetes? Peter is asking.

34:36 JZ: Oh, just herbs?

34:37 S1: Yeah, okay.

34:38 JZ: We have lots the herbs, but what’s kind of? Most time we just support the Qi, so we use Huang Qi. Another we use is the Tian Hua Fen, Huang Qi and some herbs we just like Shou Wu. Actually, we have lots of herbs, depend on what’s the symptoms. So basic, the formula, we use the Liu Wei Di Huang Wan, but we take off the Shu Di, I think it’s the sweet.

35:13 S1: Oh, okay. So, Peter says he has type-2 diabetes for 25 years, and he’s taking Metformin and Januvia.

35:30 JZ: Uh-huh. It’s good.

35:32 S1: So I guess he’s asking what kind of herbs would help for that.

35:36 JZ: Yeah, the herbs support you. I think you have the symptoms; very dry mouth, right? They support you, make you more moist and more saliva in the mouth.

35:47 S1: Yes. He says he has dry mouth.

35:48 JZ: Yeah, very dry mouth. Some herbs, like we have the Mi Men Dong So most make you more saliva inside.

36:03 S1: Okay. So, he says he drinks, on average, a gallon of water a day.

36:08 JZ: Water, yeah. So urination a lot, always go to the bathroom, right?

36:14 S1: Probably.

36:14 JZ: Yeah.

36:15 S1: Do you recommend that he come here to get treatment and herbs? [chuckle]

36:18 JZ: It’s very far, but you can try. I think we have the Xiao Ke Wan. That actually is very good for diabetes, so supplement.

36:31 S1: Okay.

36:31 JZ: Yeah, we have Xiao Ke Wan. It’s very good. I use a lot for the diabetes patient. It’s very good result.

36:40 S1: So, Peter, if you’re listening, you should come get a treatment here.

[laughter]

36:45 JZ: Where he live? It’s very far. I don’t know.

[chuckle]

36:49 S1: Okay. So Yoshi asks, “Hi, Professor. Would you please explain more about zang and fu, and how do they influence diabetes?”

37:00 JZ: Yeah. Well, with TCM, we’re very, very concerned about zang and fu, right? Zang is we have the lung, heart, and spleen, liver, and the kidney. Fu, we… That means zang, we use the more stronger. Stronger is better. The fu, this means like large intestine, small intestine, the gallbladder and the bladder, some… We need to reduce lot, so this is two different. Zang is yin, fu is yang. Yang more work, zang is more like serves energy. Yang will reduce, reduce something. Fu, more in the digestion, we use a lot. Fu, you can’t too much. Zang, we need much. It’s different.

37:56 S1: Okay. So, A. Chung asked, “Is there a cure for pre-diabetes through diet, good sleep, and minimized stress?”

38:12 JZ: That’s pre-diabetes. I think it’s the most time…

38:16 S1: This is the new question. Sorry.

38:17 JZ: New question?

38:18 S1: Yeah.

38:18 JZ: Oh okay. Yeah. Pre-diabetes. Some people, diabetes is not yet. I think it’s… You have proper digestion, it’s very good, and the less stress. Stress level less means happier lot, okay? No necessary, take the pills, right?

38:37 S1: Okay.

38:37 JZ: And then some Chinese, the medical… There’s herbs, so I think make your stress level less like Xiao Yao San some appetite. And also help with digestion, we use lots of the Bao He Wan

39:04 S1: He’s also asking if the first two slides are available for review. I’ll go and put those up. Hope that helps. Okay. So, Madeline asked, “Is it okay to eat simple sugar, like sweet potatoes?”

39:21 JZ: Oh, sweet potato. [chuckle] Yeah, simple sugar, sweet potato. But I think the less, the better. It’s not too much. Everything you want, eat, just not too much. Okay.

39:36 S1: Alright. So, back to Judy’s first question. So she’s asking… This was the one asking if the patient who’s been using insulin for a few years, she has type-2 diabetes, she’s an older woman in her 60s who eventually used insulin. She has frequent urination and body pain. And so, I guess her question would be, how can TCM help that?

40:06 JZ: Yeah, TCM, just like body pain, I think the acupuncture much better.

40:10 S1: Acupuncture?

40:10 JZ: Yeah, acupuncture’s much better for stop the… Less pain, less.

40:20 S1: And she can hear you, too. So if you have any advice for her…

40:24 JZ: Yeah, I think acupuncture is very good for less pain. Some people is the… Because the blood circulation’s very slow, so make pain everywhere. So we can put a needle on the, just like a few point, very important point. The pain, make the blood circulation very stronger to push the blood circulation. The pain will be less. Yeah, so, actually in here we treat a lot of patients that have diabetes for the pain manage and for like neuropathy or something.

41:11 S1: Okay. So Judy, I hope that helped you for your mother. Are there any other questions from you guys? Now’s the time to ask the professor.

[pause]

41:27 S1: Judy says, “Thank you”.

41:29 JZ: You’re welcome.

[chuckle]

[pause]

41:41 S1: Alright, you guys. If there’s any more questions, we have a few more minutes before the webinar is over, so please ask them.

[pause]

42:13 S1: Okay. Peter asks, “Would Huang Qi and Tian Hua Fen be used in conjunction with Western meds, Januvia and metformin?”

42:24 JZ: No. I think the way you use the western medication, I think this Huang Qi and Tian Hua Fen you can use at the same time.

42:33 S1: You can use it at the same time?

42:34 JZ: Yeah, you can use it. It’s okay.

42:37 S1: And, how do you treat thirst when the client doesn’t want to drink water, too much phlegm?

42:48 JZ: Lots of phlegm, huh? Actually we have lots of point that we can choose to reduce the phlegm. In lung 7 and the stomach 40, for this phlegm and the spleen 9. And also we have lots of, the herbs like a Chen Pi, Ban Xia this all relieve the phlegm, even We have lots of the formula, like Fu Ling all the phlegm Er Chen Tang but this will also relieve the phlegm a lot. It’s good. It’s very good.

43:42 S1: What age range do we consider as middle age in TCM, Professor? [chuckle] I don’t…

43:48 JZ: Middle age? What’s that?

43:50 S1: Age range, like how old you are?

43:52 JZ: Me? I’m old…

43:55 S1: No, no, no, okay, that’s a weird question. What points reduce pain?

44:01 JZ: The point, we always use the He Sea point like, okay, GB34, stomach 36 and UB40, and some Luo connecting points, because there’s a lot of dampness or heat inside that we use the Luo connecting point or we use the spleen point, that will reduce. It’s very good. For heat, internal heat, we always use the spleen point like, I think it’s lung 10, heart 8, and the spleen 2, and the liver 2, and the kidney 2 also, as the spleen point is very good to reduce the heat and tonify internal deficiency, yin deficiency.

45:08 S1: Okay. So, A. Chung asks, “What’s the definition of diabetes? And is a blood test really needed to diagnose diabetes?”

45:21 JZ: Yeah. From the this TCM, I think we just have to know lab test. We just depend on patient’s symptoms. If the patient is like extra thirsty, always drinks water, and then you’ll look at the tongue and the pulse. The tongue of the patient who drinks a lot of water, the tongue is still very red, and it’s more, and this means you can consider the patient have diabetes. A long time ago, with diabetes, we always think it is a Xiao Ke shock. This Chinese TCM Xias means always, the patients even drink a lot and eat a lot, they still have, very skinny, no gain weight, this is Ke means they’re always thirsty, always thirsty.

46:19 S1: Oh, okay. She says, “Thanks.” Alright. Okay. Alright. Thanks, you guys, so much for all your questions. I hope we’ve answered everyone’s questions, and we will see you guys back here for the next webinar, TCM for Dermatology. So thank you so much, Professor, for answering everyone’s questions, and we’ll see you guys later.

46:50 JZ: You’re welcome. Thank you everybody. [chuckle] You’re welcome.

00:34 S1: We’re going to hold an acupuncture treatment and diagnosis. You get to see a student panel, which means you get to hear what our students have to say about us. And you get to learn about our new program, which is a first professional Doctorate program, which means at the end, you get both a Doctor and Master of Traditional Chinese Medicine degree. And I just wanna thank you all for joining us so much, and we’ll go ahead and get started. So, good evening, everyone. Thanks for joining in. Welcome to the webinar TCM for Diabetes with Professor Julie Zhu. Today, we’ll have a little introduction by myself and the webinar series, and then we’ll have an introduction also about the professor, and then we’ll begin the lecture, TCM for Diabetes. So a little bit about Julie Zhu, she’s a graduate of…