There is a close bidirectional relationship between type 2 diabetes and sarcopenia. It is known that the spleen and stomach are staying in the center

and play a key role in qi movement including ascending

descending

circuiting and transporting

which lay the foundation for the physiological theory of spleen and stomach to regulate glucose metabolism and skeletal muscle system. Based on the "transfer function of spleen and stomach qi" theory

it is believed that the disturbance of qi movement due to spleen dysfunction is the core pathological mechanism of sarcopenia in type 2 diabetes

and therefore the therapeutic method of regulating spleen and stomach pivot should be implemented. Staged treatment should be performed in accordance with the development of disease; in the early stage when spleen and stomach qi stagnation is predominated

it is recommended to resolve constraint and activate spleen; in the middle stage when spleen deficiency and collateral obstruction is predominated

the method of supporting spleen and unblocking collaterals should be adopted; in the late stage when spleen-kidney depletion and deficiency is mainly manifested

it is suggested to supplementing spleen and consolidating the root.