The purpose of the study was to evaluate the clinical effects of the Shenzhu Tiaopi granule (SZTP) combined with a lifestyle intervention in patients with impaired glucose tolerance (IGT), who also had a spleen deficiency and damp overabundance syndrome (SDDOS). After a one-month washout period, a total of 514 patients were randomly assigned to the control (lifestyle intervention) and experimental (SZTP plus lifestyle intervention) groups, with 257 patients in each group. Patients in the control group received the lifestyle intervention (diet and exercise) for 12 months, while the patients in the experimental group were treated with SZTP plus the lifestyle intervention for 12 months. The Traditional Chinese Medicinal (TCM) symptom scores were observed in each group before and after treatment; the conversion rates from IGT to diabetes mellitus (DM) were also measured. Following 12 months of treatment, the conversion rate from IGT to DM in the experimental group was significantly lower than in the control group (8.52% vs. 15.28%, P<0.05). A significantly higher number of patients with IGT reverted to normal blood glucose levels in the experimental group than in the control group (42.15% vs. 32.87%, P<0.05). In addition, after following the treatment for 12 months, the TCM symptoms of patients in the experimental group were markedly alleviated, as compared to the control group (P<0.01). The combination of SZTP and lifestyle intervention showed a reduction in the conversion from IGT to DM, and an increase in the conversion from IGT to normal blood glucose levels.

Cenozoic dolomitization of reefal carbonates has been widely found on many tropical islands worldwide. However, most ages and geochemical data obtained from bulk samples prevent a clear understanding of the previous complex diagenetic processes of these island dolostones due to a lack of in situ age and fluid composition. In this study, one deep borehole penetrated Cenozoic carbonates on Meiji Island in the southern South China Sea and massive dolostones with thicknesses over 400 m were uncovered. The in situ U–Pb geochronology and elemental analysis were conducted on the lower Nanwan Formation (upper Miocene) comprising undolomitized calcite (bioclast), replacive dolomite, and dolomite cement. Strontium isotope ages and U–Pb dates show that the penecontemporaneous replacive dolomitization occurred at 11.0–8.5 Ma, close to the deposition of precursor limestone. The dolomite cement precipitated at 8.5–6.0 Ma. In situ elemental analyses indicate that the formation of replacive dolomite and dolomite cement in the Nanwan Formation was probably controlled by seawater. The higher Mg/Ca ratio and lower Mn and Sr contents in dolomite cements show that their fluid underwent more evaporation. The dolomite content is positively related to the porosity of reefal limestones in the Nanwan Formation, suggesting that primary voids play an important role in fluid transportation during following dolomitization. Coralline algae and lime mud with algal fragments are beneficial for the rapid nucleation of dolomite. This study demonstrates that in situ elemental analysis using laser ablation has great potential for identifying the source of multistage dolomitizing fluids and can help refine the existing dolomitization model of isolated atolls.

The stratigraphic evolution of low-latitude carbonate platforms, highly sensitive to sea-level changes, is often poorly constrained due to limited core data and discontinuous depositional records. This study elucidates the evolution of the Meiji Atoll, a representative low-latitude platform in the southern South China Sea (SCS), since the late Miocene, using the reef-penetrating core (Well NK1) from Nansha Island. By integrating facies analysis, sequence stratigraphy, and geochemical proxies, we identified two third-order sequences (SQ1 and SQ2), each comprising transgressive (TST) and highstand (HST) systems tracts. Geochemical data indicate that TSTs were associated with enhanced upwelling and nutrient availability, fostering algal productivity, while HSTs were marked by subaerial exposure. The overall retrogradational stacking pattern of the atoll reflects a dominant control by long-term sea-level rise, superimposed by eustatic fluctuations. Our findings confirm that eustatic sea-level variations were a primary factor controlling the stratigraphic architecture and development of Cenozoic low-latitude carbonate systems.