The Research Of Cerebral Infarction Of Diabetes Mellitus By Selecting Treatment On Differentiating Syndrome

Diabetes affects all the systems of the body, all the organs can be involved in, even many fatal subsequent syndromes would happen, seriously damages the health of human being . Among all the chronic complications of diabetes, the cerebralvascular disease casuses high disablement and lethality rate, and most of (more than 85%) them are cerebral infarction of diabetes so that how to prevent and cure cerebral infarction of diabetes is the key to reducing disablement and lethality rate of diabetes. The atherosclerosis is the main pathologic change of cerebral infarction of diabetes, but the mechanism is not very clearly at present. The pathogenesis of the disease is closely related to the dysfunction of endodermis of blood vessles, dysfunction of platelet, abnormal hormonal regulation, abnormal fat and lipoprotein metabolism, high blood glucose and nonenzymatic glycosylation of protein, micrangiopathy of diabetes etc of common knows. Until now, there are no great break through in treating the cerebral infarction of diabetes According to the clinic manifestation of cerebral infarction of diabetes, it belongs to the stroke category of TCM, some scholar call it stroke of xiaoke disease. On reviewing the literature of the pathogeny, pathology, clinic research and syndrome evidence of TCM, the author pointed out that the pathogy of cerebral infarction of diabetes is based on the diabetes and ends in stroke. Liver and kidney yin difficiency and blood stasis is the pathology of cerebral infarction of diabetes. The root is difficency and the branch is excess, the Liver and kidney yin difficiency causes he blood stasis, blocks the blood circulation, which causes the stroke so that cultivating yin and activating blood circulation is the important principle of treating cerebral infarction of diabetes. The main syndrome of cerebral infarction ofdiabetes is liver and kidney yin difficiency ,blood stasis in the vessels. Modified Dihuang drink is the effective proved recipe to treat cerebral infarction of diabetes, which was formulated by tutor Xiong manqi after long practise. The priscription was made up of shengdihuang, shanyurou, shihu, maidong, heshouwu, jixueteng, taoren, dilong, xiqiancao and shichangpu. It functions to nourish the liver and kidney, activate blood circulation .Treating cerebral infarction of diabetes in clinic by the priscription always bring us good effect. 60 cases were classified randomly into nourishing yin and activating blood circulation group (n=30) which was treated bymodified Dihuang drink and mailuoning injection, tonifng qi and activating blood circulation group (n~30) which was dealt with buyanghuanwu decoction and huangqi injection. The results showed that:There are various symptoms and complicated syndromes in cerebral infarction of diabetes, the pathology is excess of disease factor and deficiency of vigor.The method of nourishing yin and activating blood circulation can obvious decrease the clinic neural function harm accumulated cents, and clinic symptoms cents of cerebral infarction of diabetes, the effect is very good. It can also decrease the liniosis blood glucose, limosis insulin level and insulin sensi...