Diabetic Nephropathy Study Of TCM Syndrome

BackgroundIn diabetic nephropathy the most common are diabetes mellitus,one of the most serious complications.Statistics have shown that at end-stage renal failure in DN patients accounted for the top,about 36.39 percent,DN will be in developing countries is expected to become chronic renal failure What is the main cause.So far,no modern medicine to the DN effective treatment can prevent its occurrence and deterioration.Chinese medicine in prevention and treatment of diabetic nephropathy and development of delayed renal function deterioration in sexual,has made great progress.TCM clinical syndrome differentiation is the essence of TCM Syndrome contact theory and practice are an important aspect.ObjectiveTo understand Chinese medicine syndromes of diabetic nephropathy profiles, set up a unified traditional Chinese medicine diagnosis,efficacy criteria, so that more standardized differentiation:MethodsIn accordance with diabetes and diabetic nephropathy Western diagnostic criteria,250 cases of select patients with type 2 diabetes as the research object,in line with the diagnostic criteria for diabetic nephropathy patients into A group(a total of 150 cases,one of retrospective analysis of 100 cases). Diagnosis of diabetes in line with Western medicine and the course of 10 years and above have been examined to exclude patients with diabetic nephropathy into the B group(a total of 100 cases,one of retrospective analysis of 60 cases).The development of diabetes(diabetic nephropathy) symptom classification table and tongue to quantify the pulse quantization table,on the selected cases the way to take a survey to complete the questionnaire filled out;selected in each group before the 20 cases of four patients blood line, blood study,serum nitric oxide(NO),endothelin(ET) / NO,T cell subsets of CD4 and CD8 check;by statistical database required to complete set up, data entry,collation and management,and complete the relevant statistical analysis;consultation with industry experts on the dialectical typing the views of the main card,combined with statistical analysis of the results of diabetes(diabetic nephropathy) in syndromes are classified,summarized.ResultIn this study,a total of 200 cases of selected cases,120 cases of patients with diabetic nephropathy,including 15 cases of stageâ…¡,â…¢period of 28 cases,â…£period 61 cases,â…¤period of 16 cases.Clinical symptoms in patients with DN in to burnout fatigue(69.2%),nights and more frequent (60.0%),edema(56.7%) were more.A little more than three symptoms of DM, thirst-hi drinks(35.0%),Easy to hunger,and more food(31.7%),more frequent urination(32.5%),body weight loss(15.0%),while not outstanding performance. Deficiency in accordance with five internal organs to study the diagnostic criteria,patients with DN was found to permit the performance of the main deficiency of the kidney(37.5%),followed by spleen deficiency(19.2%),Weak lungs of the most rare(3.3%).Diabetic nephropathy stageâ…¡,â…¢period,â…£Kidney period are the highest incidence of card(all for 53.3%,39.3%,37.7%),â…¤period with the highest incidence of Spleen Deficiency Syndrome(56.3%). Deficiency of yin and yang,Qi and Blood studies and found that patients with DN yin deficiency still the main performance certificates(32.5%),followed by Qi(20.8%),Yang(8.3%) and Blood(10.0%) Less.Diabetic nephropathy stageâ…¡,â…¢period,â…£certification period the incidence of yin deficiency are the highest(respectively 33.3%,32.1%,32.8%).In accordance with the standard composite deficiency research and found that DN compound to Deficiency of Qi and Yin deficiency in the evidence(36.7%) were found,followed by spleen and kidney Qi deficiency(22.5%),deficiency of Yin and Yang(4.2%) and pulmonary kidney Qi deficiency(5.8%) were less common,diabetic nephropathy stageâ…¡,â…¢period,â…£certification period the incidence of both Qi and Yin deficiency are the highest(each 60.0%,28.6%,37.7%),â…¤period while Spleen and Kidney Qi highest incidence(37.5%).In accordance with the standards of empirical research,found evidence of DN in patients with blood stasis syndrome(50.8%) were found,followed by damp-heat syndrome(27.5%),gas stagnation(6.7%) were less common.Diabetic nephropathy stageâ…¡,â…¢period,â…£period,â…¤ empirical view of the incidence of blood stasis are the highest(each of 46.7%, 57.1%,49.2%,50.0%).ConclusionCard-type characteristics of diabetic nephropathy are mainly the following:five internal organs Deficiency in Kidney Deficiency,Spleen Deficiency Syndrome is more common,followed by a guilty conscience permits, liver and lung Deficiency Deficiency;IN the Qi,Blood,Yin,Yang deficiency, Qi is more common,followed by Blood,Yang;Complex Deficiency of Qi and Yin Deficiency with cards,spleen and kidney Qi deficiency is more common,followed by liver and kidney Yin deficiency;spleen and kidney Yang deficiency;lung and kidney Qi deficiency;Yin and Yang,the two deficiency;In the empirical,blood stasis,damp-heat syndrome is more common,followed by wet cards,card hot, wet muddy card,gas stagnation.Diabetic Nephropathy is a primary deficiency and secondary excess card,If it is deficient,syndrome of deficiency of both Qi and Yin is most commonly seen and the morbid part is the spleen and kidney;If it is excess,blood stasis is the important factor,but it is ordinary to see syndrome of water-damp in terminal Diabetic Nephropathy.It is syndrome of deficiency of both Qi and Yin and Kidney stagnation that the sticking points, of the syndrome of DN.