Clinical Effect Observation Of TCM Syndrome Differentiation Treatment On The Diatetic Peripheral Neuropathy

Purpose:This topic chooses the diabetes patients according to inclusive criteria the Diatetic Peripheral Neuropathy on foundation of many clinical cases observation.At the same time,we classify the patients to differentiation types of TCM with the symptoms,the tongue presentation and pulse manifestation,and establish western medicine comparison group.We observes the patients around the treatment the main symptom improvement situation and the alteration of blood glucose,thus to confirm Chinese medicine distinguishes effects a permanent cure this sickness validity,security and the Chinese medicine superiority,and initially discusses its treatment mechanism,thus instructs clinically,the active control blood glucose,delays the illness complication to occur and improves the quality of life.Methods:During the period of March,2007 to 2008 year in December,we collect 114 examples that suffers the Diatetic Peripheral Neuropathy,divide into the Chinese native medicine treatment group and the western medicine comparison group.The Chinese native medicine treatment group chooses 95 examples patients, carries on the Chinese medicine different classification.There were 23 patients in yang deficiency and cold cohesion,20 patients in Blood blocking the Meridian,19 patients in weakness of the spleen and sputum blocking the Meridian,17 patients in Rheumatoid blocking the Meridian,16 patients in damp heat blocking the Meridian.This 95 examples patient keeps the diabetes foundation treatment(diet,movement and oral hypoglycemic drugs and so on), separately gives the Chinese native medicine treatment according to different classification,and must advantage the group 19 examples comparisons with western medicine Mecobalamin tablet.Around according to treats is connected the result to carry on the analysis around,treats the curative effect result, the main symptom improvement situation and Neural Electrophysiology compared with during each group,and observes the alteration of the baseline blood glucose,blood glucose of 2 hours after dietary,HbA1c and so on.Results:After each group of symptoms integral,the baseline blood glucose,blood glucose of 2 hours after dietary,HbA1c and Neural Electrophysiology we separately carry on around the treatment and comparisons of each group.Result shows that on the clinical curative effect,the groups of yang deficiency and cold cohesion,Blood blocking the Meridian and damp heat blocking the Meridian are superior to the group of western medicine(P＜0.05),but there are not significant differenc among the groups of the spleen and sputum Mocking the Meridian,Rheumatoid blocking the Meridian and the western medicine(P＞0.05).Fasting blood glucose after each group of therapy dreases before therapy, the groups of damp heat blocking the Meridian and Blood blocking the Meridian are better than the group of western medicine,also is most remarkable by the curative effect of yang deficiency and cold cohesion group.Among the control situation of blood glucose of 2 hours after dietary,the effects of the groups of yang deficiency and cold cohesion are better than the group of western medicine.Among each group of HbA1c,the treatment of yang deficiency and cold cohesion group obviously surpasses the western medicine comparison group.Around before the contrast treatment the symptom integral situation,after the Chinese native medicine various cards group treats the integral comparatively to treat reduces,clinical symptom improvement.The western medicine group except Fatigue,Thirsty,Polyuria,the rest symptom also has improved.Between the Chinese native medicine various cards group and the western medicine comparison group,we discover that in the symptom improvement of anaesthesia,the groups of yang deficiency and cold cohesion and Blood blocking the Meridian obviously surpasse the western medicine group (P＜0.01).In the symptom improvement of limb pain,the group of despression of yang deficiency and cold cohesion and damp heat blocking the Meridian are better than the western medicine group(P＜0.05).In the symptom improvement of limb paresthesia,the groups of yang deficiency and cold cohesion,Rheumatoid blocking the Meridian and damp heat blocking the Meridian are superior to the western medicine group(P＜0.05).In the symptom improvement of Fatigue,the group of yang deficiency and cold cohesion,Rheumatoid blocking,damp heat blocking the Meridian and Blood blocking the Meridian is better than the western medicine group(P＜0.05).There are no significiant difference on the improvement of Thirsty and Polyuria(P＞0.05).Conclusion: The clinical curative effect is accurate through the Chinese medicine of observing the syndrome to treat the Diatetic Peripheral Neuropathy.And we makes a follow-up visit that discovery not to be easy to recur.Therefore it can improve the symptom,assist the active control blood sugar,reduce the blood glucose fluctuation,delay the illness complication the occurrence,improve patient's survival quality.