Clinical Experience Of Professor Ma Xiaoyan In Treating Diabetic Nephropathy

Diabetic nephropathy is one of the most common and serious chronic complications in the late stage of diabetes,and is also one of the main causes of end stage renal disease.This study summarized the professor Ma Xiaoyan years experience in clinical treatment of diabetic nephropathy, meanwhile consulted、arranged、analysed ancient and modern physicians for the understanding and treatment of diabetic nephropathy.Professor Ma Xiaoyan believes that congenital deficiency and acquired the improper were the main causes of diabetic nephropathy.Diabetes last for a long time, eventually leading to functional disorder of liver, spleen and kidney, pathological product such as dampness, heat, blood stasis interact with each other, its pathogenesis is deficiency in origin and excess in superficiality.Deficiency of kidney qi and yin,deficiency of spleen and kidney, yin deficiency of liver and kidney and deficiency of both yin and yang;Excess in superficiality includes dampness, heat, blood stasis.DN is complicated,deficiency turns into excess,excess transform into deficiency, deficiency and excess interact as both cause and effect,after a long time deficiency can not be recovered,eventually lead to end stage renal disease.In treatment the professor use the holistic concept and treatment based on syndrome differentiation of traditional Chinese medicine to heal diabetic nephropathy from the differentiation of syndrome and classification, purgation and tonification.To I, II stage of DN use TCM "preventive treatment of disease" theory as the basis for preventive measures;On III, IV, V period of DN Chinese medicine intervention treatment can reduce the clinical symptoms, delay the progressive of renal function damage, and clinical effect is remarkable.