Professor Wang Mei Spleen Treatment Of Diabetic Nephropathy Experience

Diabetic nephropathy, also known as glomerular sclerosis, is one of the most serious and common chronic complications of diabetes.In Traditional Chinese Medicine ,it is equivalent of"wasting and thirst"or"wasting and thirst"and"edema","Water disease","muddy urine","lumbago","frequent vomiting and dysuria","urine toxin"and other syndromes. Professor Wang thinks that it falls ill from"wasting and thirst". It belongs to the scope of its complication.It is the complication which"wasting and thirst"will be delayed in the course of time or be treated improperly. Although the disease-bit is mainly in kidney, but it is closely related with the spleen. Guiding the clinical prescription by discussing the physiological pathology relations between the spleen and kidney, analyzing the pathogenesis of diabetic nephropathy from the perspective of spleen kidney dysfunction, also by their interaction in the process of the treatment of diabetic nephropathy.Spleen is the pivot of water fluid fluctuation and circulation. Ascending-descending of water fluid depends on the circulation of spleen. Primordial Qi is derived from the congenital essence. Primordial Qi and the congenital essence, which are both stored in the kidney, are ceaselessly supplemented with spleen-Qi deriving the fine vital substances to be abundant. Yang-Qi deficiency of spleen leading to Yang deficiency of kidney, may have difficulty in transports and gasification.Lack of source and disorders of water metabolism may produce a lot of phlegm and stasis .Declining the fire of vital gate and losing warm of spleen, which can not take charge of sending upward the refined substances, will cause the function of digestion and absorption unusually. It also causes the function of transfusion and spread unusually. Professor Wang thinks that diabetic nephropathy is pathologically based on root deficiency and branch excess: root deficiency presents with spleen-kidney insufficiency and branch excess with damp, turbidity, poison, and stasis. Damp-pathogen is the basis among all pathogens. How to dispel the damp-pathogen? Make use of the Bupi Law firstly. Dispelling the damp-pathogen firstly, then turbidity, poison, stasis also can be dispelled. Therefore, in the treatment of diabetic nephropathy treatment should mainly make use of the Bupi Law and then the Bushen Law.In long-term medical practice, Professor Wang has obtained the satisfactory curative effect on diabetic nephropathy's treatment, which is based on effective lowering glucose and blood pressure, and then adjusting the fat on Western Medicine under the principle of treatment mainly make use of the Bupi Law and then the Bushen Law.