Objective:this study, based on theory of tri-jiao gasification, based onⅢperiod diabetic nephropathy qi and Yin deficiency, stasis turbidity two mutually resistance to the pathogenesis of qi qi, key, use according to law, and the method of dredging to the kiDKDeys and square, through the clinical observations, discuss the treatment of diabetic nephropathy early curative effect, qi to remove blood stasis, dredging method for treatment of provide basis for clinical application DKD.Methods:the selected cases are all derived from the December 2009, until December 2010 heilongjiang university of traditional Chinese medicine subsidiary first hospital renal medicine hospital and clinic patients were selected material complete 60 cases of type 2 diabetic nephropathy qi and Yin III period card to belong to two empty, stasis turbidity mutual resistance type of patients, the principle of using random opening into two groups, to western medicine group based therapy, diabetes mellitus (DM) diet, low salt high-quality protein diet, control blood sugar, blood fat and blood pressure, etc. The treatment group in the control group based on the kiDKDeys from fitting to square. The patients were observed before and after treatment of TCM syndrome change, fasting blood glucose, blood glucose after a meal,2h glycosylated hemoglobin,24h urine albumin excretion rates of trace, blood fat and blood pressure etc indexes to change.Results:①of this law by statistical analysis, the overall efficacy of clinical treatment group and control group with significant difference (P< 0.05). The treatment group in the signs and symptoms improved than in control group (P< 0.05).②two groups of fasting plasma glucose (FBG) and postprandial glucose (PBG), glycated hemoglobin (HbAlc) are down after treatment, the treatment group was better than control (P<0.05).③two groups of TG after treatment, the TC decreased significantly, the treatment group was better than control (P<0.05). Two groups of hdl-c after treatment, the treatment group were significantly increased elevated, compared with controls have significant difference (P<0.05).④the two groups after treating 24h urine albumin excretion rates with UAER) are down (, the treatment group was better than control (P<0.05).⑤two groups of blood pressure after treatment, the treatment group blood pressure decreased significantly, and before treatment, with significant differences between (P< 0.05):and the control group after treatment, a significant difference compared, (P<0.05).Conclusions:①removing method can reduce fundermental dredging DKD patients of traditional Chinese medical syndrome, improve patients' symptoms points.②can reduce the diabetes nephrosis patient III 24h urine albumin excretion period of diabetic nephropathy, slow rate of progress.③can regulate blood sugar and lipid metabolism disorders.④can significantly reduce blood pressure.⑤the method of treatment of qi and Yin DKD two empty stasis turbidity mutual resistance type patients curative effect is distinct, TCM intervention is feasible method DKD. |