Li Peixu Chief Physician Experience Treating Diabetic Nephropathy

[Objective] The treatment of diabetic nephropathy by collating tutor Li Peixu chief physician experience, using computer to collect statistics tutor in nearly three years into the standard treatment of diabetic nephropathy based medical research Li Peixu chief physician to treat diabetic nephropathy by academic experience, in order to deepen the understanding of the traditional Chinese medicine treatment of diabetic nephropathy, to inheritance develop mentor treatment of diabetic nephropathy academic ideas and valuable experience, to guide clinical practice better.[Methods] In the long term follow mentor Li Peixu chief physician outpatient clinical copy party, based on the tutor in nearly three years, has been relatively complete treatment of diabetic nephropathy medical record comprehensive collecting, sorting, and in strict accordance with the diagnostic criteria, inclusion criteria, exclusion criteria for selection, will conform to the standard of 45 cases of outpatient medical record total of 345 clinical times, establish a WORD patient database, using EXAL and SPASS statistical analysis, the induction summary.[Results] 45 cases in the medical record,33 cases are male,12 cases are women, the biggest patients age is 81, the minimum is 33, with an average age of 56.91 years. Patients in the age distribution,50 to 59,60 to 69 age group outpatient diabetes nephropathy patients, a total of 21 cases,50 to 59 (46.67%),60 to 69 years old, a total of 12 cases (26.67%). TCM disease frequency> 60% of diabetes, and edema, frequency> 20% of the new stomach disease and heart palpitations, frequency> 10% for vertigo disease and low back pain. Diabetic nephropathy TCM disease frequency> 60% of diabetes, and edema are closely related to fluid metabolism, kidney water is dirty, spleen to transport water, demonstrates the diabetic nephropathy is closely related to spleen and kidney.45 cases of patients with diabetic nephropathy, western medicine of disease frequency> 30% of patients with diabetic nephropathy in the chronic renal failure, and the results accord with the DN today dialysis in the western developed countries first in the primary disease. In addition, western medicine of disease statistics of hypertension, coronary heart disease, hyperlipidemia and cerebral infarction, etc to reflect the diabetes complications such as heart, brain, kidney and blood vessels, the results are consistent with the understanding of the current. Main clinical symptoms frequency> 70% for edema, physical fatigue and dry mouth, major clinical symptoms frequency> 40% for lumbar acid trapped and nocturia more, major clinical symptoms frequency of 20% or more for gastric new shu, palpitations shu and the bosom is frowsty, major clinical symptoms frequency of 10% or higher for dim vision, low back pain and dizziness. Frequency of pathogenesis in> 40% of the water stay wet, collaterals and spleen kidney Yang deficiency and blood stasis resistance, pathogenesis frequency> 20% of angry Yin weak and turbidity toxin embodiment, frequency of pathogenesis> 10% of the deficiency of the winding resistance and hot and humid poison accumulate. In the existing 348 diagnosis, drug use frequency of> 50% of poria cocos, alisma, glabrous greenbrier rhizome, ze LAN, dried ginger, drug use frequency of 40% or more are ginseng, cinnamon, angelica, radix paeoniae alba, radix paeoniae rubra, radix ophiopogonis, atractylodes, monkshood, gynostemma, eucommia bark, astragalus membranaceus, drug use frequency of> 30% of the stigma, rhubarb, amomum villosum, drug use frequency of> 20% of grifola, rhodiola, codonopsis, radix rehmanniae, Fried pinellia rhizoma atractylodis, ageratum, method, main licorice, lotus leaf, cortex phellodendri, coke hawthorn, earthworm. Illness or aggravating factors induced frequency> 20% for withdrawal, frequency> 10% for a cold infection, poor diet and uncertain factors.45 cases of patients with diabetic nephropathy, treatment of Chinese medicine effective up to 73.3%.[Conclusion]1.DN and diabetes, and closely related to edema disease of TCM, in addition to the new stomach, heart palpitations, dizziness and low back pain.2. the DN is closely related to spleen and kidney, involving the zang-fu organs such as heart, liver, stomach, lung.3. DN to spleen and kidney Yang deficiency, and stay wet, collaterals blood stasis resistance basic pathogenesis is given priority to, and saw that weak gas Yin deficiency, qi deficiency, liver and kidney Yin deficiency, turbidity toxin implication, hot and humid poison accumulate, toxic heat intrinsic, etc.4. drug withdrawal is the immediate cause of DN illness, poor diet and fatigue and other uncertain factors are DN condition even worse again and again.5. DN TCM treatment efficiency reached 73.3%, have clinical significance.