Diabetic Nephropathy III, IV Syndrome And Tongue Diagnosis

Objectives:By observing the tongue diagnosis conclusion patients with diabetic nephropathy?,? period and specificity,for clinical diagnosis and treatment based on syndrome differentiation of TCM,prognosis,so as to provide basis and help,such as improving the disease syndrome differentiation of TCM tongue diagnosis through technology.Methods:Observation from April 2016 to December 2016 in the diagnosis of diabetic nephropathy ?,? period of outpatient and inpatient,patient gender,age,no limit.Cases diagnosed with reference to the practical medicine,diagnostic criteria for diabetic nephropathy.Of traditional Chinese medicine with reference to 2002 published by the state drug administration of the Chinese traditional medicine new medicine clinical research guiding principles.Quasi observation of 50 cases above every period.Tongue observation including the patient's tongue,tongue,tongue,moss color color,tongue.Outpatient and inpatient for observation and sampling in natural light.Pulse condition and the main symptoms of the patients were at the same time record.Results:1?Diabetic nephropathy disease ?,? period syndrome type distribution characteristics:DN ? phase gas Yin deficiency of highest frequency 24 cases(48%),the second respectively,14 cases(28%)of spleen and kidney deficiency syndrome,Yin scorching the 12 cases(24%),Yin deficiency syndrome 0 cases(0%);DN IV midterm spleen and kidney deficiency syndrome appear most times 25 cases(50%),followed by qi and Yin deficiency of 18 cases(36%),Yin deficiency syndrome in 5 cases(10%),Yin scorching card in 2 cases(4.0%).2.diabetic nephropathy tongue color distributionDN ? reddish tongue 8(16%),20 cases(40%),red tongue,dark red tongue of 17 cases(34%),5 cases(10%),crimson tongue DN IV reddish tongue 9 cases(18%),the red tongue in 13(26%),26(52%),dark red tongue,purple tongue in 2 cases(4%).Stage diabetic nephropathy ? tongue color red,therefore,the highest frequency,to reduce to dark red tongue(16%)(34%),reddish tongue,purple tongue(10%).Diabetic nephropathy IV period in patients with tongue color to dark red tongue appear most frequently(52%),red tongue gradually decreased to(26%),reddish tongue(18%),tongue(4%).Stage diabetic nephropathy IV in diabetic nephropathy ? gradually evolved,DN ? period of qi and Yin deficiency,qi deficiency of the disease in the lungs more,a more in the spleen and kidney Yin deficiency of the disease,long qi deficiency blood perform poorly,stagnation in the veins,long for stasis;Yin day long cremation dry,hot evil burnt burning JingXie,breeds and blood stasis,so the DN ? stage gradually developed into IV stage in the process,the proof of blood stasis increase gradually,thus ? period more than tongue color dark red tongue.3.Diabetic nephropathy moss color distribution:DN ? period thin thick moss proportion is large,thin moss 31 cases(73%),thick moss 28 cases(27%).Greasy moss relatively dry moss,larger scale greasy moss 30 cases(60%),dry moss 20 cases(40%);DN ? period mainly thin thick moss frequency is high,thin moss 26 cases(52%),thick moss 23 cases(46%);Proportion of greasy moss relatively dry moss,greasy moss 34 cases(68%),dry moss 16 cases(32%).Diabetic nephropathy ?,? disease mainly in the spleen kidney,the kidney is the foundation of the innate,can promote the gasification of the viscera,the postnatal spleen,provide the body with subtle substances,and nourish the viscera,spleen and kidney mutually promote mutual aid,the body's ability to plenty of cultivating spleen and kidney is the body have insufficient,so much as the thin moss;,spleen can transport liquid water,pure material,the kidneys to sleep,can promote metabolism of body fluid,spleen and kidney deficiency,for a long time,is the body of water wet evil difficult to discharge,accumulate accumulate in the body,so the coating on the tongue is greasy moss.Conclusions:1?Diabetic nephropathy ? period mainly gas Yin deficiency as the main clinical manifestation,disease of diabetic nephropathy IV period mainly spleen and kidney deficiency as the main clinical manifestations.2.Diabetic nephropathy ? phase of tongue color is given priority to with red tongue,diabetic nephropathy is given priority to with dark red tongue disease IV period.3?Diabetic nephropathy ? period moss color is given priority to with yellow moss,diabetic nephropathy IV period mainly for white moss.4.Diabetic nephropathy ?,? period are thin,greasy moss...