Thursday, August 17, 2017

Treatment of diabetic nephropathy with Chinese Medicine

Diabetic nephropathy (DN) is a common microvascular complication of diabetes mellitus. In the gradual development of kidney damage, visible diffuse and nodular glomerulosclerosis, and associated with these pathological changes of edema, proteinuria, hypertension and other clinical manifestations, finally lead to renal failure. At present, there are about 150 million diabetic patients around the world, and there are nearly 20 million people in our country, among which type I accounts for 10% and type II accounts for 90%. About 35% of diabetic nephropathy occurred in type I, while about 25% occurred in type ii. It has been reported that diabetic nephropathy has become the leading cause of end-stage renal disease (ESRD). 30% of dialysis patients in the United States come from diabetic nephropathy, and about 1 / 5 of patients are diabetic nephropathy. A study in Beijing shows that diabetes is 7 times more likely to develop kidney disease and uremia than non diabetics. Diabetes 1020 years later, about half will have renal failure. Therefore, the diagnosis and treatment of diabetic nephropathy should be paid enough attention to.
The diagnosis of diabetes should pay attention to the following points: 1. The diagnosis of longer duration of diabetes (10-15 years) microangiopathy and / or other organs (such as diabetes, fundus changes, peripheral neuritis, cardiomyopathy, coronary heart disease and arteriosclerosis etc.); the continuous proteinuria > 0.5g/d and except for hypertension and other kidney diseases; rate determination help in the early diagnosis of the discharged urinary albumin, urine protein; the clinical features with nephritis or nephrotic syndrome, advanced renal failure: the renal pathological examination (glomerular basement membrane thickening, mesangial matrix proliferation, nodular glomerulosclerosis, hyaline degeneration, ball and afferent glomerular capsule droplets have changed) to diagnose.
Diabetic nephropathy (DN) is a common microvascular complication of diabetes mellitus. In the gradual development of kidney damage, visible diffuse and nodular glomerulosclerosis, and associated with these pathological changes of edema, proteinuria, hypertension and other clinical manifestations, finally lead to renal failure. At present, there are about 150 million diabetic patients around the world, and there are nearly 20 million people in our country, among which type I accounts for 10% and type II accounts for 90%. About 35% of diabetic nephropathy occurred in type I, while about 25% occurred in type ii. It has been reported that diabetic nephropathy has become the leading cause of end-stage renal disease (ESRD). 30% of dialysis patients in the United States come from diabetic nephropathy, and about 1 / 5 of patients are diabetic nephropathy. A study in Beijing shows that diabetes is 7 times more likely to develop kidney disease and uremia than non diabetics. Diabetes 1020 years later, about half will have renal failure. Therefore, the diagnosis and treatment of diabetic nephropathy should be paid enough attention to.
The diagnosis of diabetes should pay attention to the following points: 1. The diagnosis of longer duration of diabetes (10-15 years) microangiopathy and / or other organs (such as diabetes, fundus changes, peripheral neuritis, cardiomyopathy, coronary heart disease and arteriosclerosis etc.); the continuous proteinuria > 0.5g/d and except for hypertension and other kidney diseases; rate determination help in the early diagnosis of the discharged urinary albumin, urine protein; the clinical features with nephritis or nephrotic syndrome, advanced renal failure: the renal pathological examination (glomerular basement membrane thickening, mesangial matrix proliferation, nodular glomerulosclerosis, hyaline degeneration, ball and afferent glomerular capsule droplets have changed) to diagnose.
Diabetic nephropathy (DN) is a common microvascular complication of diabetes mellitus. In the gradual development of kidney damage, visible diffuse and nodular glomerulosclerosis, and associated with these pathological changes of edema, proteinuria, hypertension and other clinical manifestations, finally lead to renal failure. At present, there are about 150 million diabetic patients around the world, and there are nearly 20 million people in our country, among which type I accounts for 10% and type II accounts for 90%. About 35% of diabetic nephropathy occurred in type I, while about 25% occurred in type ii. It has been reported that diabetic nephropathy has become the leading cause of end-stage renal disease (ESRD). 30% of dialysis patients in the United States come from diabetic nephropathy, and about 1 / 5 of patients are diabetic nephropathy. A study in Beijing shows that diabetes is 7 times more likely to develop kidney disease and uremia than non diabetics. Diabetes 1020 years later, about half will have renal failure. Therefore, the diagnosis and treatment of diabetic nephropathy should be paid enough attention to.
The diagnosis of diabetes should pay attention to the following points: 1. The diagnosis of longer duration of diabetes (10-15 years) microangiopathy and / or other organs (such as diabetes, fundus changes, peripheral neuritis, cardiomyopathy, coronary heart disease and arteriosclerosis etc.); the continuous proteinuria > 0.5g/d and except for hypertension and other kidney diseases; rate determination help in the early diagnosis of the discharged urinary albumin, urine protein; the clinical features with nephritis or nephrotic syndrome, advanced renal failure: the renal pathological examination (glomerular basement membrane thickening, mesangial matrix proliferation, nodular glomerulosclerosis, hyaline degeneration, ball and afferent glomerular capsule droplets have changed) to diagnose.
Chinese medicine believes that the lack of endowment form of the disease, Zang Jing deficiency, yin deficiency and dryness; overeatingfeigan, wine Atsumi, in heat accumulation; hurt too emotional, not the degree of anger, violence and sexual life, yin deficiency of false consumption, fluid loss, so that the fluid loss. Hot piansheng, the lung is hot smoked burning, can compress the body fluid so that the water straight down, with the urine excreted, so thirsty and urine; spleen and stomach injury is hot, excessiveness, spleen yin deficiency, spleen stomach heat dissipation Valley, will not be able to transfer water subtle, that thirsty to drink, eat easy to hunger, sweet urine; kidney injury is hot, so that the water loss of the fire burnt, suffering organs, heart and lung, polydipsia, burning in the spleen and stomach polyorexia, under the disturbance that consolidation has no right to shut kidney, subtle spillover is more urine and sweet or as thick grease. Long Yin hurt gas, gas and gas Yin and Yang damage two losses, the clinical syndrome of deficiency of yin and yang two; in the course of each due to deficiency caused by the pathological machine, such as gas injury leads to weak spleen and stomach Yang right renal closed closed arrhythmia, Sanjiao sluices dereliction of duty, so that the water wet cohesion caused by edema, fullness, turbid urine such certificate; or because of yin deficiency and blood less sticky, Qi blood deficiency and blood coagulation is slow, cold and wet water stop product, disease and blood lead, blood stasis, and limb meridians are sluggish, kidney collateral stasis or cerebral veins etc. to each disease lesion; late because of viscera deficiency, kidney function to decline, loss of opening and closing and turbid pathogen cohesion, the loss of transport of the spleen and kidney to lift against the chaos, fatigue, poisoning, drowning off the grid and other critical diseases. In the different stages of its occurrence and development, the location of the disease is related to the five zang organs, but mainly in the lungs, spleen and kidneys, while the three is the kidney, and the kidney is the most important.
There is no specific treatment for diabetic nephropathy. Therefore, the early diagnosis and early treatment of diabetes, control blood sugar, prevent diabetic nephropathy, Professor Ye attaches importance to clinical. Once the urine routine detection of protein, its kidney damage has been irreversible, so in the diabetes phase III before, if you can strictly control blood sugar and control hypertension, etc., can slow down its development rate, or even reverse the disease.
Chinese medicine believes that the lack of endowment form of the disease, Zang Jing deficiency, yin deficiency and dryness; overeatingfeigan, wine Atsumi, in heat accumulation; hurt too emotional, not the degree of anger, violence and sexual life, yin deficiency of false consumption, fluid loss, so that the fluid loss. Hot piansheng, the lung is hot smoked burning, can compress the body fluid so that the water straight down, with the urine excreted, so thirsty and urine; spleen and stomach injury is hot, excessiveness, spleen yin deficiency, spleen stomach heat dissipation Valley, will not be able to transfer water subtle, that thirsty to drink, eat easy to hunger, sweet urine; kidney injury is hot, so that the water loss of the fire burnt, suffering organs, heart and lung, polydipsia, burning in the spleen and stomach polyorexia, under the disturbance that consolidation has no right to shut kidney, subtle spillover is more urine and sweet or as thick grease. Long Yin hurt gas, gas and gas Yin and Yang damage two losses, the clinical syndrome of deficiency of yin and yang two; in the course of each due to deficiency caused by the pathological machine, such as gas injury leads to weak spleen and stomach Yang right renal closed closed arrhythmia, Sanjiao sluices dereliction of duty, so that the water wet cohesion caused by edema, fullness, turbid urine such certificate; or because of yin deficiency and blood less sticky, Qi blood deficiency and blood coagulation is slow, cold and wet water stop product, disease and blood lead, blood stasis, and limb meridians are sluggish, kidney collateral stasis or cerebral veins etc. to each disease lesion; late because of viscera deficiency, kidney function to decline, loss of opening and closing and turbid pathogen cohesion, the loss of transport of the spleen and kidney to lift against the chaos, fatigue, poisoning, drowning off the grid and other critical diseases. In the different stages of its occurrence and development, the location of the disease is related to the five zang organs, but mainly in the lungs, spleen and kidneys, while the three is the kidney, and the kidney is the most important.
There is no specific treatment for diabetic nephropathy. Therefore, the early diagnosis and early treatment of diabetes, control blood sugar, prevent diabetic nephropathy, Professor Ye attaches importance to clinical. Once the urine routine detection of protein, its kidney damage has been irreversible, so in the diabetes phase III before, if you can strictly control blood sugar and control hypertension, etc., can slow down its development rate, or even reverse the disease.
Chinese medicine believes that the lack of endowment form of the disease, Zang Jing deficiency, yin deficiency and dryness; overeatingfeigan, wine Atsumi, in heat accumulation; hurt too emotional, not the degree of anger, violence and sexual life, yin deficiency of false consumption, fluid loss, so that the fluid loss. Hot piansheng, the lung is hot smoked burning, can compress the body fluid so that the water straight down, with the urine excreted, so thirsty and urine; spleen and stomach injury is hot, excessiveness, spleen yin deficiency, spleen stomach heat dissipation Valley, will not be able to transfer water subtle, that thirsty to drink, eat easy to hunger, sweet urine; kidney injury is hot, so that the water loss of the fire burnt, suffering organs, heart and lung, polydipsia, burning in the spleen and stomach polyorexia, under the disturbance that consolidation has no right to shut kidney, subtle spillover is more urine and sweet or as thick grease. Long Yin hurt gas, gas and gas Yin and Yang damage two losses, the clinical syndrome of deficiency of yin and yang two; in the course of each due to deficiency caused by the pathological machine, such as gas injury leads to weak spleen and stomach Yang right renal closed closed arrhythmia, Sanjiao sluices dereliction of duty, so that the water wet cohesion caused by edema, fullness, turbid urine such certificate; or because of yin deficiency and blood less sticky, Qi blood deficiency and blood coagulation is slow, cold and wet water stop product, disease and blood lead, blood stasis, and limb meridians are sluggish, kidney collateral stasis or cerebral veins etc. to each disease lesion; late because of viscera deficiency, kidney function to decline, loss of opening and closing and turbid pathogen cohesion, the loss of transport of the spleen and kidney to lift against the chaos, fatigue, poisoning, drowning off the grid and other critical diseases. In the different stages of its occurrence and development, the location of the disease is related to the five zang organs, but mainly in the lungs, spleen and kidneys, while the three is the kidney, and the kidney is the most important.
There is no specific treatment for diabetic nephropathy. Therefore, the early diagnosis and early treatment of diabetes, control blood sugar, prevent diabetic nephropathy, Professor Ye attaches importance to clinical. Once the urine routine detection of protein, its kidney damage has been irreversible, so in the diabetes phase III before, if you can strictly control blood sugar and control hypertension, etc., can slow down its development rate, or even reverse the disease.


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