中西医结合治疗糖尿病肾病（Treatment of diabetic nephropathy with combination of traditional Chinese medicine and Western Medicine）.docVIP

中西医结合治疗糖尿病肾病（Treatment of diabetic nephropathy with combination of traditional Chinese medicine and Western Medicine） Treatment of diabetic nephropathy with combination of traditional Chinese medicine and Western Medicine Update Date: 2009-06-15 click: Zhi Guo Zhao Keywords: diabetic nephropathy;; integrative medicine; two Cenling Decoction; tangshiping 3 1 clinical information There were 9 males and 7 females in the 16 cases. The age ranged from 43 to 71 years. All patients with type II diabetes diagnosis standard of WHO, has more than 5 years of history of diabetes, and with varying degrees of proteinuria, edema, renal insufficiency, hypertension, retinopathy and peripheral neuropathy, blood rheology examination showed a high level of clay. TCM believes that the pathogenesis of diabetic nephropathy (DN) is the syndrome of deficiency and sthenia of the kidney, which belongs to the category of edema and asthenia. 2 treatment 2.1 general treatment First of all, maintain a good mental state, pay attention to work and rest, and give high quality low protein diet. 2.2 western medicine treatment Quickly control blood sugar, blood pressure, adjust water, electrolyte and acid-base balance. The sugar lowering can be adjusted by 30mg to 60mg/ times, and 2 times by /d. With the use of insulin therapy for severe hypertension; Yi Lin available 2 /d; 5mg, hypoproteinemia, oliguria and edema of the albumin given intravenously, and the application of equilibrium liquid and other symptomatic treatment. 2.3 Chinese medicine treatment With Shen Ling two Decoction decoction, decoction of ginseng (or American ginseng), ganoderma, astragalus, rhubarb, yam, Cornus, rehmannia, leech, safflower, Danshen, Poria, Alisma, licorice and other appropriate. 1 doses of /d, decoct with water. The course of 1 months to 2 months, according to the degree of improvement in symptoms, and blood glucose, urine glucose, blood urea nitrogen, serum creatinine, serum albumin and other clinical indicators, a c