A case of Academician Tong Xiaolin delaying the progression of type 1 diabetic nephropathy
As type 1 diabetic nephropathy can progress rapidly due to its high initial blood glucose,its treatment usually focuses on controlling blood sugar and proteinuria to slow down the progression of kidney damage.Academician Tong Xiaolin categorizes the etiology and pathogenesis of diabetic nephropathy into"deficiency,stasis,and turbidity",where deficiency is an initiating factor,while stasis is a constant manifestation throughout the course,and turbidity is the ultimate outcome,highlighting that"stasis"permeates the entire course of diabetic nephropathy,and the disease should be treated by"unblocking collaterals throughout the entire course".After being diagnosed with Stage Ⅲ diabetic nephropathy in 2017,the patient regularly visited Academician Tong Xiaolin's clinic.From November 2020 to the present,the patient's 24-hour urinary protein has remained stable below 100 mg/24h,without rising to the abnormal level again.During the treatment,Academician Tong Xiaolin adjusted prescriptions according to the changes in the patient's condition,and relieved microvascular damage by benefiting qi,promoting blood circulation,and removing obstruction in collaterals.The paper presents a summary of the medical case,hoping to provide some insights into the treatment of type 1 diabetic nephropathy.
diabetic nephropathybenefiting qi,promoting blood circulation,and removing obstruction in collateralsleechTong Xiaolin