GUI Dingkun's experience in treating diabetic kidney disease by the therapy of tonifying Qi,nourshing Yin and activating blood
Diabetic nephropathy,one of the causes of end-stage renal disease,is a chronic disease characterized by progressive decline in proteinuria and glomerular filtration rate.TCM believes that diabetic nephropathy is a syndrome of Xiaoke(消渴),edema,turbid urine and Guan'ge(关格).The course of the disease is long,and the main characteristics of this disease are root deficiency and excessive superficiality,but the main responsibility is based on the deficiency of healthy Qi(气),and the solid turbidity and obscurity such as dampness,turbidity,stasis,and poison are the external symptoms,and it is emphasized that the deficiency of Qi and Yin(阴)and blood stasis run through the whole disease.This article introduces Chief Physician GUI Dingkun's experience in the treatment of diabetic nephropathy by the therapy of tonifying Qi,nourshing Yin and achivating blood.Teacher GUI believes that the Qi of spleen and kidney are mutually regenerated and nourished by each other,and if the spleen is not healthy,the kidney essence is not hidden,and instability of kidney-Qi.In terms of the treatment of this disease,it is emphasized to invigorate Qi of spleen and kidney,and nourish Yin of liver and kidney.Huangqi(Radix Astragali),Huangjing(Rhizoma Polygonati)and other nourishing Qi and Yin medicines should be used emphatically to strengthen the spleen and kidneys,nourish Yin and solidify essence,so that the healthy Qi is stored in the body,pathogenic Qi have on way to invade the body.Due to long-term of diabetic kidney disease,stasis and solid evil block the meridians,and hinder the Qi of the viscera,we should strengthen the application of the therapy of activating blood to resolve stasis on the basis of syndrome differentiation,and Sanqi(Radix Notoginseng)and so on can be used to remove blood stasis of the kidney and meridians.In clinical treatment,on the basis of the therapy of tonifying Qi,nourshing Yin and achivating blood,according to the different symptoms of each stage of the disease,such as increased creatinine,proteinuria,edema and other symptoms,the method of syndrome differentiation and treatment of TCM should be used for taking into account treating both superficial symptoms and root causes.The above methods can reduce the symptoms of patients,reduce proteinuria,delay the progression of kidney function failure in patients with diabetic nephropathy,and improve the quality of life of patients.Two medical cases are attached to verify the clinical efficacy of the therapy of tonifying Qi,nourshing Yin and achivating blood on diabetic nephropathy.
Diabetic kidney diseaseThe therapy of tonifying Qi,nourshing Yin and achivating bloodClinical experience