Some time ago, I had a patient here, a 40-year-old man. Current symptoms: fatigue, backache, no dry mouth and desire to drink, no polyuria, one stool per day. The tongue is dull, thin and yellow, and the veins are stringy.
Laboratory report: glycosylated hemoglobin 81%, fasting blood glucose 1012 mmol l, urinalysis: urine protein (++ previous diabetes history for 3 years.
The diagnosis was low back pain, which was characterized by spleen and kidney deficiency, kidney deficiency and blood stasis.
Raw Astragalus, Salvia, Red Peony, Chuanxiong, Dandelion, Lost Sauce Grass, Triangular, Yizhiren, Seed, Psoralen, Oyster, Atractylodes, Atractylodes, Atractylodes, Dendrobium, Kuding Tea, Digupi.
Second diagnosis: fatigue, backache reduction, fasting blood glucose 64mmol l postprandial blood sugar 84mmol/l；Urinalysis: (-24h urine protein quantification: 0.)58g, defender**.
Third diagnosis: disappearance of backache, naco, no evidence of polydipsia and polyphagia, urine protein quantification: 038g。Since follow-up, his condition has been stable.
He said to me excitedly, "I didn't expect Chinese medicine to treat diabetic nephropathy!"”
MostlyLong-term overeating of fat, sweet, thick and greasy, damage to the spleen and stomach, loss of spleen health, loss of stomach harmony, heat accumulation in the middle of the coke, elimination of grain and consumption of food and thirst.
The spleen and stomach are damaged, the heat is injured, the fluid is insufficient, and the viscera and meridians are lost in nourishmentIf the kidneys are affected, the spleen and kidney are deficient, and if the spleen is deficient, the subtle substances cannot be sublimated, and the blood sugar will rise.
Western medicine believes that diabetic nephropathy is mainly due to high blood sugar in the body. Long-term hyperglycemia in diabetic patients can cause microangiopathy, which can lead to damage to the blood vessels in the kidneys.
What are the main measures of Western medicine?
Since the blood sugar is too high, it is good to use anti-sugar drugs to lower blood sugar, after the anti-sugar drugs are used, the blood sugar seems to be lowered, but the edema and proteinuria caused by diabetic nephropathy still exist. In other words, the problem is not fundamentally solved.
Traditional Chinese medicine ** diabetic nephropathy really doesn't have too many advantages.
Patients with early diabetic nephropathy have proteinuria, no obvious edema, and normal renal function
Therefore,**Mainly to reduce urine protein, taking into account water dilution and swelling.
In the middle stage, proteinuria and edema were coexisted, but the edema was more obvious
Therefore,** When it is mainly to reduce swelling with water, and reduce urine protein.
Patients with advanced stage develop renal failure, which progresses to the threshold stage with nausea and vomiting as the main symptoms
**It mainly regulates the spleen and stomach to stop its vomiting, and takes into account diuresis and swelling.
After 20 years of illness, every time I see someone criticizing Chinese medicine, I feel very uncomfortable, I just want to say:It's not that Chinese medicine has declined, but that the sword bearers of Chinese medicine themselves have declined. In my opinion, a doctor who does not take a penny from a patient and helps patients solve their problems is a good doctor.