Summary. Kobayashi, Professor Of Experience In The Treatment Of Diabetic Neuropathy

DN (diabetes neuropathy) is one of the most common chronic complications of Diabetes. It concludes DPN (diabetes peripheral neuropathy) and DAN (diabetic autonomic neuropathy) . At present, the pathogenesy of diabetes neuropathy can't be explained satisfied, so there is no causal treatment in west medicine. Small sample clinical observation shows TCM can solve this problem effectively. Therefore, it is worth doing research in TCM's treatment for diabetes neuropathy. This thesis is do some investigation and thinking in theory with the purpose of preparing for clinical research.Studied clinical documents of DPN and DAN, I get a conclusion: Using TCM to treat DPN can receive obvious effect. Too many TCM types of syndrome and too many different formulas are reported using in DPN's treatment, it's hard to handle in clinical practice. I think using Chinese medicine under the TCM theory is the way to cure DPN in future. we need do research to choose the most widely-use and the most effective formula. We have already get a lot of successful results in the research of using TCM to treat DAN in the latest years.But It still has its loclization,espetially in diabetic perspiration dysfunction and Skin temperature anomaly of DM.My advisor Pro. Tong xiaolin receives favourable therapeutic effect in treating DPN by TCM. He gets his own experiences from years clinical practice. As a student, I studied and reviewed TCM theory, then sorted my advisor's experiences in treating DPN. He values promote circulation of qi and the blood,harmonize the ying system and dredge collaterals,and he empasises warm the merisians and dredge the collaterals,warm yang and expel cold.he is good at internal treatment and external treatment.Besides,he also empasis to control the Blood Glucose first and activate blood circulation to remove blood stasis.After learned from documents, analyze advisor's experiences, I found my advisor uses Huangqi Guizhi Wu Wu Tang and Da Wutou Jian to treat DPN, gets favourable therapeutic effect. I think this formula is the one we want. If use it to do clinical research, we can get good result. I make a summary for this formula, including its characters and using method.My advisor Pro. Tong xiaolin use the Superiority of the determination of treatment based on differentiation of symptoms and signs to treat DAN,He Proposed that collateral obstruction is the most important etiology and pathogenesis of DAN.He empasis to activate blood circulation to remove blood stasis all the time. After learned from documents, analyze advisor's experiences, I found my advisor uses Danggui Liu Huang Tang to teat diabetic perspiration dysfunction,and Shengyang Sanhuo Tang to treat Skin temperature anomaly of DM, gets favourable therapeutic effect. I think this formula is the one we want. If use it to do clinical research, we can get good result. I make a summary for this formula, including its characters and using method.