Many people always believe that seeing is believing and hearing is not believing. Today, Dr. Tan Feng mainly gives you some real cases about the recovery of diabetic nephropathy, and also hopes that patients have a deep understanding and feeling in real cases. The patient had a history of diabetes for more than ten years, during which he irregularly took hypoglycemic drugs. Six months ago, he developed lower limb swelling and lumbar weakness, and was examined at the local hospital: renal function: urea nitrogen 14.1 mmol/L, blood creatinine 340.3 umol/L, urine routine: urine protein 3+, urine sugar +, occult blood +. One week after hospitalization, the symptoms were relieved, and after discharge, he was given Bering capsule, urotoxicant, and doxycycline, etc. One month ago, he developed urinary hyposmia, swelling of lower limbs, peripheral weakness, and abdominal distension. On June 7, 2014, he was referred to Beijing Dongcheng Hospital of Traditional Chinese Medicine for consultation and treatment by Director Suo Yufen, a nephrologist. Initial diagnosis: presenting with bilateral lower limb swelling, lumbar weakness, dry mouth, bad breath, little food, stool 3-4 days/time, constipation, frequent nocturnal urination, dark tongue, angry purple veins under the tongue, slightly fat tongue with teeth marks on the side, little moss, left pulse is weak and right pulse is sunken and smooth. Blood pressure 170/90mmhg, urine protein 3+, hemoglobin 71g/L, carbon dioxide binding capacity 17mmol/L. Renal function: blood creatinine 489umol/L, blood urea nitrogen 26mmol/L. Western medicine diagnosis: diabetic nephropathy, chronic renal failure, renal hypertension. TCM diagnosis: dampness, toxicity and stagnation, deficiency of spleen and kidney TCM treatment: activating blood circulation, removing toxicity and stasis, and also tonifying the spleen and kidney to warm the yang. Second diagnosis: July 10, 2014. After 30 doses of medicine, stool 1 time/day, appetite and spirit improved, general body stronger than before, dry mouth, bad breath, abdominal distension eliminated, still with lumbar acidity, nocturnal urination 2-3 times, greatly reduced from before. The pulse is sunken and slippery. Urine routine: urine protein +, occult blood (-), urea nitrogen 14.8 mmol/L, creatinine 191 umol/L. Blood pressure: 130/80 mmhg. Chinese medicine evidence: dampness and toxicity stagnation, blood stasis and mutual junction, deficiency and mixed reality. TCM treatment: tonifying the spleen and kidney, dipping dampness, detoxifying and activating blood. Third diagnosis: September 2, 2014. After taking 45 doses, all symptoms were removed, blood pressure was 120/80 mmhg. urine protein +, hemoglobin 96 g/L, renal function: blood creatinine 134 umol/L, blood urea nitrogen 8.5 mmol/L, carbon dioxide binding capacity 23 mmol/L. TCM evidence: activate blood stasis, benefit essence and nourish blood, support the root. The formula: add and subtract with chicken kidney ginseng, snake kidney and Epimedium, etc., and take 72 doses with water decoction to consolidate the efficacy. Follow-up: Two months later, the urinary routine was repeated, hemoglobin was 115g/L, blood creatinine was 104umol/L, blood urea nitrogen was 7.5mmol/L, carbon dioxide binding capacity was 26mmol/L, mental and physical strength were as normal. He was cured of the disease. Dr. Tan Feng, chief nephrologist, analyzed the case: the essence of diabetic nephropathy is the dysfunction of the lung, spleen and kidney, and the deficiency of qi-transformation of the three jiao, especially the deficiency of the spleen and kidney, in clinical manifestations are mainly proteinuria, occult blood, hypertension, increased blood creatinine, urea nitrogen, accompanied by lumbar weakness, edema, loss of appetite and other symptoms, the root of the spleen deficiency is the deficiency of transport and transformation, kidney deficiency is not conducive to qi-transformation, the accumulation of turbidity in the body can not The root of the problem is that the spleen is deficient in transportation, the kidney is deficient in Qi transformation, and the turbidity is not allowed to be released in the body. Chinese medicine says that dampness is sticky and not easy to go quickly, so it often recurs clinically and is quite tangled up in treatment. This disease varies in its treatment because of individual differences, and in addition to the identification and treatment, the main thing is to treat the symptoms in an urgent manner and to treat the root cause in a slow manner. We promote in the fine tuning slow nourishment, in many cases whether you suffer from a very serious physical disease, must be quiet, with the treatment of the attending doctor, adjust the mentality, in order not to get twice the result with half the effort!