J Tradit Chin Med. 2013 Oct;33(5):637-41. doi: 10.1016/s0254-6272(14)60034-0.
To study the features of the distribution and differentiation of Traditional Chinese Medicine (TCM) syndromes in patients with diabetic peripheral neuropathy (DPN).
We collected clinical data on illness course, age, fasting blood glucose, saccharogenic hemoglobin, TCM syndromes, tongue, and pulse of 238 DPN patients. Differentiated main syndromes (Yin deficiency and exuberant heat, invasion of spleen by damp-heat, deficiency of both Qi and Yin, and deficiency of both Yin and Yang) and accompanying syndromes (blood stasis and phlegm-dampness) of diabetes were also recorded. The features of DPN syndromes were then analyzed.
Among the fourmain syndromes of diabetes, deficiency of both Yin and Yang was the most common in the 238DPN patients, of which 89%-96 had blood stasis.
The method of differentiating syndromes of diabetes can be applied to DPN patients. Deficiency of both Yin and Yang, often accompanied by blood stasis, is commonly seen.
研究糖尿病周围神经病变（DPN）患者中医证候的分布和分化特征。
收集 238 例 DPN 患者的病程、年龄、空腹血糖、糖化血红蛋白、中医证候、舌象、脉象等临床资料。记录糖尿病的主要证候（阴虚热盛、湿热内侵、气阴两虚、阴阳两虚）和兼证（血瘀、痰湿）。然后分析 DPN 证候的特点。
在糖尿病的四个主要证候中，238 例 DPN 患者中最常见的是阴阳两虚证，其中 89%-96%有血瘀证。
糖尿病辨证方法可应用于 DPN 患者，常见的是阴阳两虚证，常伴有血瘀证。
