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| A case of professor Zhu Zhangzhi′s experience in treating neurogenic bladder of diabetes by using the method of acrid openning and bitter descending |
| LIU Wenhua1 DENG Bin2 ZHU Zhangzhi3 |
1.The First Clinical Medical College, Guangzhou University of Chinese Medicine, Guangdong Province, Guangzhou 510405, China;
2.Department of Cardiology, Shenzhen Bao′an District Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine, Guangdong Province, Shenzhen 518000, China;
3.Department of Endocrinology, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Province, Guangzhou 510405, China |
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Abstract The diabetic neurogenic bladder is one of the chronic complications of diabetes mellitus. Its clinical manifestations mainly include bladder emptying disorder, urinary retention and urinary incontinence, etc., which has a great impact on the quality of life of patients. This paper introduces a case of diabetic neurogenic bladder diagnosed. The main symptoms of the patient are dysuria, dribbling urine, no urgency of urination and urodynia, nocturia for about half an hour, accompanied by abdominal distension, heart irritation, stomach noise, heartburn and other symptoms. The symptoms of the patients were not significantly improved after visiting to several hospitals. Professor Zhu Zhangzhi used the method of acrid openning and bitter descending to regulate the qi-lifting mechanism of spleen and stomach, then warm yang to invigorate the kidney and treat cold and heat. After treatment, the above symptoms basically disappeared. Therefore, the treatment of neurogenic bladder of diabetes should be based on the root of Taiyin, and help Shaoyin and Yuanyang. It can be seen that the concurrent treatment of both cold and heat is effective by the method of acrid openning and bitter descending.
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