To explore the therapeutic effect of Shenxiao Yuning Decoction on albuminuria and the improvement of traditional Chinese medicine syndrome in patients with stage III diabetic kidney disease with Qi and Yin deficiency and blood stasis syndrome.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
60
Astragalus 30g, Radix Pseudostellariae 15g, Rehmannia glutinosa 15g, Rhodiola rosea 12g,Cimicifuga 15g,Cuttlebone 15g,Poria 15g,Cicada degeneration 9g,Rheum palmatum 6g.
(i) Diabetes education: all study participants were given dietary guidance for diabetic nephropathy, low-fat, high-quality, low-protein diet, and restricted sodium intake; maintain emotional stability, quit smoking and alcohol, and exercise appropriately; (ii) control of blood glucose: all study participants routinely received hypoglycaemic treatment, hypoglycaemic measures are not limited (including oral hypoglycaemic drugs or insulin injection); (iii) Control of lipids: study participants with substandard lipids routinely receive lipid-lowering treatment; (iv) Control of blood pressure: those with blood pressure \>140/90 mmHg should be treated with antihypertensive drugs to control blood pressure, and antihypertensive measures are not limited (CCB class, ACEI or ARB class, α, β-blockers, diuretics, etc.); ⑤ Other symptomatic treatment.
The First Affiliated Hospital of Shandong First Medical University
Jinan, Shandong, China
Effective rate
Clinical control: Urine routine examination of urine protein qualitative turn negative, ACR normal. Apparent effect: ACR reduction ≥50%. Effective: ACR reduction ≥15%, but less than ≥50%. Ineffective No improvement in clinical manifestations and laboratory parameters.
Time frame: 0 week,4 weeks
Urinary α1-MG
Charge patients for random urine measurements Urinary α1-MG
Time frame: 0 week,4 weeks
Urinary β2-MG
Collect random urine measurements from patients Urinary β2-MG
Time frame: 0 week,4 weeks
Scr
Collect the patient's fasting blood to measure Scr
Time frame: 0 week,4 weeks
BUN
Collect the patient's fasting blood to measure BUN
Time frame: 0 week,4 weeks
uric acid
Collect the patient's fasting blood to measure uric acid
Time frame: 0 week,4 weeks
Cys-C
Collect the patient's fasting blood to measure Cys-C
Time frame: 0 week,4 weeks
fasting plasma glucose
Collect the patient's fasting blood to measure fasting plasma glucose
Time frame: 0 week,4 weeks
HbA1c
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Collect the patient's fasting blood to measure HbA1c
Time frame: 0 week,4 weeks
total cholesterol
Collect the patient's fasting blood to measure total cholesterol
Time frame: 0 week,4 weeks
Triglyceride
Collect the patient's fasting blood to measure Triglyceride
Time frame: 0 week,4 weeks
HDL
Collect the patient's fasting blood to measure HDL
Time frame: 0 week,4 weeks
LDL
Collect the patient's fasting blood to measure LDL
Time frame: 0 week,4 weeks
albumin
Collect the patient's fasting blood to measure albumin
Time frame: 0 week,4 weeks
Urinary microalbumin/urinary creatinine
Collect random urine samples from patients to measure urine microalbumin/urinary creatinine(mg/g)
Time frame: 0 week,4 weeks