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Qizhi Decoction may Protect Diabetic Nephropathy Through Decrease Lipid and Inflammation

Received: 17 August 2018     Accepted: 12 September 2018     Published: 29 September 2018
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Abstract

Diabetic nephropathy (DN) affects approximately one-third of individuals with diabetes mellitus. Many patients develop kidney damage despite modern pharmacologic therapies available for DN treatment. Chinese medicine is a good choice for patients with DN. The aim of this study is to study the effect and safety of Qizhi decoction on patients with diabetic nephropathy. Approximately 255 men and women aged ≥18 to ≤80 years with DN were enrolled and randomized to two groups. The experimental intervention accepted Qizhi decoction in addition to their usual Novolin 50R penfill regimen. The control intervention accepted only Novolin 50R penfill. All participants receive their regimen for 12 weeks. Estimated glomerular filtration rate (eGFR), serum free fatty acid (FFA) level, the urine protein/creatinine ratio (U/C), plasma cystatin C (Cyst), Plasma C-reactive protein (CRP), hemoglobin A1c, serum uric acid, dyslipidemia were tested before entering the group. At the end of this study the index above and safety were measured again. Urine albumin levels, U/C, Cyst, CRP, FFA, TNF-α and MCP-1 levels decreased in both groups after 12 weeks of treatment. The eGFR, Cyst improved after12 weeks of treatment. Compared to the control, urine albumin levels, U/C, Cyst, CRP, FFA, TNF-α and MCP-1 levels decreased obviously in treatment group after 12 weeks of treatment. The kidney function, as measured by the eGFR, Cyst, significantly improved after12 weeks of treatment. The results indicate that combined Chinese and western medicine should be the better choice of patients with DN. QZD may protect Diabetic nephropathy through decrease lipid and inflammation.

Published in International Journal of Chinese Medicine (Volume 2, Issue 2)
DOI 10.11648/j.ijcm.20180202.11
Page(s) 6-13
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Diabetic Nephropathy, Albumin, Lipid, Inflammation, Kidney Function, Chinese Herbs

References
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Cite This Article
  • APA Style

    Cunyun Min, Tingting Fu, Xuhui Huang, Yu Du, Changjun Wang. (2018). Qizhi Decoction may Protect Diabetic Nephropathy Through Decrease Lipid and Inflammation. International Journal of Chinese Medicine, 2(2), 6-13. https://doi.org/10.11648/j.ijcm.20180202.11

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    ACS Style

    Cunyun Min; Tingting Fu; Xuhui Huang; Yu Du; Changjun Wang. Qizhi Decoction may Protect Diabetic Nephropathy Through Decrease Lipid and Inflammation. Int. J. Chin. Med. 2018, 2(2), 6-13. doi: 10.11648/j.ijcm.20180202.11

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    AMA Style

    Cunyun Min, Tingting Fu, Xuhui Huang, Yu Du, Changjun Wang. Qizhi Decoction may Protect Diabetic Nephropathy Through Decrease Lipid and Inflammation. Int J Chin Med. 2018;2(2):6-13. doi: 10.11648/j.ijcm.20180202.11

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  • @article{10.11648/j.ijcm.20180202.11,
      author = {Cunyun Min and Tingting Fu and Xuhui Huang and Yu Du and Changjun Wang},
      title = {Qizhi Decoction may Protect Diabetic Nephropathy Through Decrease Lipid and Inflammation},
      journal = {International Journal of Chinese Medicine},
      volume = {2},
      number = {2},
      pages = {6-13},
      doi = {10.11648/j.ijcm.20180202.11},
      url = {https://doi.org/10.11648/j.ijcm.20180202.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcm.20180202.11},
      abstract = {Diabetic nephropathy (DN) affects approximately one-third of individuals with diabetes mellitus. Many patients develop kidney damage despite modern pharmacologic therapies available for DN treatment. Chinese medicine is a good choice for patients with DN. The aim of this study is to study the effect and safety of Qizhi decoction on patients with diabetic nephropathy. Approximately 255 men and women aged ≥18 to ≤80 years with DN were enrolled and randomized to two groups. The experimental intervention accepted Qizhi decoction in addition to their usual Novolin 50R penfill regimen. The control intervention accepted only Novolin 50R penfill. All participants receive their regimen for 12 weeks. Estimated glomerular filtration rate (eGFR), serum free fatty acid (FFA) level, the urine protein/creatinine ratio (U/C), plasma cystatin C (Cyst), Plasma C-reactive protein (CRP), hemoglobin A1c, serum uric acid, dyslipidemia were tested before entering the group. At the end of this study the index above and safety were measured again. Urine albumin levels, U/C, Cyst, CRP, FFA, TNF-α and MCP-1 levels decreased in both groups after 12 weeks of treatment. The eGFR, Cyst improved after12 weeks of treatment. Compared to the control, urine albumin levels, U/C, Cyst, CRP, FFA, TNF-α and MCP-1 levels decreased obviously in treatment group after 12 weeks of treatment. The kidney function, as measured by the eGFR, Cyst, significantly improved after12 weeks of treatment. The results indicate that combined Chinese and western medicine should be the better choice of patients with DN. QZD may protect Diabetic nephropathy through decrease lipid and inflammation.},
     year = {2018}
    }
    

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  • TY  - JOUR
    T1  - Qizhi Decoction may Protect Diabetic Nephropathy Through Decrease Lipid and Inflammation
    AU  - Cunyun Min
    AU  - Tingting Fu
    AU  - Xuhui Huang
    AU  - Yu Du
    AU  - Changjun Wang
    Y1  - 2018/09/29
    PY  - 2018
    N1  - https://doi.org/10.11648/j.ijcm.20180202.11
    DO  - 10.11648/j.ijcm.20180202.11
    T2  - International Journal of Chinese Medicine
    JF  - International Journal of Chinese Medicine
    JO  - International Journal of Chinese Medicine
    SP  - 6
    EP  - 13
    PB  - Science Publishing Group
    SN  - 2578-9473
    UR  - https://doi.org/10.11648/j.ijcm.20180202.11
    AB  - Diabetic nephropathy (DN) affects approximately one-third of individuals with diabetes mellitus. Many patients develop kidney damage despite modern pharmacologic therapies available for DN treatment. Chinese medicine is a good choice for patients with DN. The aim of this study is to study the effect and safety of Qizhi decoction on patients with diabetic nephropathy. Approximately 255 men and women aged ≥18 to ≤80 years with DN were enrolled and randomized to two groups. The experimental intervention accepted Qizhi decoction in addition to their usual Novolin 50R penfill regimen. The control intervention accepted only Novolin 50R penfill. All participants receive their regimen for 12 weeks. Estimated glomerular filtration rate (eGFR), serum free fatty acid (FFA) level, the urine protein/creatinine ratio (U/C), plasma cystatin C (Cyst), Plasma C-reactive protein (CRP), hemoglobin A1c, serum uric acid, dyslipidemia were tested before entering the group. At the end of this study the index above and safety were measured again. Urine albumin levels, U/C, Cyst, CRP, FFA, TNF-α and MCP-1 levels decreased in both groups after 12 weeks of treatment. The eGFR, Cyst improved after12 weeks of treatment. Compared to the control, urine albumin levels, U/C, Cyst, CRP, FFA, TNF-α and MCP-1 levels decreased obviously in treatment group after 12 weeks of treatment. The kidney function, as measured by the eGFR, Cyst, significantly improved after12 weeks of treatment. The results indicate that combined Chinese and western medicine should be the better choice of patients with DN. QZD may protect Diabetic nephropathy through decrease lipid and inflammation.
    VL  - 2
    IS  - 2
    ER  - 

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Author Information
  • The Integrated Division of Chinese and Western Medicine, Guangdong Academy of Medical Sciences, Guangdong General Hospital, Guangdong Academy of Geriatrics, Guangzhou, China

  • The Integrated Division of Chinese and Western Medicine, Guangdong Academy of Medical Sciences, Guangdong General Hospital, Guangdong Academy of Geriatrics, Guangzhou, China

  • The Integrated Division of Chinese and Western Medicine, Guangdong Academy of Medical Sciences, Guangdong General Hospital, Guangdong Academy of Geriatrics, Guangzhou, China

  • The Integrated Division of Chinese and Western Medicine, Guangdong Academy of Medical Sciences, Guangdong General Hospital, Guangdong Academy of Geriatrics, Guangzhou, China

  • The Integrated Division of Chinese and Western Medicine, Guangdong Academy of Medical Sciences, Guangdong General Hospital, Guangdong Academy of Geriatrics, Guangzhou, China

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