Diabetic Nephropathy
|Common Symptoms
Clinical Description:
咳嗽，咽痒，气急，或呛咳阵作，干咳无痰或少痰，舌苔薄白
Plain-Language Explanation:
- Frequent coughing that disrupts speaking and rest.
- Itchy throat with an urge to clear it; more pronounced when speaking or swallowing.
- Shortness of breath, especially after physical activity.
- Sudden, violent coughing fits that are hard to control.
- Predominantly dry cough with little or no sputum, or only scanty, sticky sputum that is difficult to expel.
- Tongue coating is thin and white; a thin white coating can be seen when extending the tongue.
|TCM Approach
Clinical Description:
疏风宣肺，止咳利咽
Plain-Language Explanation:
- May help expel wind pathogen and diffuse lung qi, easing headache, fever, nasal congestion, runny nose, or coughing discomfort.
- May help relieve cough and soothe the throat, reducing throat swelling, pain, hoarseness, or dry throat.
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|Common Symptoms
Clinical Description:
表虚自汗，易于感冒，汗出恶风，面色㿠白，舌淡苔薄白，脉浮缓
Plain-Language Explanation:
- Spontaneous sweating even without physical exertion; clothes often damp, as if sweat oozes out on its own.
- Tends to catch colds easily, with symptoms triggered by slight exposure to wind or chill.
- Increased aversion to wind after sweating; feeling unwell when exposed to wind and wanting to wrap up tightly.
- Pale, bright complexion without rosiness; looks somewhat washed out.
- Tongue body is pale with a thin white coating.
- Pulse is palpable at the superficial level, beating at a relaxed, slightly slow pace.
|TCM Approach
Clinical Description:
益气固表，扶正祛邪
Plain-Language Explanation:
- May help supplement the original qi and strengthen the exterior defense, alleviating spontaneous sweating, susceptibility to colds, shortness of breath, and fatigue.
- May help support the healthy qi and drive out pathogenic factors, reducing frequent colds, general fatigue, or lowered resistance.
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|Common Symptoms
Clinical Description:
口渴多饮，气短乏力，心悸不安，失眠健忘，舌淡苔薄白，脉缓
Plain-Language Explanation:
- Constant thirst with frequent drinking that only provides temporary relief.
- Shortness of breath and lack of strength; easily fatigued even with slight activity.
- Palpitations with a sense of unease; difficult to calm down even when resting.
- Poor sleep at night, tendency to insomnia and memory decline, often forgetful.
- Tongue body is pale with a thin white coating; appears light and clear when extended.
- Pulse is relaxed and somewhat slow; beating rhythm is unhurried.
|TCM Approach
Clinical Description:
益气通脉，生津止渴
Plain-Language Explanation:
- May help supplement the original qi and unblock the collaterals, alleviating shortness of breath, fatigue, palpitations, chest tightness, or limb numbness.
- May help generate body fluids to relieve thirst, reducing dry mouth and throat, dry stools, or irritability with excessive drinking.
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|Common Symptoms
Clinical Description:
神疲乏力，腰背酸痛，四肢水肿，舌淡胖，苔白，脉弱
Plain-Language Explanation:
- Mental fatigue and lack of energy; difficulty mustering effort, and recovery is slow even after rest.
- Soreness and pain in the lower back, worse after prolonged sitting, standing, or activity.
- Edema in the limbs; obvious swelling that pits on pressure, and feels swollen during movement.
- Tongue body is pale and enlarged; appears puffy and swollen when extended.
- Tongue coating is white; a white layer can be seen on inspection.
- Pulse feels weak on pressure; beat is feeble and lacks fullness.
|TCM Approach
Clinical Description:
补肺肾，益精气
Plain-Language Explanation:
- May help nourish lung qi and kidney qi, alleviating shortness of breath, cough, soreness and weakness of the lower back and knees, or mental fatigue.
- May help replenish essence and qi and strengthen physical stamina, reducing nocturnal emission, seminal efflux, tinnitus, forgetfulness, or pale complexion.
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|Common Symptoms
Clinical Description:
咽干口燥，倦怠乏力，多食易饥，气短懒言，五心烦热，肢体疼痛，尿混或浑浊，舌红或紫黯，脉细或涩
Plain-Language Explanation:
- Dry throat and mouth; feeling of dryness and discomfort when speaking or swallowing.
- General fatigue and lack of energy; difficulty mustering effort, with little recovery after rest.
- Eats a lot but soon feels hungry again; easily feels hunger and cannot tolerate it.
- Shortness of breath; disinclined to speak much; voice is weak and low.
- Heat sensation in the palms, soles, and chest with restlessness; internal waves of heat and unease.
- Pain and discomfort in the limbs; aching soreness may occur during activity or after prolonged sitting.
- Urine appears turbid and unclear, like murky water.
- Tongue body is reddish or dark purplish; appears redder or purplish-dark when extended.
- Pulse is either thready and weak, or unsmooth and hesitant; feels uneven on palpation.
|TCM Approach
Clinical Description:
益气养阴，活血化瘀
Plain-Language Explanation:
- May help supplement the original qi and nourish yin fluids, relieving fatigue, shortness of breath, dry mouth and throat, or tidal fever and night sweats.
- May help promote blood circulation and resolve stasis, reducing pain from ecchymosis, local swelling or lumps, or menstrual irregularities.
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|Common Symptoms
Clinical Description:
潮热盗汗，腰膝酸软，消渴咽干，眩晕耳鸣，舌红苔白，脉细
Plain-Language Explanation:
- Frequent bouts of heat and night sweats; waking up drenched and uncomfortable after falling asleep.
- Soreness and weakness in the lower back and knees; feeling of lack of strength when walking or after prolonged sitting.
- Marked thirst with constant desire to drink; dry throat, feeling dry and rough when speaking or swallowing.
- Dizziness, blurred vision, and tinnitus; the ringing can be heard even in quiet environments.
- Tongue body is reddish with a white coating; appears white and clear on inspection.
- Pulse is thready and weak; beat feels fine and lacks fullness.
|TCM Approach
Clinical Description:
养肺益肾，补气滋阴
Plain-Language Explanation:
- May help nourish lung qi and supplement kidney qi, alleviating shortness of breath, cough, soreness and weakness of the lower back and knees, or mental fatigue.
- May help supplement the original qi and nourish yin fluids, reducing fatigue, shortness of breath, dry mouth and throat, or tidal fever and night sweats.
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|Common Symptoms
Clinical Description:
水肿，头痛而晕，周身困重，恶心呕吐，畏寒肢倦，舌淡苔白
Plain-Language Explanation:
- Body edema; skin looks swollen and tight, with obvious pitting after pressure.
- Headache with dizziness; more easily feels unsteady when moving or using the mind.
- Whole body feels tired and heavy; limbs are heavy and weak, especially after activity.
- Nausea and retching, sometimes vomiting; a feeling of queasiness that rises up.
- Aversion to cold with fatigued and weak limbs; overall lack of energy, worse after exposure to cold.
- Tongue body is pale with a white coating; appears pale when extended.
|TCM Approach
Clinical Description:
补脾益肾，化湿降浊
Plain-Language Explanation:
- May help strengthen the spleen and stomach and supplement kidney qi, relieving poor appetite, fatigue, lassitude, or soreness and weakness of the lower back and knees.
- May help resolve damp-turbidity and direct turbid qi downward, alleviating heaviness of the body, head cloudiness, or difficult urination.
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|Common Symptoms
Clinical Description:
腰酸腿软，头重如裹、刺痛，身体瘀斑，舌淡苔白，脉细或涩
Plain-Language Explanation:
- Sore and weak lower back; legs feel soft and powerless, more noticeable during activity or prolonged standing.
- Head feels heavy as if wrapped up; stabbing pain like needles may occur.
- Purple-dark ecchymosis appears on the body, looking like subcutaneous bleeding spots or patches.
- Tongue body is pale with a white coating; appears light and pale when extended.
- Pulse is either thready and weak, or unsmooth and choppy; feels uneven on palpation.
|TCM Approach
Clinical Description:
通腑降浊，健脾利湿，活血化瘀
Plain-Language Explanation:
- May help unblock bowel qi and guide turbid pathogens downward, relieving constipation, abdominal distension, or head and body heaviness.
- May help strengthen the spleen and stomach and promote the discharge of damp-turbidity, reducing poor appetite, body heaviness, or difficult urination.
- May help promote blood circulation and resolve stasis, reducing pain from ecchymosis, local swelling or lumps, or menstrual irregularities.
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|Common Symptoms
Clinical Description:
面色萎黄，腰痛倦怠，恶心呕吐，食欲不振，小便不利，大便黏滞，舌淡苔白，脉细或涩
Plain-Language Explanation:
- Sallow complexion without luster; looks unwell with a withered-yellow appearance.
- Lower back pain with easy fatigability; lacks energy to do things.
- Nausea with retching, sometimes vomiting; a rising feeling of queasiness.
- Poor appetite; decreased interest in food and reduced intake.
- Difficult urination; straining during urination and feeling of incomplete emptying.
- Sticky, sluggish bowel movements; sensation of stickiness and incomplete evacuation.
- Tongue body is pale with a white coating; appears light and pale.
- Pulse is very thready or unsmooth and choppy; feels weak or uneven on palpation.
|TCM Approach
Clinical Description:
益气健脾，活血化瘀，通腑泄浊
Plain-Language Explanation:
- May help supplement the original qi and strengthen the spleen and stomach, alleviating fatigue, lassitude, poor appetite, or loose stools.
- May help promote blood circulation and resolve stasis, reducing pain from ecchymosis, local swelling or lumps, or menstrual flow difficulties.
- May help unblock bowel qi and expel turbid pathogens, relieving constipation, abdominal distension, or body heaviness.
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|Common Symptoms
Clinical Description:
郁闷不舒，胸胁胀痛，头晕目眩，食欲减退，舌淡苔白，脉弦
Plain-Language Explanation:
- Mentally depressed and uncomfortable; emotionally stifled and unable to feel at ease, with a sense of suffocating unease.
- Distension and pain in the chest and both hypochondria; worse on movement or pressure.
- Dizziness and blurred vision; feeling unsteady and seeing things float when standing or walking.
- Decreased appetite; eats less and shows little interest in food.
- Tongue body is pale with a white coating.
- Pulse feels tight and straight on palpation, like a stretched string.
|TCM Approach
Clinical Description:
疏肝健脾
Plain-Language Explanation:
- May help soothe the liver qi and regulate qi dynamic, relieving chest and hypochondrium distension, emotional depression, or a sensation of a foreign body in the throat.
- May help strengthen the spleen and stomach, reducing poor appetite, fatigue, lassitude, or loose stools.
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|Common Symptoms
Clinical Description:
食少便溏，四肢乏力，形体消瘦，面色萎黄，舌苔白腻，脉细缓
Plain-Language Explanation:
- Poor appetite with reduced food intake; loose, unformed stools that tend to be mushy.
- Limbs feel weak easily; lacks energy to do things, and feels weak after activity.
- Body looks emaciated; weight loss, appearing thinner and weaker than before.
- Sallow, lusterless complexion; looks unwell with a withered-yellow appearance.
- Tongue coating is white and slimy; appears whitish and greasy on inspection.
- Pulse is thready and somewhat slow; feels unhurried on palpation and lacks strength.
|TCM Approach
Clinical Description:
健脾益气，和胃渗湿
Plain-Language Explanation:
- May help strengthen the spleen and stomach and supplement the original qi, alleviating poor appetite, fatigue, lassitude, or loose stools.
- May help regulate stomach qi and promote the discharge of water-dampness, relieving abdominal distension, body heaviness, or difficult urination.
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|Common Symptoms
Clinical Description:
头晕耳鸣，腰膝酸软，骨蒸潮热，盗汗遗精，舌红苔少，脉细
Plain-Language Explanation:
- Dizziness, blurred vision, and tinnitus; the ringing can be heard even in quiet environments.
- Soreness and weakness in the lower back and knees; often feels powerless when walking or after sitting for long.
- Waves of heat as if coming from deep inside the bones; more pronounced in the afternoon or at night.
- Tends to sweat after falling asleep, often accompanied by nocturnal emission or involuntary seminal leakage.
- Tongue body is reddish with very little coating; almost no visible thick coating.
- Pulse is thready and weak; beat feels fine and lacks fullness.
|TCM Approach
Clinical Description:
滋阴补肾
Plain-Language Explanation:
- May help nourish yin fluids and supplement kidney qi, alleviating soreness and weakness of the lower back and knees, dizziness, tinnitus, or tidal fever and night sweats.
- May help strengthen kidney function, promote ample energy, and reduce mental fatigue or memory decline.
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|Common Symptoms
Clinical Description:
腰膝酸软，水肿，小便不利或频数，畏寒肢冷，舌质淡胖，脉沉细
Plain-Language Explanation:
- Soreness and weakness in the lower back and knees; feels powerless when walking or after sitting for long.
- Edema appears on the body; looks swollen and bulging, with obvious pitting after pressure.
- Difficult urination or increased frequency; often feels the urge to go but urinates with difficulty.
- Marked aversion to cold; hands and feet are cold and do not warm up easily, feeling icy to the touch.
- Tongue body is pale and enlarged; appears swollen and puffy when extended.
- Pulse is only clear at the deep level and is very thready; strength is weak and lacks fullness.
|TCM Approach
Clinical Description:
温补肾阳，化气行水
Plain-Language Explanation:
- May help warmly nourish kidney qi and strengthen yang qi, alleviating aversion to cold, cold limbs, soreness and weakness of the lower back and knees, or mental fatigue.
- May help promote qi transformation and water circulation, reducing difficult urination, lower limb edema, or body heaviness.
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|Common Symptoms
Clinical Description:
倦怠乏力，气短懒言，腰酸腿软，身体瘀斑，肢体疼痛，舌淡苔白，脉细或涩
Plain-Language Explanation:
- Easily fatigued and lacks energy; difficulty mustering effort, and recovery is slow even after rest.
- Short of breath and disinclined to speak much; voice is light and weak.
- Soreness in the lower back and weakness in the legs; feels powerless when walking or after sitting for long.
- Purple-dark ecchymosis appears on the body; subcutaneous spots or patches resembling bleeding can be seen.
- Pain and discomfort in the limbs; dull aching soreness may occur during activity or prolonged sitting.
- Tongue body is pale with a white coating; appears light and lustreless when extended.
- Pulse is either thready and weak, or unsmooth and choppy.
|TCM Approach
Clinical Description:
益气活血，化瘀通络
Plain-Language Explanation:
- May help supplement the original qi and promote blood circulation, alleviating fatigue, lassitude, pale complexion, or shortness of breath and palpitations.
- May help resolve stasis and unblock the channels, reducing pain from ecchymosis, local swelling or lumps, or limb numbness.
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|Common Symptoms
Clinical Description:
水肿，小便不利，腹胀，呕逆泄泻，渴不思饮，舌淡胖有齿痕，脉滑或缓
Plain-Language Explanation:
- Edema appears on the body; looks swollen and bulging, with obvious swelling on pressure.
- Difficult urination; straining during urination and a feeling of incomplete, sluggish voiding.
- Abdominal distension and stuffiness; feels pent up and uncomfortable inside.
- Nausea with retching, accompanied by diarrhea; increased frequency of loose, watery stools.
- Feels thirsty but not inclined to drink much; drinking does little to quench the thirst.
- Tongue body is pale and enlarged; tooth marks can be seen on the edges.
- Pulse feels slippery or somewhat slow on palpation; beating is unhurried.
|TCM Approach
Clinical Description:
温阳化气，利湿行水
Plain-Language Explanation:
- May help warm and nourish yang qi and promote qi transformation, alleviating aversion to cold, cold limbs, soreness and weakness of the lower back and knees, or mental fatigue.
- May help discharge damp-turbidity and drive water circulation, reducing difficult urination, lower limb edema, or body heaviness.
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|Common Symptoms
Clinical Description:
头晕目眩，头部刺痛，胸部刺痛，心悸怔忡，肢体麻木，舌质紫黯或有瘀点，脉细涩
Plain-Language Explanation:
- Dizziness and blurred vision; seeing things as if floating and feeling unsteady, especially when standing or walking.
- Stabbing, needle-like pain in the head; sharp, and when it occurs it affects speaking and activity.
- Stabbing pain also occurs in the chest; feels tight and stuffy during pain, worse with deep breathing.
- Palpitations with a sense of panic and unease; in severe cases, frightening and restless feelings.
- Numbness in the limbs, like insects crawling; scratching or moving does not easily relieve it.
- Tongue body is purplish-dark; small purple dots or stasis marks can be seen when extended.
- Pulse is thready and unsmooth; feels hesitant and uneven on palpation, as if stuck.
|TCM Approach
Clinical Description:
活血祛瘀，滋阴化浊
Plain-Language Explanation:
- May help promote blood circulation and dispel stasis, reducing pain from ecchymosis, local swelling or lumps, or menstrual flow difficulties.
- May help nourish yin fluids and resolve internal turbid qi, reducing dry mouth and throat, body heaviness, or difficult urination.
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|Common Symptoms
Clinical Description:
恶心呕吐，面色晦暗，身重困倦，腰痛，口中黏腻，腹胀，纳呆，肌肤甲错，肢体麻木，舌淡或紫黯，脉缓或涩
Plain-Language Explanation:
- Nausea and retching, sometimes vomiting; a rising feeling of queasiness.
- Dull, lusterless complexion; looks murky and not bright, with a poor complexion.
- Body feels heavy and tired; limbs are heavy and weak, with more fatigue after activity.
- Lower back pain and discomfort; more noticeable after prolonged sitting, standing, or activity.
- Sticky, greasy sensation in the mouth; feels tacky when speaking or swallowing.
- Abdominal distension and stuffiness; feels pent up and uncomfortable, difficult to get relief.
- Poor appetite with reduced intake; shows no interest in food, and amount eaten decreases.
- Dry, rough skin; feels uneven to the touch, like fine scales on the surface.
- Numbness in the limbs, like insects crawling; not easily relieved by movement.
- Tongue body is pale or purplish-dark; lacks luster when extended.
- Pulse is somewhat slow or unsmooth and choppy; feels hesitant and uneven on palpation.
|TCM Approach
Clinical Description:
益气活血，降逆泄浊
Plain-Language Explanation:
- May help supplement the original qi and promote blood circulation, alleviating fatigue, shortness of breath, pale complexion, or pain from ecchymosis.
- May help direct qi downward and expel turbid pathogens, reducing nausea, acid reflux, abdominal distension, or constipation.
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|Common Symptoms
Clinical Description:
脘腹痞闷，四肢沉重，口中黏腻，大便不爽，小便黄赤，舌红苔黄腻，脉滑数或濡数
Plain-Language Explanation:
- Epigastric and abdominal stuffiness and blockage; feeling distended and obstructed, causing significant discomfort.
- Limbs feel heavy and weak; body feels cumbersome and tired when walking or moving.
- Sticky, greasy sensation in the mouth; tacky feeling when speaking or swallowing.
- Bowel movements are sluggish with a sense of incomplete evacuation; always feels not completely clean after using the toilet.
- Urine is yellowish-red; appears yellow or reddish and not very clear to the naked eye.
- Tongue body is reddish with a yellow, greasy coating; appears thick and oily.
- Pulse feels slippery and somewhat rapid, or soft and rapid; beating rhythm is somewhat hurried.
|TCM Approach
Clinical Description:
清利湿热，解毒消肿
Plain-Language Explanation:
- May help clear damp-heat from the body, alleviating body heaviness, bitter taste, dark urine, or difficult urination.
- May help expel internal noxious substances and reduce swelling, relieving sores, redness, throat swelling and pain, or skin lumps.
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|Common Symptoms
Clinical Description:
小便频数，尿色黄赤，淋沥涩痛，舌红苔黄，脉滑数
Plain-Language Explanation:
- Increased frequency of urination; often feels the urge to go, urination becomes frequent.
- Urine is yellowish-red; appears reddish and not clear.
- Urination is dribbly, rough, and painful; noticeable discomfort when urinating.
- Tongue body is reddish with a yellow coating.
- Pulse feels slippery and somewhat rapid; beating rhythm is somewhat hurried.
|TCM Approach
Clinical Description:
清热解毒，利尿通淋
Plain-Language Explanation:
- May help clear heat from the body and expel noxious substances, reducing fever, irritability, throat swelling and pain, or sores.
- May help promote urination and unblock the urinary tract, relieving scanty dark urine, difficult urination, or burning sensation in the urethra.
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|Common Symptoms
Clinical Description:
食少纳呆，恶心呕吐，口中黏腻，腹胀浮肿，身重困倦，舌淡有齿痕苔厚腻，脉滑
Plain-Language Explanation:
- Poor appetite; eats little and shows no interest in food.
- Nausea with retching, and sometimes actual vomiting.
- Sticky, greasy sensation in the mouth; tacky feeling when speaking or swallowing.
- Abdominal distension with edema; feels swollen and bulging on pressure or movement.
- Body feels heavy and tired; easily fatigued and lacks energy when moving.
- Tongue body is pale with tooth marks on the edges; coating is thick and greasy.
- Pulse feels slippery on palpation; beating appears relatively smooth.
|TCM Approach
Clinical Description:
化浊排毒
Plain-Language Explanation:
- May help resolve internal turbid qi and expel noxious substances, alleviating head and body heaviness, bitter sticky taste, or difficult urination.
- May help clear toxic pathogens from the body, reducing sores, swelling, skin rashes, or throat discomfort.
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|Common Symptoms
Clinical Description:
头晕目眩，颈项强痛，肢体麻痛，或偏瘫，肌肤甲错，舌紫黯或有瘀斑，脉涩
Plain-Language Explanation:
- Dizziness and blurred vision; seeing things as if floating and feeling unsteady, especially when standing up or walking.
- Neck and nape feel tight, stiff, and painful; obvious discomfort when turning the head.
- Numbness and dull pain in the limbs, or one-sided limb weakness and stiffness with limited movement.
- Dry, rough skin like fish scales; feels uneven and coarse to the touch.
- Tongue body is purplish-dark, or shows small purple dots and spots as stasis marks.
- Pulse is unsmooth and hesitant; feels choppy and uneven on palpation.
|TCM Approach
Clinical Description:
活血化瘀
Plain-Language Explanation:
- May help promote blood circulation and resolve stasis, reducing pain from ecchymosis, local swelling or lumps, or menstrual flow difficulties.
- May help improve blood flow and smooth the circulation of qi and blood, reducing a dull complexion or joint pain.
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