Patient, born 1947, admitted to the clinic with a diagnosis of slowly progressing NIDDM, moderate severity, complicated by diabetic nephropathy. Comorbidities: chronic cholecystitis in the exacerbation stage, chronic pyelonephritis in the exacerbation stage.
Complaints: Dry mouth, lower back pain, severe headaches, constipation.
History: Family history burdened on the maternal side. Ill for 3 years, does not associate the onset with any event. Treated both as an outpatient and inpatient, takes Glurenorm 1/2 tablet twice a day, diuretics, with temporary improvements.
Objective Data: General condition relatively satisfactory. Weight exceeds norm by 10%, skin pale with an earthy tint. Spine painful on palpation in the lumbar area. Facial and lower limb edema. Expiratory dyspnea. BP 140/100. Tongue coated yellow, tonsils hypertrophied, abdomen painful on palpation in the epigastric area, right and left hypochondrium. Liver protrudes 1 cm below the costal margin, painful on palpation, medium density, smooth surface, sharp edge. Pasternatsky's sign positive bilaterally, painful, frequent urination, polyuria.
Laboratory Data: Blood sugar 7.8 mmol/L, urine sugar 2%, PTI 100.
EAF Indicators: On the pancreas meridian, protein metabolism point 18, carbohydrate enzyme synthesis 72, nucleoprotein synthesis 84, on points of endocrine system and blood vessels meridians, indicators within 30-40.
Treatment: General GI for 15-40 minutes once a day for 2 weeks, local GI + ZB on liver, kidneys, spine, intestine for 5 minutes once a day for 2 weeks; General ZB for 3-5-7-10 minutes once a day for 2 weeks, locally on head for 3-5 minutes once a day for 2 weeks; General KL for 10 minutes once a day for 2 weeks, locally on heels for 10-20 minutes, pancreas 5x5 minutes, 7th cervical vertebra for 2 minutes, head for 1 minute once a day for 2 weeks.
Course of Therapy: Diarrhea on the 3rd day of therapy, lasting 4 days with the passage of fecal stones.
Results: By the end of the 1st week of therapy, the general condition improved, skin color normalized, spine painless on palpation, BP 120/90, tongue clean, tonsils of normal size. By the end of the 2nd week, edema and dyspnea disappeared, abdomen painless on palpation, liver not palpable, Pasternatsky's sign negative. Blood sugar 5.0 mmol/L, no sugar in urine, PTI 92. All EAF indicators normalized. In the middle of the 2nd week of treatment, the patient stopped taking Glurenorm, tolerating the discontinuation well.
Complaints: Dry mouth, lower back pain, severe headaches, constipation.
History: Family history burdened on the maternal side. Ill for 3 years, does not associate the onset with any event. Treated both as an outpatient and inpatient, takes Glurenorm 1/2 tablet twice a day, diuretics, with temporary improvements.
Objective Data: General condition relatively satisfactory. Weight exceeds norm by 10%, skin pale with an earthy tint. Spine painful on palpation in the lumbar area. Facial and lower limb edema. Expiratory dyspnea. BP 140/100. Tongue coated yellow, tonsils hypertrophied, abdomen painful on palpation in the epigastric area, right and left hypochondrium. Liver protrudes 1 cm below the costal margin, painful on palpation, medium density, smooth surface, sharp edge. Pasternatsky's sign positive bilaterally, painful, frequent urination, polyuria.
Laboratory Data: Blood sugar 7.8 mmol/L, urine sugar 2%, PTI 100.
EAF Indicators: On the pancreas meridian, protein metabolism point 18, carbohydrate enzyme synthesis 72, nucleoprotein synthesis 84, on points of endocrine system and blood vessels meridians, indicators within 30-40.
Treatment: General GI for 15-40 minutes once a day for 2 weeks, local GI + ZB on liver, kidneys, spine, intestine for 5 minutes once a day for 2 weeks; General ZB for 3-5-7-10 minutes once a day for 2 weeks, locally on head for 3-5 minutes once a day for 2 weeks; General KL for 10 minutes once a day for 2 weeks, locally on heels for 10-20 minutes, pancreas 5x5 minutes, 7th cervical vertebra for 2 minutes, head for 1 minute once a day for 2 weeks.
Course of Therapy: Diarrhea on the 3rd day of therapy, lasting 4 days with the passage of fecal stones.
Results: By the end of the 1st week of therapy, the general condition improved, skin color normalized, spine painless on palpation, BP 120/90, tongue clean, tonsils of normal size. By the end of the 2nd week, edema and dyspnea disappeared, abdomen painless on palpation, liver not palpable, Pasternatsky's sign negative. Blood sugar 5.0 mmol/L, no sugar in urine, PTI 92. All EAF indicators normalized. In the middle of the 2nd week of treatment, the patient stopped taking Glurenorm, tolerating the discontinuation well.