Комплексне лікування неврологічних розладів у пацієнтів із цукровим діабетом за допомогою акупунктури та погляд на загальні патофізіологічні механізми: аналіз двох випадків

Taking into account the increase of diabetes mellitus (DM) prevalence, diabetic neuropathy remains one of the most important causes of neuropathology. The treatment of diabetic neuropathy with traditional western medicine protocols and drugs often remains unsuccessful, while Traditional Chinese Medicine (TCM) explains the pathogenesis of DM, its complications and impact on nervous system in different way, that may allow to use additionally the AP methods for more effective treatment. The objective: to optimize the complex treatment of neurologic disorders in patients with DM with AP and TCM, its point of view on the relationship between endocrine and neurological pathology. Materials and methods. In order to improve the results of treatment the method of syndromic acupuncture diagnosis was used additionally, that allowed to add to complex treatment with classical medical AP method by influence on the acupuncture point EX-B3 (Waiguanxiashu). The effectiveness of the treatment was assessed by complex examination with Visual Analog Scale, Neuropathy Symptom Score, Neuropathy Disability Score, Autonomic Symptom Score, Montreal Cognitive Assessment, Еlectroneuromyography. Results. A complex treatment of 2 patients with DM and neurological disorders with the additional use of medical AP methods are presented. Each patient received 2 courses of treatment, consisting of 10 AP procedures with individual approach, described in the article. Progress in reducing their neurological symptoms was observed only after we used this treatment method that approved by improvement of clinic-instrumental indexes. Conclusions. The treatment of neurologic disorders in patients with diabetes using traditional approaches often remains unsuccessful, while TCM explains the pathogenetic interconnection of endocrine and nervous disorders in different way, that may allow to use additionally the AP methods for more effective treatment. Our experience showed that additional use of AP methods in complex treatment of patients with diabetes and neurological disorders demonstrated the progress in reducing neurological symptoms and improvement of effectiveness of the treatment. AP method is widely used in holistic approach in primary care practice.