What are the Chinese medicine treatments for kidney disease?

Theory, method, formula and medicine are the four inseparable links of traditional Chinese medicine diagnosis and treatment. The method of treatment is to identify the symptoms, examine the cause of the disease, the mechanism of the disease, and then take targeted treatment methods. It is the guiding principle for the preparation and selection of proprietary Chinese medicines. Therefore, Chinese medicine often says: "the law with the disease, the formula from the law, the formula to medicine." It can be seen that the reason, method, formula, medicine, four in one, one is indispensable.

There are many kinds of treatments in Chinese medicine, combining the characteristics of clinical manifestations of patients with kidney disease, common symptoms in Chinese medicine, as well as the experience of long-term clinical practice, the commonly used Chinese medicine treatments for kidney disease can be summarized as follows:

Sweating to relieve the epidermal method

Patients with kidney disease are prone to colds and upper respiratory infections due to the body's immune system function is low. In turn, colds and upper respiratory tract infections can aggravate the original kidney disease, such as aggravation of edema, proteinuria and hematuria recurrently, and increase in blood creatinine in patients with renal failure. Therefore, colds and upper respiratory tract infections in patients with kidney disease should not be taken lightly.

The sweating method of traditional Chinese medicine is a method of treatment through the appropriate development of lung qi, regulating the camp guard, open the coupling and other effects, so that the human body tie-up tie-up sweating, so that the surface of the six evils with the sweat and solution. It has the advantage that it can be different according to the symptoms, according to the person, according to the time, so that the evil and the positive is not hurt; on the viral cold has a special effect; but also to avoid some of the side effects of antibiotics.

The sweating method has the method of Xin Wen, Xin Liang and Fu Zheng. The method of removing wind and cold is suitable for the symptoms of wind-cold. The commonly used formula is Gui Zhi Tang, Xing Su San, Nine flavors of Qiang Wu Tang. Ephedra Soup is an agent of severe sweating and should not be used. If the summer season is characterized by external wind-cold and internal dampness stagnation, then Huo Xiang Zheng Qi San should be used to disperse cold and dissolve dampness simultaneously. Pungent and cool method is suitable for wind-heat symptoms. Commonly used formulas are Yin Qiao San and Sang Ju Drink. The method of supporting the correctness of the surface is suitable for the deficiency into the external sensation, the purpose of supporting the correctness is conducive to the drum of the evil out, and to dispel the evil without harming the correctness.

The commonly used formulas are Ginseng and Poison-Stopping Powder, Jing-Su-Sen-Dan Soup (self-proposed formula: Jing-Wu, Su-Yeh, Dang-Shen, Dou-Dan), Weiwei Tang (Jia-Subtraction), and Xiao-Chai-Hu Tang. The small chaihu soup in the "theory of typhoid fever" in the reconciliation of shaoyang on behalf of the formula, because the drugs in the formula to support the positive and eliminate the evil balance, and the pharmacological effects of chaihu has a better role in the anti-flu virus, so it is often referred to as support the positive and relief of the surface of the formula, the clinical effect of the rafters.

The use of sweating to relieve the surface of the agent to avoid the "closed door to keep the enemy", that is to say, to temporarily stop the original complementary prescription drugs, focusing on the table dispersal of the external evil, in order to quickly cut off the course of the disease. Because the tonic products have the disadvantage of loving evil. In addition, we should pay attention to the light decoction in order to give full play to the efficacy of the medicine.

Detoxification of pharyngitis

Pharyngitis, palatine tonsillitis is one of the important triggers of nephritis and recurrent aggravation. For example, proteinuria and hematuria are often aggravated by pharyngitis and palatine tonsillitis. Modern medicine advocates the use of antibiotics and surgery to remove the palatine tonsils. Chinese medicine believes that the pharynx is the gateway to the lungs and stomach, pharyngitis, palatine tonsillitis is mainly blamed on the lungs and stomach heat and toxin attack. Therefore, the treatment is to clear heat and detoxification, pharyngeal dispersal, commonly used formula Yin Qiao San, five flavors disinfectant drink, silver chrysanthemum XuanMai sea orange soup (silver flower, wild chrysanthemum, XuanShen, maitake, FatHaiHai, Platycodonopsis sinensis).

Water-reducing method

Oedema is one of the main clinical manifestations of patients with kidney disease, which is called "renal edema" in modern medicine. According to the mechanism of its occurrence can be subdivided into two categories: nephropathic edema and nephritic edema. Nephropathic edema is attributed to the imbalance of fluid exchange inside and outside the blood vessels, mainly due to the large amount of loss of urinary protein, plasma colloid osmotic pressure decrease. Nephritic edema is attributed to the imbalance of fluid exchange inside and outside the body, mainly due to various reasons leading to a decrease in glomerular filtration rate, resulting in water and sodium retention.

The strength of Chinese medicine in treating nephritic edema lies in adjusting and restoring the functions of the relevant internal organs and coordinating the relationship between water, qi, and blood, i.e., attaching importance to the body's ability to self-regulate the metabolism of water and liquid, so that the swelling is not easy to recur and there are no side effects, and at the same time the patient's physical recovery is also better. In addition, it is also more economical than the infusion of albumin or plasma to dilate diuresis. Now the diuretic method is described as follows:

(1) Lung diuretic method

Suitable for the acute stage of renal edema, the symptoms of the lungs are not suitable for the person, that is, what is called "open the door to the ghost", "sweat method". The commonly used formula is Yue maidservant plus art soup, Yue maidservant five skin drink, ephedra and forsythia and red bean soup, hemp car five skin drink (five skin drink plus ephedra, plantain, plantain seeds).

(2) Blood activation and water-relieving method

It is suitable for those who have blood stagnation and water stoppage, and the mechanism of its occurrence is mostly water disease and blood disease. For example, female patients due to nephrotic edema can lead to amenorrhea, nephrotic syndrome patients with renal vein thrombosis should be preferred to this method, activate the blood and diuresis and progress, so as to remove the swelling of the silt. Commonly used formula for the addition of flavor angelica peony powder (angelica tail, white peony, rhizoma ligustici, atractylodes, Poria, Zephyr leaves, hyssop, Salvia officinalis).

(3) Method of moving qi and inducing diuresis

It is suitable for those with qi stagnation and water stoppage. If the system of spleen qi congestion, epigastric distension and water stoppage, commonly used formula for water-conducting poria soup, stomach ling soup. If the edema is aggravated by liver-qi stagnation, it should be combined with water-reducing and timely prescriptions such as Free San and Chaihu Hepatophoresis San, and supplemented with emotional care, so that the liver qi can be organized and the water can run.

(4) Clearing heat and inducing diuresis

It is suitable for those who are suffering from internalized dampness and heat. Dampness and heat of the evil is often difficult to resolve, the course of the disease is lingering, the treatment is appropriate to keep the prescription, do not be in a hurry to achieve success. To identify dampness and heat, it is advisable to distinguish between the heavier and the lighter and the center of gravity of the disease, so that the medication can be appropriate. If it is lower jiao damp-heat, can choose eight Zhengsan, big orange peel soup; if damp-heat diffusion of the three jiao, dampness is heavier than the heat of the use of San Ren Tang; damp-heat and heavy with almond slippery stone soup.

(5) The method of warming yang and inducing diuresis

It is suitable for those with yang deficiency and water stoppage. If you have a deficiency of spleen yang, then use the Solid Spleen Drink. The water stops with kidney yang deficiency is suitable to use Jisheng kidney qi soup, kidney disease withdrawal hormone is too fast and now edema recurrence, this formula is effective and the effect is long-lasting. If the heart and kidney yang are both weak, and the water overrides the heart, Zhenwu Tang is often chosen together with Ling Gui Zhu Gan Tang. For uremic pericarditis, we have used Ling Gui Jiu Gan Tang with Sheng Vegetable Drink to benefit the qi, warm the yang and remit the drink.

(6) Strengthening the spleen and benefiting the qi and water method

Suitable for those who have deficiency of spleen qi and water stoppage, the commonly used formulas are Fangji Huangqi Tang, Fangji Poria Tang, Chunze Tang, Wuling San, Xiangsha Six Gentlemen's Zi Tang with flavoring, and Ginseng Ling Baijushu San with flavoring.

(7) The method of cultivating yin and promoting water

It is suitable for people with yin deficiency and water stoppage. Because of the tricky treatment, in order to prevent the nourishment of the yin and water to hurt the yin, it is appropriate to choose the sweet and cold Qing tonic and sweet and cold water-boosting drugs and sweet and cold, commonly used formula for the pig ling soup, six flavors of the rhizome soup flavored.

(8) The method of benefiting qi, nourishing yin and diuresis

and the method of warming the kidney and nourishing yin and diuresis are suitable for those who have a deficiency of qi and yin and a deficiency of yin and yang in the kidney and those who have a deficiency in the kidney and a deficiency in the water stop. In the former case, the choice is Ginsengqi Di Huang Tang combined with Wu Pi Drink; in the latter case, it is appropriate to use Ji Sheng Kidney Qi Tang.

Through the bowels of the turbid method

Through the bowels of the turbid method that is the Chinese medicine of the "lower method". The main use of laxative medicines to direct the bowels, remove the stagnation of the stomach and intestines, so that the evil from the lower orifices and out. Combined with kidney disease patients, this method is mainly used in patients with renal failure. Modern medicine believes that 75% of urea nitrogen is excreted in urine and 25% is excreted in feces from the intestinal tract, so the oral intestinal adsorbents introduced in recent years, such as oxidized starch, etc., are aimed at diarrhea to reduce urea nitrogen. However, in the clinical use of excessive diarrhea, the patient's physical strength; stomach discomfort, difficult to accept; urea nitrogen although the reduction of the patient's symptoms do not reduce the situation. The strength of Chinese medicine is to combine the individual characteristics of the patient's symptoms, the flexible use of rhubarb, not only without the above disadvantages, and in the lowering of urea nitrogen at the same time, the patient will be adjusted to the aroma of Shen Zhen, really have to help save the emergency work.

The use of rhubarb treatment began in the Tang Dynasty, the last 20 years, rhubarb treatment of renal failure has become routine, the method of enema. Experimental research suggests that rhubarb has a lower urea nitrogen, degradation of blood molecular weight nitrogenous compounds to promote the body toxin discharge and reduce its toxicity, improve renal function and other aspects of the integrated role. The use of rhubarb especially focus on the selection of preparations, dosage, decoction, with four aspects of the corrective medicine work.

Raw rhubarb is suitable for patients with gastrointestinal heat accumulation and dry stools, with a dosage of 3-20 grams, and attention should be paid to mastering the effective therapeutic amount for each patient. Raw rhubarb is appropriate after the next, there is often a slight feeling of abdominal pain before the stool, do not have to worry too much, after the stool swiftly lost. For dry stools and weak spleen and stomach or elderly patients with chronic renal failure, it is appropriate to use the production of rhubarb with the decoction, the dosage of 3 to 20 grams. Sometimes it can also be used to take medicines such as Hemp Yan Run Intestine Pill or Lian Qiao Defeat Toxin Pill in order to slow down the diarrhea. Due to kidney failure patients with positive gas more weak, even if the internal organs of the gas is not passable, but also more for this deficiency standard real disease, so should be used to support the positive attack on the lower side of the method of the disease, so that can be avoided after the intention of attacking the positive with the evil out of the danger of the weather. If the system of spleen and stomach cold stool dry, commonly used Xiangsha six junzi soup with the system of rhubarb; if the system of liver and kidney yin deficiency and constipation, commonly used six flavors of rhubarb soup with rhubarb; if the gas and yin deficiency and constipation, commonly used ginseng and astragalus rhubarb soup with rhubarb; if the system of renal yang deficiency and the combination of dry stools, can be used in the Kidney qi soup with the system of rhubarb. In addition, if the phlegm heat in the obstruction of the more serious and dry stools, can not be matched with the corrective medicine, and the use of Huanglian warm gallbladder soup with rhubarb to clear the phlegm heat, through the bowels of the turbid as the first thing to do. The use of the general grasp of the law through the bowels of the turbid medicine after two daily defecation to the extent that too much will hurt the positive qi. For kidney failure and not secret or loose stools, or even diarrhea patients, it is not appropriate to use rhubarb, if the abuse of the "virtual" disadvantages.