Renal insufficiency will bring many adverse effects to patients, and complications are more common, so it must be treated actively. At present, the effect of traditional Chinese medicine is relatively good. The methods of clearing heat, purging fire and detoxifying, purging fire and cooling blood, and promoting blood circulation and removing blood stasis are praised by many patients. 1. Traditional Chinese Medicine Treatment 1. Severe heat and toxicity [Main symptoms] Symptoms include high fever, irritability, palpitations and shortness of breath, dry mouth and thirst, headache and body pain, scanty and yellowish urine, or urinary retention, red tongue, yellow and dry tongue coating, and rapid pulse. 【Treatment method】The treatment should be clearing away heat, purging fire and detoxifying. [Prescription] The prescription is Baihu Decoction combined with Huanglian Jiedu Decoction with modifications: gypsum, Anemarrhena asphodeloides, licorice, rice, Coptis chinensis, Scutellaria baicalensis, Phellodendron chinense, Gardenia jasminoides. If the fever is severe, add Zixuesan to clear away the evil heat; if the thirst is severe, add Dendrobium and Pollen to clear away heat, promote fluid production and quench thirst; if the urine is short and red or hematuria, add Thistle, Imperatae Rhizoma, and Radix Sanguisorbae to clear away heat, promote diuresis, cool blood and stop bleeding; if the patient has constipation due to bowel fullness, add Rhubarb or Tiaowei Chengqi Decoction to clear away the evil heat in Yangming meridian; if the patient has vomiting, epistaxis and rashes, add Radix Rehmanniae, Cortex Moutan and Scrophulariae to cool blood and resolve rashes. 2. Stagnation of fire poison [Main symptoms] Symptoms include high fever, delirium, mania, dry retching, low back pain, vomiting blood, nosebleed, coughing up blood in the urine, purple-black or bright red macules, deep purple tongue, yellow and burnt tongue coating or covered with thorns, and a thready and rapid pulse. [Treatment method] The treatment should be to clear away heat and detoxify, purge fire and cool blood, and promote blood circulation and remove blood stasis. [Prescription] The prescription is Qingwen Baidu Decoction with modifications: gypsum, raw rehmannia, rhinoceros horn, gardenia, platycodon, scutellaria, anemarrhena, red peony root, Scrophularia, forsythia, liquorice, moutan bark, fresh bamboo leaves. If the hematuria is more severe, add thistle and imperata root; if the patient is in a coma, add calamus and turmeric to clear the heart and open the orifices; if the patient is seriously ill, add Angong Niuhuang Pills. 2. Diet therapy Calories: 30-35 kcal/kg.d. In the compensatory stage of renal insufficiency, a high-quality low-protein (0.6-0.8 g/kg.d) and low-phosphorus (<750 mg/d) diet can be given, and essential amino acids or α-keto acids can be added when necessary. Advanced non-dialysis patients should be given a high-quality low-protein diet (<0.6 g/kg.d) plus essential amino acids or α-keto acids. |
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