What to do if you have uremia, nausea and vomiting? Complete list of treatments with Chinese and Western medicine

Uremia refers to severe renal dysfunction, which means that metabolic waste cannot be excreted from the body, resulting in a large amount of toxic substances accumulating in the body. Nausea and vomiting are the most common symptoms of uremia, which are caused by uremia affecting the human digestive system. So what should we do if we suffer from nausea and vomiting due to uremia?

1: Traditional Chinese medicine uses Suye Huanglian Decoction with modifications to clearly relieve symptoms such as nausea and vomiting in patients with uremia. Ingredients: Perilla leaf, Coptis chinensis, Salvia miltiorrhiza, Poria, Pinellia, Corn silk, Zedoaria, Inula, Bamboo shavings, Persimmon calyx, and Rhubarb.

2: TCM Syndrome Differentiation: The coptis root in the prescription is bitter and cold in nature. In addition to treating damp-heat, it also has the function of descending the upward turbid toxins. The dosage is relatively light and is beneficial in strengthening the stomach; the perilla leaf is sweet and spicy and has a fragrant aroma. It can promote qi circulation, relieve fullness, harmonize the stomach and resolve turbidity. It is warm and dispersing in nature and belongs to the lung and spleen meridians. It has the functions of aromatically resolving dampness and warming the spleen yang; salvia miltiorrhiza, zedoaria, and corn silk can promote blood circulation, resolve blood stasis, dredge collaterals and promote diuresis; Poria, Pinellia, Rhizoma Anemarrhenae, Inula flower, and Persimmon calyx are used together to strengthen the spleen and stomach, descend the turbid toxins and stop vomiting; a small amount of rhubarb can be used to thicken the intestines and stomach and reduce toxins.

3: Add or subtract: For those with qi and blood deficiency and blood stasis, add astragalus, ginseng, angelica, safflower, Panax notoginseng powder, etc.; for those with spleen and kidney yang deficiency and dampness, add ginseng, aconite, poria, umbellate, cordyceps, etc.; for those with both yin and yang deficiency and blood stasis, add rehmannia root, yam, wolfberry, epimedium, etc.

4: Efficacy: The whole formula has the functions of warming and nourishing kidney yang, promoting blood circulation and diuresis, invigorating qi and nourishing yin, removing turbidity and detoxifying. It can dilate renal blood vessels, improve renal microcirculation, enhance renal oxygen uptake, anti-inflammatory and antibacterial functions, promote the excretion of nitrogen metabolic waste, reduce irritation to the gastrointestinal tract, and relieve nausea, vomiting and other symptoms. Usage: Decoction in water and take twice a day, morning and evening. Note: When using this prescription to treat uremia, you should consult a Chinese medicine practitioner first to avoid adverse consequences.

1: 1. Dialysis therapy has a certain effect on improving gastrointestinal symptoms. 2. Mild nausea and vomiting of patients can be alleviated through diet therapy. In severe cases, metoclopramide 5-10 mg can be taken orally 3 times a day or by intramuscular injection; 3. Or chlorpromazine 12.5-25 mg 3 times a day, orally or by intramuscular injection; 4. Xiaobanxia decoction (Pinellia, ginger) can also be used, with modifications according to symptoms; 5. Gsapride can increase the peristalsis of the stomach and duodenum, 5-10 mg, 3 times a day, but obstructive causes must be ruled out before use.

2: The treatment of uremic ulcer is the same as that of general ulcer. Take aluminum hydroxide gel orally to protect the ulcer wound. H2 blockers, such as cimetidine and ranitidine, inhibit gastric acid secretion. However, this type of drug is mainly excreted through the kidneys, so patients with uremia should use it in a reduced dose according to the creatinine clearance rate, generally half the normal dose.

It is also a manifestation of gastrointestinal symptoms in patients with uremia. In the treatment of gastrointestinal bleeding, ulcer-causing drugs should be avoided, local hemostasis should be performed through endoscopy, and antacids should be used. In addition, vasopressin, estrogen, and estrogen-progesterone complexes can be used for treatment.