Causes of chronic nephritis, methods of treating chronic nephritis by TCM dialectical analysis

Chronic nephritis is very common in people. Most people will pay special attention to the cause of the disease after suffering from chronic nephritis. So, what are the causes of chronic nephritis?

Causes of chronic nephritis:

Chronic nephritis is a group of glomerular diseases with multiple causes, mainly chronic glomerular lesions. However, the cause is unknown in most patients and there is no clear relationship with streptococcal infection. According to statistics, only 15% to 20% of patients develop chronic glomerulonephritis. In addition, most patients with chronic nephritis have no history of acute nephritis. Therefore, many scholars currently believe that there is no definite correlation between chronic glomerulonephritis and acute nephritis. It may be caused by various bacterial, viral or protozoan infections through immune mechanisms, inflammatory mediators and non-immune mechanisms.

Common TCM syndrome differentiation and treatment are as follows:

1. Lung and kidney qi deficiency, water and dampness accumulation

The main symptoms are: sallow and swollen face, shortness of breath and fatigue, soreness of waist and knees, easy to catch cold, pale tongue, white fur, and weak pulse. The treatment should be to invigorate Qi, strengthen the exterior, promote diuresis and activate blood circulation. The prescription is Yupingfeng Powder and Fangji Huangqi Decoction with modifications, and the ingredients include astragalus, white atractylodes, saposhnikovia, poria, oriental water plantain, motherwort, zedoaria, cicada shell, and bombyx batryticatus.

2. Deficiency of spleen and kidney qi (yang), retention of dampness

Symptoms include: fatigue, soreness of waist and knees, poor appetite, loose stools, edema, spermatorrhea, impotence or menstrual disorders, and even chills and cold limbs, pale and fat tongue with teeth marks, deep and thin pulse or deep, slow and weak pulse. The treatment principles are to strengthen the spleen and kidney, and promote diuresis and blood circulation. The prescription is Sijunzi Decoction combined with Wuzi Yanzong Pills with modifications, and the ingredients include Codonopsis pilosula, Astragalus membranaceus, Atractylodes macrocephala, Lycium barbarum, Cuscuta australis, Epimedium, Dioscorea batatas, Poria cocos, Alisma orientalis, Plantago seed, Angelica sinensis, and Ligusticum chuanxiong. For those who are afraid of cold and have cold limbs, add roasted aconite and cinnamon twig.

3. Liver and kidney yin deficiency, internal dampness and heat

Symptoms include: dizziness, tinnitus, dry eyes or blurred vision, soreness of waist and knees, nocturnal emission or menstrual disorders, fever in the five parts of the body, dry mouth and throat, red tongue with little coating, and stringy or fine pulse. The treatment is aimed at nourishing the liver and kidneys, suppressing yang and activating blood circulation. The prescription is Qiju Dihuang Decoction with modifications, and the ingredients include raw rehmannia, rhubarb, fructus Ligustri Lucidi, wolfberry, chrysanthemum, Achyranthes bidentata, earthworm, Uncaria rhynchophylla, salvia miltiorrhiza, motherwort, and angelica.