Treatment of chronic nephritis

Kidney Qi is the foundation of human health, and modern people are under great work pressure. Many people in life have kidney problems, and chronic nephritis can be said to be the most harmful type of kidney disease. If you have chronic nephritis, you will have problems such as back pain, lung and kidney Qi deficiency. If not treated in time, it may even be fatal. Therefore, if you have chronic nephritis, you must treat it in time.

The syndrome is differentiated into this type:

(1) Lung and kidney qi deficiency: ① Swollen face and limbs, sallow complexion; ② Shortness of breath and weakness; ③ Prone to catching colds; ④ Back pain; ⑤ Pale tongue with moist white coating, teeth marks, and thready and weak pulse.

(2) Spleen and Kidney Yang Deficiency: ① Obvious edema and pale complexion; ② Fear of cold and cold limbs; ③ Soreness and coldness of waist and spine or soreness and weakness of shins and legs, and heel pain; ④ Fatigue, poor appetite or loose stools; ⑤ Impaired sexual function or menstrual disorders; ⑥ Tongue is tender, pale, fat, and has teeth marks; pulse is deep and thin or slow and weak.

(3) Liver and kidney yin deficiency: ① Dry eyes or blurred vision; ② Dizziness and tinnitus; ③ Heat in the five parts of the body, dry mouth and throat; ④ Pain in the waist and spine or nocturnal emission, or menstrual disorders; ⑤ Red tongue with little coating, and stringy or fine pulse.

(4) Deficiency of both Qi and Yin: ① Pale complexion; ② Shortness of breath, fatigue or susceptibility to colds; ③ Low-grade fever in the afternoon or hot hands and feet; ④ Dry mouth and throat or long-term sore throat, dark red throat; ⑤ Red tongue with little coating, thready or weak pulse.

What are the TCM treatments for chronic nephritis proteinuria?

(1) Qi-invigorating and kidney-strengthening method: used for patients with lung and kidney qi deficiency, spleen and kidney qi deficiency. Astragalus, Codonopsis pilosula and Pseudoradix pseudoginseng can be used to replenish lung qi. To replenish the spleen, you can use Codonopsis pilosula, raw Astragalus membranaceus, Pseudostellaria baicalensis, Atractylodes macrocephala, Euryale ferox, and lotus seeds. To strengthen the kidneys, you can use golden cherry, lotus stamen, dodder seed and raspberry.

(2) Warming and tonifying the spleen and kidneys: It is used for patients with spleen and kidney yang deficiency. Commonly used prescriptions include Fuzi Lizhong Decoction, Zhenwu Decoction, etc.

(3) Nourishing kidney yin method: It is used for patients with kidney yin deficiency. Chronic nephritis, such as those who warm the spleen and kidney for too long or use hormones for treatment, can lead to kidney yin depletion. Commonly used prescriptions include Liuwei Dihuang Decoction, Zhibai Dihuang Decoction, etc.

(4) Qi and Yin tonification method: It is used for Qi and Yin deficiency syndrome. The commonly used prescription is Shenqi Dihuang Decoction. If there is heart Qi deficiency, Shengmai San can be used in combination.

(5) Yin and Yang Dual Supplementation Method: For patients with both Yin and Yang deficiency, the commonly used prescription is Guifu Dihuang Decoction, which can be used in combination with Guilu Erxian Glue.

(6) Heat-clearing and detoxifying method: Suitable for patients with chronic nephritis complicated with infection. Wuwei Xiaodu Yin combined with Yinqiao Powder can be used with modifications.

(7) Blood circulation and stasis removal method: Chronic nephritis has a long course of disease, and most patients have varying degrees of blood stasis. On the basis of syndrome differentiation and treatment, Danshen, Zedoaria, Safflower, Leonurus, Leech, etc. can be added.

(8) Qufeng Shengshi Method: This method can be used for patients with chronic nephritis with dampness prevailing and spleen qi not rising. The commonly used prescription is Qufeng Shengshi Decoction (qianghuo 10g, cangbaizhu 6g each, lifangfeng 6g, raw astragalus 15g, tangerine peel 10g, cimicifuga 10g, bupleurum 10g, angelica 10g, red peony root 15g, chuanxiong 10g).

1. Pay attention to rest and avoid overwork. Prevent colds or upper respiratory tract infections.

2. If you have tonsillitis, otitis media, sinusitis, or dental caries, you should seek prompt diagnosis and treatment. Pay attention to personal hygiene, keep your skin clean and prevent skin infections. These are all possible triggers that may lead to recurrence or activity of the disease.

3. Patients with obvious edema, large amounts of proteinuria and normal renal function can supplement their protein diet appropriately. When there is no edema and hypoproteinemia, daily protein intake should be limited to 0.6 grams per kilogram of body weight (each bottle of milk contains about 6 grams of protein, each egg contains about 6 grams of protein, and every 50 grams of rice contains about 4 grams of plant protein).

4. People with edema, hypertension and heart failure should eat a low-salt diet and consume less than 5 grams (1 qian) of salt per day, about the size of a broad bean.

5. Avoid taking antipyretic and analgesic drugs containing phenacetin and other drugs that may damage kidney function such as kanamycin, gentamicin, etc.

6. Check urine regularly. If there are more than 10 red blood cells per high-power field of view in the urine, you should rest in bed.

The above are some methods for treating chronic nephritis. Finally, I would like to remind you that if you have chronic nephritis, you must insist on treatment. Only in this way can you stay away from the troubles of chronic nephritis and have a healthier body. For most people in life, if they find any of the above symptoms, it is best to go to the hospital for a check-up.