TCM treatment of obstructive acute renal failure

Chen, 70 years old, two years ago began to appear frequent micturition, urine, bladder fullness and discomfort. No obvious cause of lumbar pain and discomfort in two months ago, the left lower extremity edema, and gradually developed into the edema of lower limbs; in other hospital examination found abnormal renal function, renal function after 3 days, suggesting rapid deterioration of renal function, and in the afternoon in our department. At the time of admission Chen double lower limbs and ankle obvious pittingedema left, obviously, lower limb weakness, frequent urination, urine, bladder distention, renal area percussion pain, daily urine is more than 20 times.
Clear diagnosis before the first differentiation
After admission, we sought to determine the cause of edema and deterioration of renal function. Taking into account the patient for the elderly men, with no previous history of kidney disease, in just one month, increased renal function, clinical diagnosis of acute renal failure. All cases were excluded from the pre - and post renal acute renal failure. Because the patient had two years of frequent micturition, urine, bladder distension and other symptoms, consider the hyperplasia of prostate, urinary tract ultrasound check: middle and upper ureteral dilatation and mild hydrocephalus, benign prostatic hyperplasia and calcification in the diagnosis of obstructive nephropathy, is the cause of a temporarily unclear cause renal failure caused by obstruction of the urethra.
In view of the symptoms of the patients, we adopted a comprehensive treatment of traditional Chinese medicine system diagnosis and treatment. Patients with frail, weak body and kidney weakness, decline of vital gate fire, bladder gasification right and the gas on autism, out of all impassability, kidney yang deficiency, kidney seeper and gasification effect; sinister and Yang, Yang deficiency and Yin, cause kidney yin deficiency. Combining with the tongue pulse, the disease in kidney deficiency with damp heat, blood stasis based real evil. Therefore, the effect of Xingnaojing injection Qingrejiedu, Liangxue hemostatic Quxie used in intravenous therapy, while the use of Tonifying Qi and nourishing Yin, strengthening the Shenmai injection, with Zhengqingfengtongning injection of Chinese medicine through directional medicine treatment (double ureter and double plantar Yongquan) to live blood collaterals, and lead out evil righting.
Considering the patient the deficiency of spleen and kidney with exogenous damp heat, leading to damp heat, so oral medicine decoction Sanren decoction. Fang Xuan Li Qi Qi almond, gas line is wet; Ren aromatic cardamom, Qi wide, smooth in the temper; Yiyiren light infiltration benefits of water to the spleen, damp heat from the coke; talc, small rice and bamboo ganhan light infiltration, strengthen the dampness heat of the drug power line; Magnolia gasification wet, as adjuvant; with yam Yishen Fuzheng, Imperata Genli water swelling. All parties to play qingrelishi, rousing power, in the course of real.
Removal of obstruction is the primary task
Obstructive nephropathy is important to remove the obstruction, so continue to be retained urethral catheterization, bladder washing daily, as far as possible to relieve the obstruction; daily with Niaoduqing retention enema with colon dialysis, colon hydrotherapy, excretion of toxins. In drug treatment at the same time, for Chen's nervousness, anxiety, we give emotional counseling daily to help him establish the confidence to overcome the disease.
In my doctor's careful treatment, the patient from the hospital for seventh days, the weight began to decline significantly, edema subsided gradually; the patient's condition improved significantly in the tenth day, the lower limbs edema disappeared, abdominal distension, abdominal pain disappeared. Discharge, the patient's mental state was significantly improved. After follow-up, Chen symptoms have been basically disappeared, renal function, suggesting that creatinine decreased to about 200umol/l.
In this case we can see that the treatment of traditional Chinese medicine is not only confined to the traditional Chinese medicine decoction, in the grasp condition, prioritize and focus, a variety of Chinese medicine treatment can receive better results. For those patients who have difficulty in operation, or can not or do not want to do surgery, traditional Chinese medicine has great advantages.