2017年4月1日星期六

Chinese medicine treatment of chronic renal failure

Chronic renal failure is a clinic syndome mainly shows a variety of metabolites and toxic retention, clinical water, electrolyte and acid-base balance disorders and endocrine dysfunction when the chronic kidney disease is in the end stage.It is the final destination of kidney disease and kidney related diseases.
In , there are many similar discussions about the relationship between the Chinese medicine obstruction and rejection, Bilong and the acute renal failure and chronic renal failure. Now the view of chronic renal failure machine, we have basically made a consensus that it is the differentiation of diseases throughout the chronic renal failure. Weakened body resistance include yin, yang, qi, and blood, viscera asthenic disease, the main is spleen and kidney deficiency, and the pathogenic factors include water wet, damp heat, blood stasis and so on.

Treatment based on differentiation of symptoms and signs

Chinese medicine treatment of chronic renal failure

Principles of differentiation of symptoms and signs

Chronic renal failure is characterized by a longer course of disease, complex, deficient root with overdo superficial, the treatment for both cause and symptoms. Commonly methods include tonifying kidney and spleen, regulating the spleen and stomach, promoting blood circulation and removing blood stasis and eliminating turbidity by purgation, clearing Heat and eliminating Dampness.

Dialectical medication

  • Tonifying kidney and invigorating spleenFor the essence of chronic renal failure is the deficiency of both qi and Yin, mainly is spleen qi deficiency and kidney yin deficiency. On the treatment of Shenqi Dihuang Decoction is the basec medicine on tonifying kidney and invigorating spleen, and according to the principle of treatment based on syndrome differentiation. Traditional Chinese medicine of tonifying kidney and spleen can treat chronic renal failure and immunocom promise. Patients with chronic renal failure must be caution with used Gui, Fu and other warm drying drugs.
  • Regulating spleen and stomachChronic renal failure patients often have performance of incoordination between the spleen and the stomach, such as anorexia, fatigue, nausea, vomiting, and so on, the common prescription include: Sweet sand six jun soup, Warm spleen soup, Huangqi Jianzhong Decoction and so on.
  • dredge viscera and excrete turbidityTreatment of chronic renal failure with dredge viscera and excrete turbidity, the first choice is rheum officinale. Clinical trials have shown that rhubarb has been recognized for delaying renal failure. Rhubarb can reduce glomerular high perfusion, high filtration, reduce renal tubular highmetabolism, inhibit mesangial cell proliferation and proliferation of fibroblasts, specifically reduce blood lipids and urea nitrogen, promote protein synthesis and so on. Rhubarb soda tablet is a common drug used in the treatment of chronic renal failure without dialysis. Chronic renal failure patients has the deficient root with overdo superficial characteristics, in clinical, often use with rhubarb, has laxative effect, and promoting blood circulation and removing blood stasis. Retention enema with rhubarb as the main drug has become one of the common methods of non dialysis therapy for chronic renal failure.
  • Promoting blood circulation and blood stasisChronic renal failure is mainly caused by dampness and blood stasis, hemodynamics is also an important cause of renal further dysfunction. Experimental studies have proved that promoting blood circulation and removing blood stasis can reduce renal tissue fibrosis and improve renal function. Therefore, promoting blood circulation and blood stasis is very important for the treatment of chronic renal failure.
  • Clearing heat and dampnessIn the treatment of chronic renal failure, clearing heat-toxin and eliminating dampness is the main way to give evil a outlet. Heat clearing and detoxifying drugs generally have anti-infection, anti-inflammatory, improve the body’s immune function. The Lysimachia christinae Hance, Manis pentadactyla, White snake grass and other herbs not only can slow down the progression of chronic renal failure, but also can reduce proteinuria.

Enema

Retention enema is one of the main methods to treat chronic renal failure. The method can avoid the direct stimulation of oral laxatives to the digestive tract, and can increase the excretion of potassium and phosphorus.

Special treatment

special treatment, including the traditional Chinese medicine hot compress method of kidney area, traditional Chinese medicine foot bath method, medicine-separated moxibustion, etc..

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