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Acute glomerulonephritis treatment technology, traditional Chinese medicine

2012年07月02日

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Acute glomerulonephritis treatment technology, traditional Chinese medicine

 

 

China's traditional Chinese medicine reported

 

 

 

        Acute glomerulonephritis (AGN) referred to acute nephritis, it is to point to a group of different causes of infection caused by the immune reaction in the acute suppurative inflammatory lesions of glomerular, most for streptococcus infection caused by after, called acute post-streptococcal glomerulonephritis (APSGN). Clinical to edema, less urine and blood in the urine, high blood pressure and a had sexual disease as the main performance of nitrogen, most prognosis is good. Any age all can come on, but see more with children, youth is the second smallest, and old rare.

 

        The disease can be attributable to the traditional Chinese medicine "edema," "urinetoplasma ratio" category.

 

        A, causes and pathology

 

        1. The western medicine etiology pathology

 

        AGN is A kind of infected immune inflammation, most for some of the group A hemolytic streptococcus infection caused by strains after the nephritis. Other such as staphylococcus aureus, streptococcus pneumonia, measles virus, the influenza virus and mumps virus, etc all can cause acute nephritis, but is rare.

 

        All the strains are common nephritis of nephritis effects, including bacteria cells within the walls of the M protein streptococcus element and "nephritis strains collaborative protein" (NSAP), through the antigen antibody immune complex cause inflammation of the glomerular capillary pathological changes, including the circulating immune complex and in-situ immune complex formation cause disease.

 

        2. TCM etiology

 

        Because the wind outside attacks and disease, lung lost the adjustable; In the toxic heat to, damp and hot accumulate knot; Water soaking wet, trapped temper; Viscera gas kui, subtle not solid. A major disease in lung, spleen, and kidney. A disease in the early lung, spleen two dirty to standard real Lord; Recovery in the spleen and kidney disease a two dirty, show the actual mingled with syndrome. Disease, are empty, and long, water wet cohesion, burns context, kidney Yin loss.

 

        Second, clinical manifestation

 

        1. Edema: in general only affects the eyelid and facial ministry, the person that weigh 2 ~ 3 day throughout the body, show can sag sex.

 

        2. Less urine: initial often less urine, the two weeks, with the urine output increased renal function can be recovered, a few can appear without the urine.

 

        3. Hematuria: 30% ~ 40% of patients with the naked eye hematuria for 1 ~ 2 weeks turn namely microscopic hematuria, serious may be accompanied by voiding difficulties.

 

        4. High blood pressure, blood pressure can from mild to moderate increased, often with edema parallel degree, in 1 ~ 2 weeks after urine output increased, cycle load reduced and gradually returned to normal. A few patients can appear severe hypertension, or even high blood pressure encephalopathy.

 

        Three, syndrome differentiation type points

 

        1. The chill of card: evil cold fever, aversion to cold is heavy, cough and shortness of breath, puffy face, or the whole body edema, light luster, tongue light moss thin white, pulse float tight.

 

        2. Wind hot incoming table card: fever sore throat, dry mouth thirsty, puffy face, less urine yellow, red tongue moss thin yellow, pulse floating number.

 

        3. Hot and humid contains the card: your face or body edema, mouth tastes bitter sticky, abdominal distension, less, less urine red, is what hematuria, red tongue moss yellow greasy, pulse slippery number.

 

        4. Spleen and kidney deficiency syndrome: leg edema, press can't afford the sag, body weight, new often abdominal distension, NaCha, the waist sour niaoshao, fatigue and shortness of breath, tongue light moss white greasy, pulse this delay.

 

        5. Yin deficiency damp and hot card: edema is gone, red face vexed hot, dry mouth and like drinking, mouth sticky mouth bitter, brothers heart hot, the waist sour weakness, stool stem node, urinate yellow, or have urinetoplasma ratio, red tongue moss thin yellow greasy, pulse count.

 

        Four, syndrome differentiation

 

        1. The chill of the card

 

        [treatment] breeze spread cold, xuan lung do water.

 

        [herbs] ephedra decoction and five lingya scattered to add and subtract. Major drug: ephedra sinica, almond, cassia twig, liquorice, largehead atractylodes rhizome, tuckahoe, pigs lingya diarrhea, jersey.

 

        What if a cough and asthma, add TingLi son, white mustard gas down smoothing asthma.

 

        2. Wind hot incoming table card

 

        [treatment] scattered wind clear heat, xuan lung do water.

 

        The slaves and [herbs] was reduced tonga. Major drug: ephedra sinica, almond, wind, duckweed, largehead atractylodes rhizome, tuckahoe, ze, diarrhea, CheQianZi, plaster, white mulberry, radix scutellariae.

 

        If what cough and asthma, and almond, former hu drop AIRS breathe; Wind hot partial cheng, add forsythia, balloonflower root, banlan root, fresh make clear heat and to swallow, [detoxification.

 

        3. Hot and humid contains the card

 

        [treatment] qingrejiedu, the water swelling.

 

        [herbs] ephedra forsythia ChiXiaoDou decoction and five disinfection and drink. Major drug: ephedra sinica, almond, white mulberry, ChiXiaoDou, honeysuckle, wild chrysanthemum, dandelion, purple flower DeDing, purple TianKui back.

 

        If the erosion of wet filled, and bitter and, smilax glabra roxb; Red and swollen blood heat, add peony skin, root.

 

        4. Spleen and kidney deficiency syndrome

 

        [treatment] good permeability wet, the YangLi water.

 

        [herbs] five skin and five lingya wulingsan and drink. Major drug: white mulberry, dried tangerine or orange peel, ginger skin, the skin, poria cocos skin, cassia twig, largehead atractylodes rhizome, pigs lingya diarrhea, jersey.

 

        What if the upper part of the swollen, add ephedra sinica, almond, TingLi son in a mission lung discharge water; If the lower half what swollen, add sichuan pepper mesh, prevent yourself remove ShiXie scattered, and water swelling.

        

        5. Warm Yin deficiency syndrome

 

        [treatment] nourishing kidney Yin, clear the hot and humid.

 

        [herbs] zhibai dihuang tonga taste. Major drug: altogether, cortex phellodendri, ripe tuberous root, dogberry, yam, tuckahoe, peony skin, ze diarrhea.

 

        If the blood in the urine, increase the thistle, XiaoJi, QianCao, white rhizome; Lack of power significantly, and prince Edward and, astragalus.

 

        Five, experience party

 

        1. Astragalus rhizome soup

 

        [drug composition] astragalus 90 grams, fresh white rhizome 30 grams.

 

        [efficacy] WenYangYi gas, diuresis detumescence.

 

        [usage] water frying uniform, early, middle and late points uniform, a dose of every day, even served 14 to 20 days. Avoid strenuous activity during treatment, pay attention to rest, appropriate low-salt diet.

 

        2. Urgent renal better

 

        [drug composition] cortex phellodendri 12 grams, astragalus membranaceus 30 grams, r. born 15 grams, which is 10 grams, poria cocos 15 grams, the pig lingya 15 grams, jersey xie 12 grams, white atractylodes 12 grams, cassia twig 12 grams, Fried pu yellow 15 grams, 30 grams of salvia miltiorrhiza, rhubarb 10 grams, motherwort 15 grams.

 

        [efficacy] the water detumescence, heat cool blood.

 

        [usage] water frying uniform, morning and evening points clothing, take 10 agent, and ask its low salt diet, avoid the fat be bored with spicy taste.

 

        Six, appropriate technology

 

        1. Cutem therapy

 

        Choose 2 cm diameter cans, location, cv3, three Yin /, QuChi. First to again after acupuncture gas cutem, reducing method heavy pull out, leave pot 15 minutes, once per day, 15 times for one period of treatment.

 

        2. Guasha treatment

 

        Back: lung yu yu, the "kidney deficiency-senescence"; Abdomen: moisture. Upper limbs department: feet ze, lack of, and listed the valley; Lower limb department: Yin ling spring, the bilateral. Once per day, every time 20 ~ 30 minutes, 10 times for one period of treatment.

 

        3. Foot therapy

 

        Will ChiXiaoDou 750 g's cooking take juice, while warm immersion double sufficient to knee, once per day, every time 30 to 60 minutes, apply to the beginning nephritis, leg edema, the obvious.

 

        4. Dietotherapy party

 

        Take a big carp tail, vinegar 200 ml, boiled can eat once a day, attending the acute glomerulonephritis edema.

 

        Seven, prevention of nursing

 

        Most patients in 1 ~ 4 weeks appear diuresis, detumescence, blood pressure, urine tests also often then better. But few microscopically hematuria and trace urine protein can sometimes in six months to a year before it disappeared. Only 1% of the patients can be because "treatment of acute renal failure and death, and improper for elderly patients with more.

 

        Usually prevent colds and infection, have a rest in bed after illness, appropriate into high quality low protein, high quantity of heat, high vitamin diet, limit sodium, water intake.