From "rheumatism phase stroke" syndrome differentiation of chronic kidney disease (one)

ZhouZhongYing Nanjing university of Chinese medicine

China's traditional Chinese medicine to

        The wind and the wet is a common two big pathological factors, can from the feeling, can be born from inside, both have a certain correlation, "wind - wet", wet from weathering, and no body and with the five gas conghua and joint disease, and "rheumatism phase stroke" for the sick especially, involves in many systems, many disease and syndrome, including kidney disease performance wind and wet pathologic characteristics of person, there is no lack of a example, so from rheumatism syndrome differentiation of chronic kidney disease, is worth exploring a way.

        The wind for Yang evil, wet belong to Yin class, Yin and Yang crisscross, composite material, the patient's condition often repeated deferment, touching refractory. And easy and five gas and clamp trouble, "injury in the wind on the first be, injury to the wet person first be under the". Rheumatism close evil, fluctuation into disease, who is the lung by feeling, the wind unboiled water chung, face floating expansion, body half above what swollen, the next is areca full expansion, body half the following and limbs diffuse swollen, hand by no means, long, wet from turbidity change, derived for particle cloud viscous metabolic pathological product, damage and kidney, kidney empty can't distinguish secrete turbidity, degradation drain change, turbidity stasis mutual knot, making for wet poison, water poison and blood stasis, poison, or injury gas consumption blood, or injury YinSun Yang, is run and love, so that the turbidity Yin on inverse, the threat of spleen, stomach, lung, make shot run heart, hurt liver, appear "drowned poison" GuanGe crisis.

        In general, kidney disease mainly rheumatism for initiating pathological factors, the evolution of patient's condition in cold, heat, turbidity, blood stasis, water, poison multiterminal, disease resistance though it is false or true and reciprocal causation mixed, disease from the Lord of lung, spleen and kidney in heart, the more the more dirty.

        Rheumatism and kidney disease specific sign analysis to

        Many kinds of kidney disease common specific disease have renal edema, kidney disease urine, kidney wind bewildered, deficiency of the kidney damage, etc., are involved in the wind and wet pathological intervention, this is the analysis.

        Renal edema

        This kind of edema, first from surface on, "eye on effective micro swollen, such as new lie on the shape", after the "foot shank is swollen, abdomen is big," the more speed, often have lung health pathogenic table disease, in line with "the face swollen yue wind, foot shank swollen yue water", "wet - what the water closed fu swollen", "the wet swollen full, all belong to the spleen" and so on the wind and pathologic characteristics of wet. For the wind evil make lung, pulmonary gas not xuan, wet trapped guard table, water wet don't change, so that renal shut adverse, water for swollen together. Seen in acute attack of chronic kidney disease, card see "the wind to water resistance", and "water wet dipping" wait, long the spleen Yang deficiency failure, soil not system water, water wet retention, they will be kidney damage.

        Nephropathy urine

        Microcosmic differentiation of symptoms and signs, urine test shall be proteinuria, hematuria, treatment is very stubborn, difficult to disappear. Total genera of renal QingZhuo secrete don't caused by disorder. Both subtle lost in solid hiding, kidney empty complex loss side, more wet turbidity stasis knot, difficult to resolve side, and because of the real cause of the virtual, and wet pathological characteristic is viscous, heavy cloud, and under, and the spleen/transport change function closely related to dereliction of duty, so when the spleen and kidney pathogenesis, purging real complement virtual; Pay attention to observe the urine color, quality, quantity, time, QingZhuo of urine, urine of spray how much, cause the wet turbidity, hot and humid, wet stasis, respectively processing, and to drain the wind to overcome wet, do not hold a method to rule.

        Kidney wind bewildered

        Wind bewildered refers to the liver wind interference caused by dizziness eye flower, but the disease in the kidney, external wind evil guest on, water wet stained in table, flawed water surged wind, and the surface floating claw, elevated blood pressure, and internal cause nephropathy, long, essence lose money, water is not han wood, endogenous wind dark move, the virtual high shake, dizziness eye flower, high blood pressure and difficult to drop. If later YinShang and Yang, Yin and Yang can cause two empty, fire not to yuan, virtual Yang floating more, leader dizzy, walk to float, urinary frequency foot cold, because what is the imbalance of Yin and Yang, qi and blood inverse disorderly, air lift blood inverse, the blood stasis complex bi, appear obstruction, heartache, hemiplegia, big jue stroke variable.

        Renal strain

        "The wounds, poor will and kidney", this is the traditional Chinese medicine for chronic disease turned over to the prognosis of a great idea, but to chronic kidney disease (CKD) is particularly important.

        Microcosmic syndrome differentiation into renal strain person, renal function must be certain damage. In the patient's condition developing many have a product gradually mutation process, performance began in lung, and finally the kidney, "the mark in the lung, the system in the spleen, its this in the kidney" pathological features.

        Must understand this is for real to virtual, the actual mixed compound pathology, it is in rheumatism make lung, spleen trapped on the basis of to evolve, already visible kidney wind "surface are the mighty swollen" scale real side, and the deficiency of the kidney damage, can't hide refine micro, flesh lose money this virtual side, but is not pure nothing evil, and sometimes even performance in order to renal real is given priority to, common turbidity stasis water poison mutual knot, clinical effect a permanent cure take temporary solution, treat real to virtual, still when weighing successively primary and secondary processing.

        Rheumatism and nephrotic viscera correlation

        Traditional Chinese medicine for chronic kidney disease pathological view, has always been considered "the this in the kidney" and more than kidney, in viscera whole related concept, lung, spleen and kidney tend to form a pathophysiological chain, involving etiologies, water metabolism, urine change, etc. But because the main disease viscera have primary and secondary, it can have different clinical performance:

        Lung rheumatism depression

        Many outside feeling wind evil is given priority to, from the disease by, pulmonary gas not xuan, guard table estrangement, and send chills and fever, sweat less, pharynx pain, cough. Wet depression on coke, supplement the pulmonary gas, wind to water resistance, lung lost through adjusted, and the surface floating body swollen, swollen potential body more than half for the, urine less color red. There are many wind is better than wet, but have clip cold, clamp thermal similarities, differentiation of symptoms and signs have cold, wind heat of don't.

        Spleen rheumatism resistance

        In wet trapped list is given priority to, often and eating seafood stimulating food, skin wet boils inside to related, visible "spleen wind" outgoing muscle Cou characteristic, wet gather for water, a six swollen, body for the half the following, swollen very visible skin spilling water, the skin wet boils itching, body weight vexed pain, less urine color muddy, defecate easy pond. But wet have thermalization, cold turn similarities, the differentiation of symptoms and signs and damp and hot, cold dampness of the points.

        Kidney wind turbidity (wet) stasis

        There are many delay long illness not more, the "kidney wind" edema is regression, each for pathogenic wind evil weighting, and the urine test deterioration, renal function injury, kidney empty complex stasis, wet from turbidity change, turbidity stasis mutual knot, clear with turbidity drain, essence depletion, because the virtual reality. Rheumatism turbidity stasis interactive material.

        Hydrophobic wind qushi is to treat chronic kidney disease (CKD) method

        In view of "rheumatism phase stroke" this composite pathogenesis in kidney disease pathogenesis of pathological characteristic, according to the "wind - wet", wet from the correlation of weathering, treatment when to drain the wind qushi primarily method, in view of the wind and the wet to evolve transformation, disease resistance chills and fever false or true, viscera disease of a primary and secondary, and the corresponding formulae.

        Basic formula: Sue leaves, wind, duckweed, Siberian cocklebur grass, periostracum cicadae, bombyx batryticatus, fructus kochiae, han fangji, rhizoma atractylodis macrocephalae, grifola, tuckahoe, Oriental waterplantain rhizome.

        Differentiation of symptoms and signs compatibility: cold heavy and ephedra, cassia twig, asarum, Wind hot heavy ZhuoJia gypsum, fructus forsythiae, white mulberry root-bark; On both are pharyngalgia with a yellow flower, dandelion, litchi grass, soil achyranthes; Hot and humid weight ZhuoJia phellodendron, June snow, glabrous greenbrier rhizome; Cold dampness heavy ZhuoJia rhizoma atractylodis, cortex magnoliae officinalis, notopterygium, Urinary red turbidity much foam person and carbonized human hair, main hedgehog skin, rhubarb carbon; Dizziness dazzled, ZhuoJia gastrodia elata, rhizoma ligustici wallichii, white thistle, Wet turbidity on inverse ZhuoJia pinellia tuber and rhizoma coptidis, dry ginger, fructus evodiae; Lower portions turbidity stasis action with ghost arrow markings, ze blue, peach kernel, rhubarb, Qi deficiency with astragalus, codonopsis pilosula, Blood deficiency with angelica, caulis spatholobi, prepared rhizome of rehmannia, YinShang action with radix rehmanniae, radix scrophulariae, radix glehniae and radix ophiopogonis; Yang with a fairy spleen, dodder; What cold with radix aconiti lateralis preparata and cortex cinnamomi.

        According to the known, from "rheumatism" in the treatment of chronic kidney disease, although is worth paying attention to study a way, but must be careful card for machine under the guidance of the concept, pay attention to relevant pathological factors, viscera disease, a patient's condition evolution, with the disorder rule, not law enforcement defence unchanged.

        Combined with clinical experience, extended its righteousness, can think the wind has a variety of specific sensitization factor of meaning, with today's allergy affinity; Wet is a kind of pathological metabolites, and immune response pathogenic related, and drain wind qushi help anti allergic reaction, regulate immune function. Hydrophobic wind releasing lungs focuses on open ghost gate, xie kidney qushi can be clean house, the fluctuation points away, can strike hydrophobic wind - wet "to YuanChen Cuo" effect, for the treatment of chronic kidney disease to provide a new starting point.