From rheumatism phase stroke syndrome differentiation chronic kidney disease (two)

ZhouZhongYing Nanjing university of Chinese medicine

China's traditional Chinese medicine to

        Medical record a

        Li mou, female, 32. On March 3, 1999 first visit.

        He had a history of systemic lupus erythematosus (sle) for more than ten years, seven years ago found with lupus nephritis, used prednisone treatment, maximum dose use to 100 mg/d, at present the maintaining quantity 30 mg/d, a month ago static drop cyclophosphamide 0.6 g/d, a total of 7 day, cause serious hair loss. On February 28, urine routine inspection and: protein (+), occult blood (+ +), pus cells (+ +). Disease see the full moon face, body fat, thinning hair, facial flushing burns, lumbar acid, urinate HunHuang and mucosa precipitation, urine foam is not obvious, dizziness, weakness, not durable sit, lumbar spinal pain, hollow when epigastric discomfort, have hungry feeling, vaginal have urticant feeling, down color yellow capacity is much, month often yan period, quantity is little, do the lower abdomen discomfort, a week ago had been suffering from herpes zoster, at present the local still pain, yellow coating on the tongue, the rear greasy, tongue mass red, vein fine.

        Certificate of liver and kidney deficiency, and lower portions hot and humid, with the spleen and stomach, wind poison bizu, to kidney tonic, clear the hot and humid, regulate the spleen and stomach qufeng detoxification of agent.

        Prescription: rhizoma atractylodis 10 grams, cortex phellodendri 10 grams, radix sophorae flavescentis 10 grams, cocklebur 10 grams, belvedere fruit 10 grams, raw radix rehmanniae 10 grams, radix pseudostellariae 10 grams, epimedium 10 grams, born YiRen 12 grams, Bi Xie 15 grams, raw huangqi 15 grams, ZhiHuang fine 15 grams, caulis sinomenii 15 grams, madder root 15 grams, ghost arrow feather 15 grams, glabrous greenbrier rhizome 20 grams.

        One week after medicine, herpes zoster disappear, above a profit and loss, continuous use, daily 1 agent. June 1999 b began to gradually withdraw hormones, 2000 to march b hormone withdrawal all finished, the patient's condition is stable. Body fat is becoming more slender, full moon face is normal, because one 4 kg weight loss. Pee turn clear, urine routine inspection normal, begin with basic symptoms disappear, only menstrual cycle difficult to decide, facial fortuitous red rash, coating on the tongue yellow greasy, tongue mass red, vein fine, kidney and liver insufficiency, hot and humid stasis yu not, long illness complex stasis. On March 29, 2000 return visit when turning to adjusting and mending the hepatorenal give priority to.

        Prescription: dogwood 10 grams, cortex moutan 10 grams, poria cocos 10 grams, ze LAN 10 grams, rhizoma alismatis 10 grams, cortex phellodendri 10 grams, rhizoma atractylodis 10 grams, trumpet creeper 10 grams, angelica 10 grams, raw radix rehmanniae 15 grams, Chinese yam 15 grams, senecio 15 grams, ghost arrow feather 12 grams, ZhiHuang fine 12 grams, reed canary leakage 12 grams, glabrous greenbrier rhizome 20 grams, chinaroot greenbrier 20 grams.

        When again return visit a little to add and subtract, take medicine to in October 2000, the normal menstrual cycle, face returned to normal, the new hair grow, has no power of sparse, multiple urine test and liver/kidney check all normal, usually slightly feeling of fatigue, disease against more, take one agent told alternate days to consolidate curative effect. I come to visit, v. without any discomfort, the mental state is better.

        Long illness according to kidney deficiency, Yin blood loss, lower portions hot and humid, and the wind poison bizu. To take temporary solution is given priority to, and to culture complement upright, with two wonderful pill five into Bi Xie, coix seed, glabrous greenbrier rhizome, radix sophorae flavescentis, belvedere fruit, such as the lower portions qing damp and hot, and close ghost arrow markings, cocklebur, caulis sinomenii, madder, born rehmannia qufeng detoxification, clear heat and blood stasis, less with radix astragali, rhizoma polygonati, epimedium, radix pseudostellariae with auxiliary vital qi, spleen and stomach of guard; Mark card after relief, it is designed to LiuWei pill close yellow extract, angelica culture complement for the kidney this, two wonderful pill, senecio, leakage reed, glabrous greenbrier rhizome, smilax, etc all did not remove the damp and hot trends, long illness complex stasis, therefore, also with the ghost arrow markings, trumpet creeper and eliminating stasis removing. The whole treatment process in the primary and secondary specimens, the illness is multifarious stubborn, is still the better effect.

        Medical record two

        YuanMou, female, 72 years old. 2002 February 5 first visit.

        Always check renal found urea nitrogen, creatinine is on the high side, do not make special treatment. Began in March 2000 anorexia, all-overish, check renal: urea nitrogen 15 mmol/L, creatinine 160 umol/L, long-term use of renal failure better. Today because of illness to diagnosis. Disease see food less NaCha, new wan, vomiting, all-overish, defecate less line, less urine, coating on the tongue yellow greasy, mass dark, vein fine slide. Quasi from spleen and kidney two virtual, wet turbidity of resistance, the stomach gas on inverse treatment.

        Prescription: ageratum 10 grams, Sue leaf 10 grams, rhizoma coptidis 4 grams, evodia rutaecarpa 3 grams, method pinellia tuber 10 grams, light congrongtongbian 10 grams, a fairy spleen 10 grams, lucheng dangshen 10 grams, ze LAN 12 grams, rhizoma alismatis 12 grams, the demon arrow feather 15 grams, born rhubarb (later) 9 grams, semen plantaginis (packet Fried) 10 grams.

        Two diagnosis: on July 15, 2004.

        Family generation v. : medicine in stable condition after the turn for the better, later with a casual clothes the original party, in stable condition after continued to take renal failure better. April 2004 because of illness and see aggravating, once hospital check renal: urea nitrogen 19.5 mmol/L, creatinine 300 umol/L; Pa: double kidney narrowed, left renal 7.3 cm x 3.8 cm, right kidney 7.5 cm x 3.4 cm. Diagnosis: 1. The coronary heart disease; 2. High blood pressure level 3; 3. Chronic renal insufficiency (azotemia period). At present patients obviously afraid of the cold, cold foot back what such as throw cold water, is the basic normal blood pressure, still intends to WenTong drain turbidity, and stomach drop back.

        Prescription: ageratum 10 grams, Sue leaf 10 grams, gun ginger 2.5 grams, coptis chinensis franch of 3 g, evodia rutaecarpa 3 grams, method pinellia tuber 10 grams, dangshen 10 grams, raw huangqi 15 grams, light congrongtongbian 10 grams, a fairy spleen 10 grams, the demon arrow feather 15 grams, radix achyranthis bidentatae 10 grams, born rhubarb (later) 6 grams, semen plantaginis (packet Fried) 10 grams.

        According to the case for virtual cause real, this virtual scale false certificate, due to illness long product gradually aggravate, standard real become the main lesions MAO dun, therefore, to take temporary solution for worry, and to the foundation, lesions main dirty although in the kidney, but has damage and taste, and to bring evil anorexia as its characteristic, and this is the water wet inside stop, wet turbidity stuffed hot, water poison retention, long illness complex stasis, hot and humid, turbidity stasis, water poison interactive material, without making spleen stomach, spleen stomach drop caused transport disorders, by crime. Organs of the body to pass, this stomach qi do not drop is setting gas no, wet turbidity transportation stasis resistance, it is heavy to eliminate pathogenic factors and treatment to trued, although righting also not a supplement. Medicinal ageratum, Sue leaf, rhizoma coptidis and fructus evodiae, method pinellia tuber bitter XinTong drop, clear sinochem wet, and stomach drop back, Born rhubarb through experiments of tong drain turbidity, the whole desert cistanche to make up for virtual reality, purging with Oriental waterplantain rhizome, semen plantaginis and water logging wet; Ze LAN, and the demon arrow feather eliminating stasis removing, and wu dangshen, immortal spirit spleen kidney and invigorating the spleen, pass in repair, medicine disease after reduction, the patient's condition is stable, although after each see again and again, but take medicine is flat and, so far, more than four carrying, look be like suit take temporary solution, actually retard patient's condition development good results. And differentiation of symptoms and signs for machine use, is involved in the wind, wet, cold, hot, turbidity, blood stasis, and virtual multiple aspects.