The kidneys are important excretory organs of the human body, and their physiological functions are mainly to excrete metabolites and regulate the balance of water, electrolytes and acid-base, secrete a variety of active substances, maintain the stability of the body's internal environment, and ensure the normal physiological functions of the body. Nephritis is a group of kidney diseases that are immune-mediated, inflammatory mediators (such as complement, cytokines, reactive oxygen species, etc.) involved, and finally lead to inflammatory changes in the inherent tissues of the kidneys, causing different degrees of renal dysfunction, which can be caused by a variety of etiologies.
There are many types of nephritis, of which chronic glomerulonephritis is the most common, referred to as chronic nephritis, refers to proteinuria, hematuria, hypertension, edema as the basic clinical manifestations, the way of onset is different, the disease is prolonged, the lesions are slowly progressing, there may be different degrees of renal function loss, and eventually develop into a group of glomerular diseases with chronic renal failure. Due to the different pathological types and stages of diseases in this group, the main clinical manifestations are different, and the disease manifestations are diverse.
The etiology of most patients with chronic nephritis is unknown, and according to statistics, only 15% to 20% of them transition from acute glomerulonephritis. Most patients with chronic nephritis have no history of acute nephritis, and most scholars believe that there is no definite association between chronic glomerulonephritis and acute nephritis, which may be due to the combination of various bacterial, viral or protozoan infections through immune mechanisms, inflammatory mediators and non-immune mechanisms. The most common triggers are colds, tonsillitis, overdose of medication, etc.
Zhang Zhenzhong, a traditional Chinese medicine expert at Beijing Lianke Traditional Chinese Medicine Nephrology Hospital, said that chronic glomerulonephritis should be treated accordingly for its pathological type in the early stage to inhibit immune-mediated inflammation, inhibit cell proliferation, and reduce kidney sclerosis. It can prevent or delay the progressive deterioration of renal function, improve or alleviate clinical symptoms, prevent renal hypofunction, improve already impaired renal function, prevent cardiovascular comorbidities, and improve long-term prognosis. The treatment of traditional Chinese medicine is mainly dialectical treatment, which can be combined inside and outside, and the combination of traditional Chinese medicine and Western medicine can receive significant results.
Men with chronic tonsillitis have repeated low back pain, and chronic nephritis is detected, which is induced by chronic tonsillitis
Case: Patient xxx, male, 40 years old, has a history of chronic tonsillitis, usually has the habit of smoking and drinking, every time after getting cold or drinking alcohol will cause inflammation, drug treatment symptoms are alleviated, but always can not be completely cured, sometimes have to increase the amount of medication.
In recent months, due to repeated symptoms of waist pain, darker urine and a lot of foam, I have gone to the internal medicine department of the local hospital for medical treatment. After the patient self-reported the condition, the examination found that urine occult blood (++), urine protein (+++), the number of white blood cells in the blood increased, and was diagnosed with chronic nephritis. After treatment with hormonal Western drugs, the symptoms are slightly reduced, but there are always red blood cells and a small number of cast cells in the urine. Later, due to the recurrence of discontinuation, he went to the doctor again, and through multiple examinations, the doctor considered nephritis induced by chronic tonsillitis.
After the cause of repeated nephritis in this patient is clear, the tonsils are removed surgically, and then integrated traditional Chinese and Western medicine is used, one is to treat kidney disease. The second is to enhance the patient's physique, after more than a month of comprehensive treatment, re-examination of urine routine, urine occult blood negative, urine protein negative, blood white blood cells returned to normal.
Doctors say most people have had inflammation of the tonsils, with symptoms such as fever, sore throat, and swollen lymph nodes. The tonsils are located at the intersection of the digestive tract and respiratory tract and are part of the pharyngeal lymphatic circulation and have a certain degree of immunity. However, the tonsils will also be prone to some pathogenic bacteria, which are easy to cause infection when immunity is low, which in turn induces myocarditis, nephritis and other diseases.
Although the tonsils are a line of defense for the immune system, when acute tonsillitis caused by the pathogen recurs, it will evolve into chronic tonsillitis and lose its original defenses. It will also become a shelter for bacteria and viruses, and if it is not treated in time, the inflammation will spread to the surrounding tissues and spread to other organs through the blood, causing complications. Common symptoms include nephritis, myocarditis, arthritis, long-term low-grade fever, rheumatic fever and so on.
The tonsils also secrete a large number of inflammatory mediators, such as white media2, which can induce systemic inflammation. Compared with ordinary people, patients with kidney disease have lower immunity and are more vulnerable to attack by germs. Therefore, tonsillitis is an early warning sign of the occurrence of chronic kidney disease. Once the seizure occurs, it is necessary to seek medical treatment in the shortest possible time.
Common predisposing factors for tonsillitis are exertion, excessive tobacco and alcohol, cold, etc., and chronic purulent inflammation of the nose and sinuses and inflammation of the oral cavity are also a major trigger. The prevention of tonsillitis should improve the sanitary conditions of the living and working environment, pay attention to personal hygiene, pay attention to diet, enhance physical fitness, improve immunity, etc.
How does TCM treat chronic tonsillitis?
Zhang Zhenzhong, a TCM expert, said that the treatment of chronic tonsillitis by TCM is mainly through oral Chinese medicine and acupuncture for conditioning. Mainly oral Chinese medicine decoctions, combined with acupuncture and moxibustion, the effect is better. Generally choose Traditional Chinese medicines with effects such as clearing heat and detoxification, raw jinli pharynx, nourishing lungs and kidneys, such as Xuan Ginseng, Mai Dong, Raw Licorice, Raw Land, Zhimu, Yellow Cedar, Bellflower, etc. Dialectical Therapy of Chinese Medicine:
1. Evidence of wind and evil invasion. Traditional Chinese medicine treatment should be to relieve wind and heat, pharyngeal swelling and swelling-based, you can choose prescription drugs to remove wind and heat soup, group of prescription drugs: windproof, honeysuckle, forsythia, skullcap, red peony, burdock seed, platycodon, licorice, mulberry white peel, Xuan ginseng, Zhejiang shellfish, smallpox pollen, etc., if constipation, can increase yellow, mangostring, play a role in heat dissipation and detoxification; headache is obvious, can add Sichuan root, bai zhi, hangzhou chrysanthemum, has the effect of wind relief and pain relief; hot people can increase green leaves, can clear heat and detoxification.
2. Evidence of lung and stomach fever. Treatment should be diarrhea and heat detoxification, pharyngeal swelling, you can choose to clear the throat diaphragmatic soup plus or minus, group of prescription drugs: jing mustard, parsnip, peppermint, gardenia, skullcap, skullcap, honeysuckle, forsythia, platycodon, licorice, burdock, xuan ginseng, raw rhubarb (posterior), Xuanming powder (punched). If the cough sputum is thick and thick, and there is a hard core under the jaw, the patient can add ejaculation, melon, zhejiang shellfish, play a role in clearing the hot sputum; in the case of persistent high fever, gypsum and tianzhu yellow can be added to clear the heat and diarrhea, remove the phlegm and pharynx; patients with throat nucleus putrid pus into tablets can add mabo, dandelion, etc., to play a role in dispelling rot and detoxification.
3. Evidence of yin and evil. Traditional Chinese medicine treatment should nourish the lungs and kidneys, clear the throat, you can choose lily solid jintang plus or minus, group medicine: lily, xuan ginseng, mai dong, raw ground yellow, cooked yellow, angelica, peony, Zhejiang shellfish, orange stem, licorice and so on. If accompanied by dry eyes, pulse strings and other liver yin deficiencies, can be added ginseng, goji berries, neem seeds. For those with hard or swollen almond constitution, they can add drugs such as Sichuan beef knee, danshen, raw oysters, sea clam powder, and lulutong, which can activate the blood circulation and remove the sputum and scatter the knots.
4. Evidence of qi deficiency and evil stagnation. Treatment should be healthy spleen and stomach, remove dampness and pharynx. You can choose six gentlemen soup plus or minus. Prescription medicines: Dang Ginseng, Bai Shu, Licorice, Poria Sativa, Tangerine Peel, Fa Ban Xia, etc. If the wet evil is heavy, it can be thickened and thick, citrus shell, and has the effect of xuanchang qi machine, dispelling dampness and pharyngeal action; if the laryngeal nucleus is enlarged, it can be added to Zhejiang shellfish and raw oysters, which plays a role in dissolving phlegm and soft and firm loose knots.
5. Sputum stasis is mutually confirmed. Treatment should be invigorating blood stasis, expectorant and pharyngeal. You can choose to add or subtract from the epiglottised soup with two chen soups. Prescription medicines: peach kernel, safflower, angelica, red peony, raw ground yellow, platycodon, xuan ginseng, licorice, citrus aurantium, chai hu, poria, tangerine peel, Fa Ban Xia, etc. If the laryngeal nucleus is dark red and hard, it can be added with quila, curcumin, salvia, leeches, lulutong, raw oysters, which have the effect of activating blood and soft and firm knots; if the compound sense of heat and evil, the pus is thick and thick, you can add skullcap, dandelion, psyllium, soap horn thorns, play a role in clearing heat and phlegm.
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