The Yellow Emperor's Inner Classic: "The kidney is a strong official, and the skill is outstanding." ”
It is said that the kidney adheres to the innate nature of the parents and stores the innate yuan. After a person is born, the innate element reaches the maximum value, the essence of the essence is born of blood, the metamorphosis of the day after birth, the weiying qi, blood, and jin liquid. The Acquired Element is insufficient, and the kidney will call on the stored Innate Element to continue to regenerate The Qi, Blood, and Jin Liquid. But when the innate element is exhausted, it is the day of life's demise.
Therefore, Chinese medicine says that the kidney is a dirty, through the relationship between the organs and the intestines, one table and one mile, one viscera (kidney) and one intestine (bladder) meridian connection, the dirty cloud painting of qi, blood, jin, stored in the intestine, through the network (kidney meridian and bladder meridian) vaporization out, the formation of the physiological structure of the kidney system, infusion of the five bodies, five tricks, five Hua, five liquids, to protect the physiological balance of the human body and daily life activities.
The role of kidney function
Include:
1, the generation of urine, excretion of metabolites: the body in the process of metabolism to produce a variety of wastes, most of the waste through the glomerular blood filtration, renal tubule secretion, with the urine excreted outside the body, that is, the kidney is a detoxification organ;
2. Maintain humoral balance and acid-base balance in the body: the kidneys pass through glomerular filtration, reabsorption and secretion of renal tubules, excrete excess water in the body, regulate acid-base balance, and maintain the stability of the internal environment;
3. Endocrine function: the kidneys can secrete renin, prostaglandins, kinins, and regulate blood pressure through renin-angiotensin-aldosterone system and kinin-bradykinin-prostaglandin system.
In addition, it can also promote erythropoietin and stimulate bone marrow hematopoiesis. At the same time, the kidneys are also the site of degradation of many endocrine hormones, such as insulin, gastrointestinal hormones and so on.
There are three stages in the development of kidney disease
1. Inflammatory response period
Kidney diseases caused by many causes such as nephritis, kidney synthesis, IGA, membranous nephropathy, lupus kidney, etc., their kidney tissue damage is manifested as an inflammatory response in the early stage.
Therefore, we currently classify this stage of kidney disease as the "inflammatory response period", which is the inflammatory response period of renal fibrosis that we often refer to.
Because this inflammatory response is mostly related to immunity, most of which are non-bacterial inflammatory reactions, it is necessary to need a non-"anti-inflammatory" anti-inflammatory drug - hormones.
The role of hormones is to inhibit the inflammatory response and reduce cellular permeability, in addition, the focus of treatment is to control urinary proteins, edema and hypertension, and if diabetes and hypertension are accompanied, to control blood sugar and blood pressure.
2. Renal failure phase
Refers to the middle of kidney disease, in terms of blood creatinine, roughly equivalent to between 200-700 μmoI / L.
At this stage, the kidney unit damage has exceeded 70%, blood creatinine, urea nitrogen, uric acid, etc. began to rise, the patient on the basis of the original clinical symptoms, and azotemia appeared, the effect of kidney disease began to really affect the system of the body.
The main features of this stage are multi-system damage caused by azotemia, urine protein, edema and other problems, but it is not so serious.
In terms of treatment, since there is no effective solution to azotemia other than dialysis, this stage is still dominated by the control of urine protein and blood pressure, which is a transitional stage.
The treatment at this time is basically the same as the previous stage, except that drugs such as Essiter, uremia, or some traditional Chinese medicine are added to reduce blood creatinine.
3. Uremic phase
Uremia is a fatal disease, but it is not incurable. Dialysis therapy may be considered in cases without precipitating factors and when renal function is irreversible.
Dialysis therapy includes oral, peritoneal, and hemodialysis (artificial kidneys); Oral dialysis therapy is only suitable for patients with mild uremia.
In recent years, due to the widespread application of dialysis therapy, there are many patients with advanced uremia who survive under 5 years and maintain a certain labor force, so dialysis therapy is one of the effective methods for the treatment of advanced uremia.
Treatment is mainly to solve azotemia, and the various complications that come with it. Another method is kidney transplantation.
In addition to these two methods, TCM treatment also has a certain auxiliary effect, through the solid kidney Peiyuan, nourishing the blood and vitality, balancing yin and yang, two-way regulation of the body's immunity, repair of the kidney's inherent cells and tissues, and protection of the remaining kidney units.
The occurrence of these discomforts, if treated in time, may be able to avoid the formation of uremia
First: digestive system symptoms;
Second: the patient will have itching;
Third: breathing with ammonia smell, then sweating with urea cream.
These are the three main early symptoms, which are analyzed as follows:
The first symptom, the earliest appearance of patients is digestive system symptoms, mainly manifested as bloating, anorexia, poor sodium, in addition to getting up in the morning when there is nausea, vomiting, especially in the morning when brushing teeth Symptoms are more obvious.
The second symptom, the patient will feel itching, local skin and can not see dermatitis or eczema, but often can see the local skin patient has scratches, that is, the toxin affects the peripheral nerve endings appear to appear itching.
The third symptom, the patient will have an ammonia smell in the middle of the breath, and then there will be urea cream when sweating, which is caused by urea from the skin from the sweat glands or from the respiratory tract.
Does chronic kidney disease turn into uremia?
The vast majority of patients with chronic nephritis do not develop uremia.
Chronic nephritis, from its inception to the development of uremia, is associated with the following aspects;
1. Urine protein control: regardless of early or late chronic kidney disease, the higher the amount of protein in the urine, the shorter the time of kidney progression;
2. Blood pressure control: with the progress of renal function, there can be an increase in blood pressure, and the increase in blood pressure will also accelerate the deterioration of kidney function, generally chronic nephritis blood pressure requirements are controlled below 130-80mmHg, but the number of people currently meeting the standard < 10%;
3. Time to start to find the level of renal function: a very important point of kidney disease is that it needs early prevention and treatment, so the creatinine level can also greatly affect the prognosis when it is found;
4. Anemia: if the hemoglobin is lower than 10.5g/L for a long time, it is easy to develop into end-stage renal failure;
5, high protein, high salt diet: irregular lifestyle, often overeating will damage health;
6. Factors of infection and exertion: it can lead to stable nephropathy and re-activity, accelerating the rate of kidney failure;
7. Treatment compliance: patients with chronic nephritis need long-term management, irregular medication, and poor effect of timely review.
Therefore, life, old age, illness and death are the norm of life, even if science and technology are so developed, there are only a few who can really completely cure the disease, learn to tolerate and understand the survival of the disease, put a good attitude, can become a happy person.