Director Zhang Deyun has more than 40 years of clinical experience and has unique insights in the treatment of acute glomerulonephritis, far exceeding many traditional treatment methods. This is due to his in-depth research on acute glomerulonephritis, as well as the in-depth observation and experience accumulation in the treatment process, and has published academic works such as "Diagnosis and Treatment of Nephrology with Integrated Traditional Chinese and Western Medicine" and "Comprehensive Treatment and Rehabilitation of Diabetes".
In the past, compared with the common kidney tonic treatment methods, Director Zhang's method is more innovative. He doesn't think that kidney supplementation alone is the best way to solve the problem. Instead, he emphasizes the need to eliminate the cause and focus on restoring health by regulating the balance of all parts of the body. This philosophy stems from his in-depth understanding of the pathogenesis of acute glomerulonephritis and his grasp of the holistic concept of Chinese medicine.
In clinical practice, Director Zhang has a deep understanding and unique insights into the five types of acute glomerulonephritis. For each type, he develops a unique treatment plan and adjusts the composition of the medication to the patient's specific situation. For patients with wind chill attacking the lungs and feng shui overflowing, he will choose traditional Chinese medicine such as ephedra, cinnamon branch, and asaroxin that have the effect of diverging wind chill and diluting water and reducing swelling. For patients with wind and heat attacking the lungs and internal arrest of water and dampness, he will choose drugs such as ephedra, gypsum, and atractylodes that can clear away heat and detoxify, and reduce dampness and swelling.
1. Wind and cold attack the lungs and feng shui flooding
Clinical manifestations: fever, chills, cough and shortness of breath at first, followed by facial edema, swelling of the limbs, and even edema of the whole body, bright color, soreness and weakness of the waist and knees, pain in the limbs, unfavorable urination, pale tongue, thin white lichen, tight or thin pulse.
Treatment principles: Evacuate wind and cold, promote lung and water
Commonly used prescription medicines Xiaoqinglong soup and Wupi drink plus or minus: Ephedra 6 grams Cinnamon 6 grams Asaroxin 3 grams Banxia 6 grams Licorice 3 grams Poria cocos skin 15 grams Mulberry white skin 20 grams Big belly skin 15 grams Ginger skin 20 grams Water decoction, 1 dose a day, divided into 2 oral doses.
Addition and subtraction of clinical syndrome: Qi deficiency is easy to be felt externally, astragalus, fengfeng, and atractylodes can be added to benefit qi and strengthen the surface, and edema is even added to psyllium and winter melon peel to increase the effect of diluting water.
- Wind and heat attack the lungs, and water and dampness stop
Clinical manifestations: severe fever, mild chills, sore throat, dry mouth and thirst, facial edema, short and red urine, backache and weakness, red tongue and yellow tongue, and floating pulse.
Treatment principle: clear wind, clear heat, promote lungs and water
Commonly used prescriptions: Ephedra forsythia red bean soup plus or minus: 6 grams of ephedra, 30 grams of gypsum, 12 grams of atractylodes, 24 grams of Zexiao, 12 grams of forsythia, 30 grams of mulberry white bark, 30 grams of white grass root, 30 grams of red adzuki beans, 7 jujubes Decoction in water, 1 dose a day, divided into 2 oral doses.
Addition and subtraction of clinical syndrome: sore throat plus raw land, double flower, swelling of the whole body and increase abdominal skin, winter melon peel, tangerine peel.
- Damp poison invades internally, and dampness and heat are abundant
Clinical manifestations: sores, even ulceration, swelling of the face and body, shortness of urine, even fever accompanied by hematuria, dry mouth and thirst, constipation, red tongue, thin yellow or yellow greasy, slippery or fine pulse.
Treatment principle: clear away heat, detoxify, dampness and reduce swelling
Commonly used prescriptions: ephedra forsythia, red adzuki bean soup and five-flavor disinfection drink: ephedra 6 grams, almonds 10 grams, forsythia 12 grams, red adzuki beans 30 grams, mulberry white bark 30 grams, double flowers 15 grams, wild chrysanthemum 15 grams, dandelion 20 grams, white tongue snake grass 30 grams, half branch lotus 15 grams, licorice 6 grams, verbena 15 grams Water decoction, 1 dose a day, divided into 2 oral doses.
Addition and subtraction of clinical syndrome: hematuria and even white grass root, large and small thistle, poisonous heat and blazing with white flower tongue snake grass, half branch lotus, rhubarb.
- Yang deficiency of the spleen and kidney, water and dampness violation
Clinical manifestations: backache and weakness, chest tightness and shortness of breath, edema, especially the lower limbs, depressed, head and body sleepy, abdominal distention, sluggishness, short and turbid urine, pale tongue, pale and greasy, slow pulse.
Treatment principle: warm the kidneys, strengthen the spleen, and promote yang and water
Commonly used prescriptions: Zhenwu soup and Wupi drink plus or minus 9 grams of aconite, 12 grams of white peony, 20 grams of ginger peel, 15 grams of poria cocos peel, 12 grams of atractylodes, 15 grams of big belly skin, 24 grams of Zexiao, 20 grams of winter melon peel, 30 grams of psyllium, 12 grams of tangerine peel Decoction in water, 1 dose a day, divided into 2 oral doses.
Addition and subtraction of clinical syndrome: abdominal distension plus Citrus aurantium and Magnolia officinalis, vomiting plus Zhuru and Banxia, spleen deficiency and weakness plus Astragalus membranaceus and Codonopsis;
- Kidney yin deficiency, bladder dampness and heat
Clinical manifestations: soreness in the waist and knees, dizziness and tinnitus, mild edema of the lower limbs, frequent urination, burning without pain, hematuria or broth-like, heat and thirst, red tongue with little lichen, and thin pulses.
The principle of treatment: nourish the cool serum and relieve heat and dampness
Commonly used prescriptions: 30 grams of thistle, 15 grams of lotus root, 12 grams of raw puhuang, 20 grams of talc, 20 grams of raw land, 6 grams of bamboo leaves, 12 grams of gardenia, 20 grams of angelica, 30 grams of white grass root, 6 grams of notoginseng, 20 grams of red peony, 6 grams of licorice, 12 grams of eucommia, 12 grams of hyssop, decoction in water, 1 dose a day, divided into 2 oral doses.
Clinical addition and subtraction: Yin deficiency plus mountain firewood meat, lotus grass, ligustrum ligustrum, hematuria significantly deepened Ulmus vulgaris, blood residual charcoal, Panax notoginseng.
Director Zhang Deyun is studying the pathological mechanism of various acute glomerulonephritis and exploring its unique treatment methods. Whenever he encounters complex cases, he can always rely on his clinical experience and theoretical basis to conduct a detailed analysis of the condition and provide patients with personalized diagnosis and treatment plans. His accurate diagnosis and unique treatment methods have helped countless patients with kidney disease regain their confidence in health and life.
Director Zhang is well aware that acute glomerulonephritis is mainly caused by external evils, so in the process of treatment, he pays great attention to distinguishing the nature of external evils. According to the nature of different evil spirits, he chooses the most suitable medicine for targeted treatment. For nephritis caused by heat evil, he will use heat-clearing drugs such as skullcap and coptis, and for nephritis caused by dampness, he will use damp-relieving drugs such as Poria cocos and Atractylodes. This method of refined syndrome differentiation and treatment ensures the effectiveness of treatment and greatly improves the cure rate.
In-depth exploration and innovative treatment concept Director Zhang is not only satisfied with the traditional treatment of kidney disease, but also continues to explore and innovate. He deeply studied the pathological process of kidney disease and found that hematuria was mostly caused by blood stasis, so he paid attention to the application of blood-invigorating drugs. He carefully selected Chinese herbs such as salvia, motherwort, danpi, madder, crane grass and notoginseng, which are skillfully combined to promote the discharge of blood stasis and the production of new blood. These innovative treatment concepts and methods have injected new vitality into the field of kidney disease treatment.
During the recovery period of acute glomerulonephritis, patients often lack righteous qi and are prone to colds. In response to this situation, Director Zhang recommended the use of Yuping Feng San, a traditional Chinese medicine prescription designed to enhance the patient's immunity. In order to further promote the recovery of the disease and prevent its further progression, he will also add double flowers, forsythia, lobelia and other products to clear away heat and dampness and invigorate blood. These drugs can effectively remove dampness and heat from the body, and promote blood circulation and metabolism, thereby speeding up the recovery process of the disease.
To sum up, Director Zhang Deyun has excellent experience and unique ideas in the treatment of acute glomerulonephritis. He does not blindly tonify the kidneys, but focuses on dispelling evil spirits, and treats different pathogenesis. At the same time, he also focused on summarizing the treatment experience and experience, and proposed many practical treatment methods and drugs. These experiences and ideas not only have important guiding significance and practical value for the treatment of acute glomerulonephritis in traditional Chinese medicine.
