Zou Yanqin Xiao is like a channel
Introduction: Today learn mr. Zou Yanqin's commonly used Chinese medicine for the treatment of kidney failure.
Astragalus, sweet taste, temperate, return to the lungs, spleen and two meridians. It has the function of qi and yang, solid surface antiperspiration, water reduction, detoxification and muscle growth.
Due to chronic kidney disease, pulmonary spleen and kidney qi deficiency are common, and edema is often caused by spleen deficiency and wetness. The use of astragalus is mainly to take its spleen and qi, water and swelling, so it is appropriate for the living.
Clinical application indications: fatigue, laziness and little movement, shortness of breath, self-sweating, easy external sensation, facial puffiness and whiteness, light tongue with tooth marks, and weak pulses.
Common symptoms: chronic nephritis, chronic renal failure, chronic pyelonephritis, diabetic nephropathy and fatigue, manifested as lung, spleen and kidney qi deficiency.
In addition to good water and swelling reduction, astragalus has a good effect on eliminating proteinuria and improving kidney function.
When the testimony is present, it is compatible with the prince ginseng or Lu Dang ginseng, Shengbaishu, Chuan continuum, and mulberry parasitism, to strengthen the spleen and benefit the kidneys, and to treat the spleen (lung) kidney qi deficiency; with the production of shou wu, goji berries, raw land, prince ginseng, and shengbai technique, to nourish the yin with beneficial qi, and to treat the two deficiencies of chronic kidney disease;
Compatible with self-defense, raw white art, lianpi ling, raw coix kernel, etc., the main treatment of qi deficiency and edema; with angelica, tonic qi and blood nourishment, the main treatment of qi and blood deficiency and hypoproteinemia.
The "Fengyuan of this Sutra" proposes: Astragalus and ginseng are beneficial to qi; the same angelica is tonic; the same white technique, windproof is transported to the spleen; the same self-defense, windproof is to dispel rheumatism.
The drug is commonly used in clinical practice 30 to 50g, the maximum dosage of 100g, the use of often with tangerine peel, half summer in combination with the use, to prevent its moisture and greasy stomach.
Rhubarb is the rhizome of the palm leaf rhubarb, tangut rhubarb or medicinal rhubarb of the family Tateshina, with a bitter taste and cold sex. Return to the stomach, large intestine, liver, spleen meridians. It has the effect of attacking stagnation, clearing damp heat, diarrhea, cooling blood, dispelling stasis and detoxification.
The "Benjing" believes that it "stasis, blood stasis, cold and heat under the Lord, the accumulation of broken fistulas, the accumulation of drinking and lodging, the purification of the stomach and intestines, the introduction of the old and the new, the tongli water valley, the adjustment of the chinese food, the peace and the five viscera." ”
Rhubarb has a strong laxative effect with raw use, and when cooked, the diarrhea effect is slower and more inclined to diarrhea and detoxification, clearing damp heat.
Zhang Jingyue summed up raw and cooked rhubarb as follows: "Rhubarb, those who want to use it quickly, swallow it in soup; those who want to slow down are cooked, and medicine is decocted." ”
Chronic kidney failure is false and evil, kidney failure, wet turbidity (poison) retention, the application of rhubarb to take its benefits to chase stasis, cleanse the gastrointestinal tract, clear the meaning of evil turbidity, can not be simply understood as the purpose of passing stool "laxative therapy", and is not Western medicine diarrhea can be analogous or substituted.
In addition, rhubarb has a stasis and hemostatic effect.
"Blood Evidence" said that "rhubarb is the holy medicine of blood". In the process of kidney failure, there are many evidences of blood stasis and bleeding, and the rhubarb with the blood family holy medicine is very proof.
Modern medicine has also proved that there are different degrees of hypercoagulable state in kidney disease, and this hypercoagulable state is more significant when the kidney fails, and has become the main factor in the deterioration of kidney function.
Activating blood and dissolving stasis is also one of the main links in the treatment of kidney failure, which is consistent with the effect of rhubarb with blood activation and stasis. In the case of chronic renal failure, it is advisable to combine rhubarb in the oral corrective basis formula, and raw rhubarb should be used in enemas.
Because chronic kidney failure is often accompanied by stomach loss and descent, spleen insufficiency, raw rhubarb taste bitter cold, afraid of its oral force, injury to the spleen and stomach qi, there is a risk of weakness.
Oral prescription medicines are often based on healthy spleen and kidneys (such as kidney protection tablets), with rhubarb to discharge turbidity and stasis, and can be used with Wu Ze diarrhea, psyllium, and even peel poria to infiltrate turbidity; with Zelan, red peony, ox knee to activate blood stasis; with kelp, seaweed, oysters to activate blood and water, astringent poison.
For patients with chronic renal failure in early and middle stages, raw rhubarb-based retained enema therapy can be used, and without increasing the burden on the intestine, the method of drug enema can be used to assist in the excretion of wet and turbid poison.
Reserved enema formulas are: raw rhubarb 15 to 30 g, dandelion 30 g, raw oysters 30 to 50 g, June snow 30 g, raw licorice 5 g.
The dosage of rhubarb, whether taken orally or in enemas, must be adjusted according to the patient's constitution, mental state and the number of stools, so as to maintain 2 to 3 times a day of stool, and not to laxative too much, so as to avoid water and electrolyte imbalance and aggravate the condition.
Moreover, during the patient's enema, the oral dialectic is not included in the army, and when the enema treatment course is over, the oral formula is then accompanied by the detoxification and blood control army. Retained enema therapy is still one of the adjuvant therapies, can not be used for a long time, after 2 to 3 courses of treatment should be suspended for a period of time.
For those with weak constitution and poor heart and spleen function, use caution or not, and oppose the "rhubarbization" treatment method, that is, simultaneous oral rhubarb compound, intravenous drip rhubarb preparation, enema rhubarb diarrhea, etc., the above methods can cause patients to be seriously injured and promote the deterioration of the condition.
Cordyceps sinensis, a fungus of the family Ascomycetes of the family Ascomycetes, is a hybrid of cordyceps bat moth larvae parasitic in the family Lyceptera.
Its sweet and warm taste, with the effect of nourishing the lungs and tonifying the kidneys, is China's traditional kidney aphrodisiac drugs. The "Compendium of Materia Medica" says that it is "the same as ginseng" and "can cure all kinds of false losses"; the "Medicinal Examination" says "sweet and warm taste, tonify lean qi, and specialize in replenishing life".
Chinese folk have long adopted cordyceps and chicken, duck, fish, meat stew to supplement the lungs and kidneys of the dietary therapy method, and there are many records in the medical records of the past.
Professor Zou Yunxiang, a well-known nephrologist of traditional Chinese medicine, introduced the experience of using Cordyceps sinensis to treat kidney tuberculosis and uremia in the "Therapy for Kidney Disease" published in 1955.
It is believed that Cordyceps sinensis shows its vaporization of winter and summer, and the sense of yin and yang is born, which can supplement the lungs and kidneys. Worms can make up for the yang of coke, grass can benefit the yin of coke, often with this medicine to treat kidney disease, this is the earliest application of Cordyceps sinensis in the treatment of uremia, we often use the drug in the clinic to treat kidney failure.
Clinical observations have shown that the addition of Cordyceps sinensis on the basis of traditional Chinese medicine dialectics can improve the treatment effect of chronic kidney failure, and it is also effective to use Cordyceps alone or powder to take it.
Some patients with chronic kidney failure are ineffective in traditional Chinese and Western medicine treatment, or once effective, but continue treatment, the efficacy can not be improved, taking Cordyceps decoction, most patients can see improvement in kidney function, and Cordyceps hyphal preparations also have a similar effect.
Modern medicine has also confirmed that Cordyceps sinensis has a variety of effects such as improving kidney function, alleviating proteinuria, regulating immunity, and correcting protein and amino acid metabolism disorders.
Especially for patients with acute renal failure, drug nephrotoxic damage and tubular interstitial lesions, it has a good prevention and treatment effect, which can accelerate the repair and regeneration of damaged tubular epithelial cells, alleviate lesions, shorten the course of disease, and also have high efficacy in the treatment of chronic renal failure.
Our usual dosage is Cordyceps sinensis powder 3 g per day, swallowed in 3 divided doses, or frequently drink in 3 to 5 g (up to 10 g) decoction of Cordyceps per day, and take Cordyceps after drinking the soup.
Spicy, sweet, flat sex, into the liver, spleen and kidney meridians, with kidney tonic and refined, nourish the liver and eyesight, solid tire and anti-leakage.
The medicine yin and yang double supplement, beneficial yin and not greasy, warm yang but not dry, Ni Zhumo said in the "Materia Medica" that "silk seeds, tonify the kidneys and nourish the liver, warm spleen and stomach medicine also." But the supplement is not steep, warm but not dry, so into the kidney meridian. Weakness can be replenished, real can be profitable, cold can be warm, hot can be cold, wet can be dry, dry can be moist", so as to level the spleen, liver, kidney three organs.
We are often used in chronic nephritis, chronic pyelonephritis, chronic renal failure and other patients with kidney deficiency, subtle instability, etc., clinical manifestations are waist and knee soreness, small frequency, nocturia, no pain, red tongue, thin white moss, fine pulses.
Often compatible with shou wu, prince ginseng, poria and so on, such as kidney protection tablets, to supplement kidney yuan, adjust yin and yang, healthy spleen and stomach, for the treatment of chronic renal failure; with astragalus, ginseng, golden cherry and other compatibility, to yi qi solidity, for proteinuria and polyuria to kidney deficiency as the main manifestation.
The common clinical amount is 15 to 30g.
Psyllium, sweet taste, return to the liver, kidneys, bladder meridians. Plantain is cold, with heat and diuresis, cool blood detoxification.
In kidney disease, it is mainly used to treat the scorched bladder under the hot knot, unfavorable urination, blood in the urine, red eyes, sore throat and other symptoms. The psyllium tastes sweet, slightly cold, has a clear heat diuretic, and has a wetting and antidiarrheal effect.
For chronic nephritis, chronic renal failure, diabetic nephropathy with lower extremity and facial edema, and a small amount of urine, it is clinically advisable to choose psyllium; while those with bladder damp and hot manifestations, plantain is more.
Compatible applications:
Plantain is combined with plantagenet, qu wheat, duck plant, yellow cedar, etc. to treat urinary tract infections caused by frequent urination, urgency and pain of urination; it is compatible with white grass root, thistle, thistle, cauliflower, etc., to stop bleeding with cool blood and treat hematuria.
Psyllium is combined with poria bark, baishu, ze diarrhea, raw coix kernel, in order to infiltrate moisture, drain turbidity and detoxification; with winter sunflower, money grass, sea gold sand, talc, etc., through the drainage of stones;
With chrysanthemums, stone deciduous meiji and its liver fire inflammation of the eyes red dizziness; with poria, white lentils, purslane and other treatment of diarrhea, especially suitable for urinating unfavorable water diarrhea, take psyllium light infiltration and wetness, facilitate urination and solid stool.
The common clinical amount is 15 to 30g.
Psyllium is a product of light infiltration and water, when the water is wet and wet, it can be re-administered with light drugs, the commonly used dose is 30g, its water-benefit is slow, and there is no risk of attacking and chasing water, so it is often used.
Note: Please follow the doctor's instructions for specific treatment and medication! This article is excerpted from "China's Modern 100 Clinicians of Traditional Chinese Medicine Series - Zou Yanqin", edited by Zou Yanqin, Zeng Anping and Zhou Yingchen, published by China Traditional Chinese Medicine Press, 2009.12. This public account is only used for academic exchanges, if there is infringement, please contact to delete, please indicate the source of the reprint.
The cover image is from Photograph.
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