Acute glomerulonephritis
[Overview]
Acute glomerulonephritis (also known as acute nephritis), mostly caused by the immune response after infection to acute nephritis after streptococcal infection the most common. Showed diffuse bilateral renal glomerular lesions. Main features are abrupt onset of symptoms, edema, hematuria, proteinuria, high blood pressure.
Disease in children and adolescents are more, but also occasionally in the elderly; males than females, 2:1 to 3:1. Acute nephritis is TCM’s “yang water”, “feng shui”, “hematuria” and other areas.
[Etiology and pathology]
The disease and lung, kidney, bladder and other organs related.Are all positive since the beginning, may be due to wind cold outside attack, lung failure Vision, not water passage, so that the wind stop water resistance, wind Competing, spills the skin, hair edema; or because of diet, moisture intrusion that brand wet storm, Kin Yun-loss Secretary, not Shengqingjiangzhuo, not wet down, pan from edema in the skin; or because of hot and humid dampness, bet the bladder, causing injuries to blood contact that may cause hematuria. Decline to recovery, although evil is true, but in general are all evil than nostalgia, is not quite true to spleen qi deficiency, kidney yin loss more common.
[Diagnostic points
1 about two weeks before the onset of the pharyngeal isthmus and often acute streptococcal infection of skin history, etc.;
(2) edema, hypertension, hematuria, oliguria, urine turbid and so on.
3. Urinalysis varying degrees of hematuria, proteinuria; anti-“O” increased; ESR; endogenous creatinine clearance rate; early stages, serum CH50, C3 decreased.
[Dialectical type]
1 pan of hot water wind symptoms: aversion to wind, fever, sore throat, swollen eyelids, or whole body edema, particularly at night with head, face, scanty dark urine, joint sorrow and grief. Red tongue, thin yellow greasy floating pulse.
Syndrome analysis: wind-heat outside the passage, by Wei Yu table, so the evil wind, fever, sore throat; lung failure declared, not water passage, so that the wind stop water resistance, wind Competing, spills the skin, the eyelid edema, whole body edema; evil force under heat, so scanty dark urine; wind heat invasion of joints, the joints of sorrow and grief; red tongue, thin yellow greasy moss, pulse a few floating outside the passage for the wind-heat, moisture spread of the elephant.
2 cold water pan symptoms: aversion to cold, no sweat, mild fever, swollen limbs floating face, or edema, urine deficient. Thin white fur, floating and tight pulse.
Syndrome analysis: exogenous cold table is beam Wei, Yang Wei has been suppressed, the aversion to cold, no sweat, mild fever; lung failure declared, not water passage, so that the wind stop water resistance, wind Competing, overspill of the skin, the surface floating limb swelling, or edema, urine deficient; thin white fur, floating and tight pulse of cold water pan of the elephant.
3 heat steeped symptoms: face edema, extended body, scanty dark urine, or see urine, body fat pustules. Red tongue, thin yellow or yellow greasy fur, slippery pulse.
Syndrome analysis: moisture overflows, Yu and heat, so the face swelling, extension and body; damp, then a short red urine; heat hurt the network of blood, then see hematuria; heat spillover skin, the body fat pustules ; red tongue, thin yellow or yellow greasy fur, slippery pulse are signs of heat immersed.
4 Alpine Liuzhi symptoms: swollen limbs floating face or body swelling, deficient urination, poor appetite, nausea, chest tightness, abdominal distension, body weight difficulties. Greasy moss, pulse moisten fine.
Syndrome analysis: the stopping alpine, overflows the skin, the surface floating limb swelling, or systemic edema, urine deficient; dampness resistance, air-blocked, transport and power, so the loss of appetite, nausea, chest tightness, abdominal distension; wet weight forward, the body weight difficulties;
Greasy moss, pulse is thin alpine stagnation in the elephant.
5, spleen and kidney qi deficiency symptoms: edema, has been retired, or a little early morning facial swelling, Shenpi fatigue, poor appetite, backache. Pink tongue, thin coating, pulse moisten fine.
Syndrome analysis: moisture for a long time love, spleen and kidney qi deficiency, it is still swollen back slightly see morning facial swelling, fatigue Shenpi; spleen lost health movement so poor appetite; kidney deficiency is backache; pink tongue, thin, Ru thin veins are the signs of deficiency.
6. Yin deficiency symptoms: edema, has been retired, dry mouth, fever or night sweats, backache, urine, dry stool. Red tongue, little pain, rapid pulse.
Syndrome analysis: wet heat, falling into Shangyin, edema, although retired, Yin Ye obvious signs of deficiency, it is dry mouth, night sweats or fever; yin is insufficient backache; damp, so the urine; Yinye loss true, intestinal loss of moisture so large easy to knot; green and red little bitter, pulse breakdown for the deficiency with signs of heat.
[And Treatment]
1 pan of hot water treatment is the wind: dispersing heat, water swelling.
Recipe: Yinqiaosan addition and subtraction.
Nepeta 9 grams 9 grams 30 grams of honeysuckle wind forsythia 9 g Plantago 30 grams (including fry) 15 grams Alismataceae Polyporus 12 g Poria 12 g thistle 3O g Daji 30 g Radix 9 g duckweed 9 g talc 30 grams 6 grams of licorice subtraction with the disease: fever worse, plus 30 grams of gypsum, 10 grams of skullcap, Commelina 30 grams, in order to strengthen the power of heat; sore throat, plus jade butterfly 3 grams, Shegan 9 grams, strong sub-nine grams to heat pharynx.
2 cold water pan rule is: Expel wind and cold, Lee swollen water to recede.
Recipe: Decoction plus surgery more slave girl.
Health Ephedra 6 g 6 g basil 15 g Gui Zhi wind 9 grams Atractylodes 9 Keze diarrhea 15 g Poria 15 g 15 g Plantago Polyporus 30 grams (including fry) Paper 3 g raw ginger 6 grams of licorice with the disease in Canada Less: fever evident, plus Nepeta, Dougu 9 grams each, in order to disperse wind heat; hematuria and more, Jia Qian grassroots 9 grams, 6 grams of blood over charcoal to stop bleeding in urine.
3 heat steeped rule is: Thanh Hoa heat, diuresis bleeding.
Recipe: Ephedra Decoction thistle Yinzi Forsythia Chixiaodou addition and subtraction.
9 Sanger ephedra 9 grams almond white forsythia 12 g 9 g 9 g 30 grams of dandelion honeysuckle, gardenia, violet 30 g 10 g 30 g Daji thistle 30 g Rhizoma Imperatae 30 g 9 g Oujie Puhuang 9 g talc 30 g red bean 30 grams 6 grams of licorice subtraction with the disease: edema worse, Gase diarrhea, Plantago 15 grams (including fry), to facilitate the withdrawal of water swollen; body fat pustules and itching, plus Kochia scoparia , white moss skin of 12 grams to Qufeng itching.
4 alpine Liuzhi rule is: cold dampness, water swelling.
Recipe: Weiling San and five skin decoction.
Gui 9 grams Atractylodes 9 g herb 15 Kechuan Park 6 g Pinellia 9 g Polyporus, Poria 15 grams Plantago 30 grams (including fry) Da Fupi 12 Sanger White Paper 3 grams 9 grams of ginger 6 dried tangerine peel grams, 6 grams of licorice subtraction with the disease: abdominal distension, accretion shell 12 grams, to qi; Nace, plus Gallus gallus domesticus 6 grams, 9 grams of hawthorn to digestion.
5, spleen and kidney qi deficiency rule is: the spleen and kidney, Qi and Water.
Recipe: SHENLINGBAISHU Decoction.
15 grams of astragalus Codonopsis 12 grams 12 grams Atractylodes Polyporus, Poria 15 grams, 15 grams of yam Yiyiren 15 g beans 12 g seeds of Amomum 3 g of meat 9 grams 6 grams 6 grams of licorice dried tangerine peel with the Modified disease: back pain who Gadou Chung 9 g, Achyranthes 9 grams, 15 grams Loranthaceae, to kidney Zhuangyao; poor appetite, plus Gallus gallus domesticus 6 grams, Divine Comedy 9 grams, to appetizers; microscopic hematuria, plus Agrimony 30 grams,madder root 12 grams, 9 grams of blood over charcoal to stop bleeding in urine; have proteinuria, plus Gorgon 30 grams to convergence Guse.
6. Yin deficiency rule is: Yin and kidney, heat water.
Recipe: Zhi Bo Di Huang Decoction.
Anemarrhena 12 grams Treats 9 grams habitat 15 grams 9 grams yam, Cornus 15 15 Keze diarrhea Kedan Pi 9 g Poria 15 grams Digupi 15 g 15 g of Eclipta Agrimony 30 g talc 30 g plantain 15 grams ( including fry), 6 grams licorice subtraction with the disease: fever evident, plus silver Bupleurum 6 grams of Artemisia annua 15 g, 9 g Bai Wei to Qingxudong heat; dry mouth, plus reed rhizome 30 g, Radix 12 grams, to YangYinShengJin; backache, plus 9 grams medlar to kidney;
Dry stool, plus 9 grams of hemp seed to laxative.
[Chinese medicine]
1. SHENLINGBAISHU tablets 4 tablets each time, 3 times a day.
2. Zhibai Dihuang each 4.5 grams, 2 times a day.
[Side] is simple
1 hunting Poria 30 grams, fresh plantain 30 grams, 30 grams of corn, decoction. For edema patients.
(2) size of the thistle, 30 grams, fresh Rhizoma Imperatae 60 grams, Agrimony 60 grams, decoction. For patients with hematuria.
[] Other therapies
Acupuncture: Point Selection ditch, Feishu, water, Shek Mun, appointed Yang, columns missing; partial wind-heat those with reducing method, not moxibustion; biased cold by using reducing method can moxibustion.
Diet:
(1) blackfish 1, wax gourd 500 grams (with Peel and slice), red bean 50 grams soup into the pot, add water, not salt consumption.For acute nephritis with obvious edema.
(2), shepherd’s purse, 250 grams, Beat 1 egg, rice 250 gram amount of water, half-cooked porridge, into the shepherd’s purse, eggs, porridge. For acute nephritis with hematuria.
(3) 250 grams raw chestnuts, peeled cooked crisp crushed into Chengdu, 50 grams of rice one pot add water, add Li Rong, sugar, sprinkle with a little sweet-scented osmanthus, boiled paste after eating. For the recovery of acute nephritis.
(4) seeds 100 g (peeled Zhengsu), jujube 10 (to core), yam 250 grams (steamed, peeled, crushed), along with 250 grams of rice congee, the amount of sugar can be added consumption. For the rehabilitation of acute nephritis.
PRECAUTIONS
1. To prevent a cold, for recurrent tonsillitis and sore skin thoroughly treated to prevent disease; early disease should be absolute bed rest, edema, oliguria should be served without salt diet.
2 patients with acute nephritis should be into the low-salt diet, calorie food supply depends mainly on sugar, control of protein intake per day, per kilogram of body weight less than 1 gram, to milk, eggs, mainly to the recovery of urine output only to gradually increase after increasing protein intake. Eat animal organs as well as beans and soy products. In the recovery eat yams, red dates, turtles, ducks, etc., to facilitate recovery.
3 Since the trend to ease acute nephritis tend to have a good prognosis. However, still active after the onset of treatment, prevention and control of complications.