Chronic glomerulonephritis belongs to the category of edema (cloudy water), fatigue and low back pain in traditional Chinese medicine. The main causes are deficiency of lung, spleen and kidney and imbalance of qi, blood and yin and yang. Deficiency of lung, spleen and kidney, unfavorable gasification and flooding; Long-term illness entering collaterals, qi stagnation and blood stasis; Blood stasis and water-dampness are transformed into each other, and they are mutually causal, and the evil potential is lingering and lingering. Pathological changes are from deficiency to reality, which is more deficiency and mixed with excess and deficiency. In the treatment, many methods are often used, such as nourishing qi and yang, nourishing yin and promoting blood circulation, strengthening spleen and tonifying kidney, and arresting astringency and stagnation, so as to promote dampness and detumescence, stop micro-pathogen, strengthen the body resistance and eliminate pathogens.
Fang (Sheng)
Source "Essence of Contemporary Famous Doctors in China"
It consists of10g of sun-dried ginseng (stewed in medicinal soup), 30g of Astragalus membranaceus, 20g of plantain, 30g of Poria cocos skin, 20g of Eucommia ulmoides,15g of Lycium barbarum skin and15g of Alisma orientale.
Function of strengthening body resistance and eliminating evil, benefiting qi and nourishing yin.
The indication of chronic nephritis is deficiency of both qi and yin.
Prescription with ginseng, astragalus, qi and blood; Poria cocos peel, plantain seed and Alisma orientalis promote diuresis; Eucommia ulmoides tonic liver and kidney; The bone skin is cool but not astringent, and the qi is light and clear, eliminating the evil of floating. This prescription supplements without stagnation, benefits without cutting, and qi and yin are normal and evil goes away.
Pharmacological ginseng can obviously promote immune function, improve hemorheology, prevent atherosclerosis and significantly inhibit acute and chronic inflammation. Astragalus can enhance immune function, relieve glomerular vasospasm, increase renal blood flow and filtration rate. Eucommia ulmoides has diuretic effect on dogs, rats and mice, and can also enhance the immune function of the body. Alisma orientalis diuresis can increase the excretion of sodium, potassium, chlorine and urea in urine.
Usage: Soak in 400 ml of water 10 minute, fry for 20 minutes, remove residues, and stew the dried ginseng in soup 10 minute, and take it twice.
Fangge Yiqi Huayu Bushen Decoction (Zhu Liangchun)
Source "Essence of Contemporary Famous Doctors in China"
It consists of 30g of Radix Astragali, 20g of Herba Epimedii, 65438 05g of Folium Pyrrosiae, 65438 00g of cooked Radix Aconiti Lateralis Preparata, 65438 00g of Rhizoma Chuanxiong, 65438 00g of Carthami Flos, 65438 00g of Radix Angelicae Sinensis, 65438 00g of Radix Dipsaci and 65438 00g of Achyranthis Radix.
Functions: benefiting qi and removing blood stasis, warming yang and promoting diuresis, tonifying kidney and strengthening body.
Indications are chronic nephritis, deficiency of kidney-qi, blood stasis of collaterals, unsmooth gasification and unsmooth water and dampness. Renal function damage, lingering.
In the prescription, Astragalus membranaceus has the functions of benefiting qi, consolidating essence and promoting diuresis. Fairy spleen tonifies kidney yang, expelling wind and removing dampness; Fuzi tonifies yang and benefits fire, warming middle energizer and warming lower energizer; Pyrrosia diuresis and stranguria; Chuanxiong promotes blood circulation and regulates qi; Carthamus tinctorius promotes blood circulation, removes blood stasis and promotes regeneration; Angelica sinensis nourishes blood and promotes blood circulation, which has diuretic effect; Dipsacus and Achyranthes bidentata nourish liver and kidney; Motherwort promotes blood circulation, diuresis and detumescence.
Pharmacology Astragalus membranaceus can enhance immune function, relieve glomerular vasospasm, increase renal blood flow and filtration rate. Radix Aconiti Lateralis and Herba Epimedii have adrenocortical hormone-like effects. Pyrrosia can eliminate glomerular lesions. Safflower lowers blood pressure. Motherwort can eliminate urinary protein when used in large doses.
Usage: this prescription should use motherwort 90 ~ 120g, and water instead of decoction.
Fangsan Jianpi Yunwen Decoction (Zou Yunxiang)
Source "Essence of Contemporary Famous Doctors in China"
Consists of Radix Codonopsis, Rhizoma Dioscoreae, Poria, Coicis Semen, Fructus Zanthoxyli, Radix Angelicae Sinensis, Radix Paeoniae Alba, Massa Medicata Fermentata, Rhizoma Zingiberis, Rhizoma Pinelliae Preparata, Pericarpium Citri Tangerinae, Endothelium Corneum Gigeriae Galli, and Fructus Jujubae.
Function: invigorating spleen and eliminating dampness, warming middle warmer and promoting qi circulation.
Indications: Chronic nephritis. Symptoms include back pain, mental fatigue, relief of upper abdominal pain, nausea and vomiting, sticky mouth, greasy fur and thready pulse.
Radix Codonopsis, Rhizoma Dioscoreae, and Endothelium Corneum Gigeriae Galli are used in the prescription, and medicated leaven is used to strengthen spleen and replenish qi. Poria cocos and coix seed have light permeability and diuresis; Angelica sinensis and Radix Paeoniae Alba nourish blood and soften liver; Zanthoxylum bungeanum, dried ginger, Pinellia ternate and dried tangerine peel warm the spleen, make the spleen and stomach function healthy and eliminate edema.
Pharmacology Codonopsis pilosula and Dioscorea opposita Regulates Immune Function. Porphyrin has a similar structure to aldosterone and its antagonist, and regulates water and salt metabolism in the body. Coix seed can enhance humoral immunity and promote antibody production. Paeonia lactiflora enhances immunity, dilates blood vessels and lowers blood pressure. Pinellia ternata promotes gastrointestinal movement and stops vomiting. Chenpi promotes the secretion of digestive juice and eliminates intestinal pneumatosis.
Usage: daily 1 dose, decocted in water and taken separately.
Fangsi Jiawei Shen Ling Baizhu Powder (Deng Tietao)
Source "Essence of Contemporary Famous Doctors in China"
It consists of Radix Codonopsis, Coicis Semen 65438±05g, Radix Astragali 20g, Poria skin 25g, Atractylodis Rhizoma, Rhizoma Dioscoreae, Achyranthis Radix, Polyporus, Ramulus Cinnamomi 65438±02g and Glycyrrhrizae Radix 4g.
Functions of invigorating spleen, eliminating dampness and promoting diuresis.
Indications: chronic nephritis, spleen deficiency and dampness retention syndrome. Symptomatic face? White light? Pale or sallow complexion, listlessness, chest tightness, anorexia, shortness of breath and spontaneous sweating, loose stool, short and red urine, teeth marks on the tongue, white and greasy fur, and slow and weak pulse.
Fang Jiefang used Astragalus membranaceus, Codonopsis pilosula and Dioscorea opposita to strengthen the spleen and replenish qi; Poria skin, Atractylodis Rhizoma, Polyporus and Coicis Semen are used for invigorating spleen, eliminating dampness and reducing swelling; Licorice regulates stomach; Guizhi warms yang and turns qi; Achyranthes bidentata flows downward. The medicine combination can strengthen the spleen, eliminate dampness and induce diuresis.
Pharmacology Radix Astragali, Radix Codonopsis, Rhizoma Dioscoreae, and Coicis Semen regulate the immunity of the body. Poria cocos regulates water and salt metabolism. Atractylodes macrocephala has obvious and lasting diuretic effect. Polyporus umbellatus inhibits the reabsorption of electrolytes and water by renal tubules, thus playing a diuretic role. Achyranthes bidentata extract has antihypertensive and diuretic effects.
Usage: daily 1 dose, decocted in water and taken separately.
Fangji Yishen decoction
Source: Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
Is prepared from Radix Astragali15-30g, Radix Rehmanniae Preparata15-30g, Rhizoma Dioscoreae 10g, Poria 10g, Rhizoma Alismatis15-30g, Herba Lobeliae Chinensis 30g, Radix Tripterygii Wilfordii 15g and Fructus Corni 6g.
Function of supplementing qi and nourishing yin, eliminating dampness and removing blood stasis.
Indications: chronic glomerulonephritis, deficiency of both qi and yin, and stagnation of dampness and blood stasis.
Astragalus membranaceus in the prescription can replenish qi, consolidate exterior and promote diuresis; Rehmannia glutinosa nourishes blood and yin; Hu Aishan medicine supplements the spleen and stomach and benefits the lungs and kidneys; Poria cocos strengthens the spleen and eliminates phlegm, and promotes diuresis and dampness; Alisma orientalis promotes diuresis and permeates dampness; Lobelia chinensis diuretic detumescence; Tripterygium wilfordii is toxic, which can dispel wind and remove dampness, promote blood circulation and dredge collaterals; Cornus officinalis nourishes liver and kidney; Fenugreek warms kidney and strengthens yang; Motherwort promotes blood circulation and removes blood stasis, and promotes diuresis and detumescence; Su Ye's qi is lenient. Combined with the whole prescription, * * * plays the role of benefiting qi and nourishing yin, eliminating dampness and dredging collaterals.
Pharmacology Modern pharmacological research shows that Astragalus membranaceus can improve the body's immunity, contribute to the recovery of nephropathy and prevent complications. Tripterygium wilfordii has hormone-like effect, but no hormone side effects; Motherwort has the function of eliminating proteinuria. Lobelia chinensis and perilla frutescens have antibacterial effects.
Decoct with water.
Liu Fang Protein Ning Decoction
Source: Journal of Practical Internal Medicine of Traditional Chinese Medicine
Comprises 30g of raw astragalus, 30g of gordon euryales, poria cocos15g, Rosa laevigata15g, Polygonatum sibiricum15g and Lilium brownii15g.
Function of invigorating spleen and kidney, solidifying essence.
Indications: chronic glomerulonephritis and chronic proteinuria.
Radix Astragali, Rhizoma Atractylodis Macrocephalae, Poria, and Radix Codonopsis in the prescription have the effects of invigorating spleen, benefiting qi, and controlling sperm. Chinese yam, dodder seed and Polygonatum sibiricum reinforce kidney and essence; Euryale ferox and Rosa laevigata can stop nocturnal emission and directly treat proteinuria diarrhea; Lily nourishes yin and clears heart.
Pharmacology Modern pharmacological research has confirmed that lily has therapeutic effect on urinary protein. Astragalus membranaceus and Polygonatum sibiricum can improve immunity.
Usage: daily 1 dose, decocted in water twice, mixed and taken in three times.
Jiawei Fang Qi Zhenwu Decoction and Shengmai Drink
Source: Sichuan Traditional Chinese Medicine
Is prepared from radix aconiti lateralis preparata (decocted first) 25g, poria cocos 30g, atractylodes macrocephala 25g, sun-dried ginseng 15g, Ophiopogon japonicus 15g, Schisandra chinensis 15g, Cao Kun 30g, safflower 15g, peach kernel 15g and ginger/kloc-5g.
Function: Warming kidney and strengthening spleen, promoting blood circulation and promoting diuresis.
Indications: chronic glomerulonephritis with spleen-kidney yang deficiency and blood stasis syndrome. Symptoms include edema all over the body, swelling below the waist, oppressive feeling when pressing, or light or heavy edema, repeated failure to heal, less urine, low back pain, chills and cold limbs, anorexia, loose stool, abdominal distension, light and fat tongue, white and slippery tongue coating, heavy and thin pulse, or dull complexion, purple tongue with ecchymosis, heavy and astringent pulse, etc.
Aconitum carmichaeli in the prescription is used to warm kidney and help yang; Sun-dried ginseng, Atractylodes macrocephala, Poria and Glycyrrhiza uralensis Fisch. Schisandra chinensis and Ophiopogon japonicus astringe yin and nourish yin; Radix Aconiti Lateralis Preparata, Radix Ginseng and Atractylodis Macrocephalae are pungent, dry and warm medicines, so Yin-astringing and nourishing agents are used to help protect the vaginal fluid and prevent heat and dryness from damaging the yin. Cao Kun promotes blood circulation and diuresis; Peach kernel and safflower promote blood circulation and remove blood stasis, and are compatible with warm drugs to improve blood circulation and limb peripheral circulation.
Pharmacology aconite root has adrenocortical hormone-like effect. Cao Kun can improve renal microcirculation, improve cell membrane permeability, and eliminate edema and proteinuria. Peach kernel and safflower improve blood circulation. Shengmai powder can improve microcirculation and lower blood pressure in patients with hypertension; Has immunity enhancing and anti-inflammatory effects.
Decoct with water.
According to modern pharmacology, Cao Kun is nephrotoxic. Professor Zhang applied it to clinic, and cured a large number of patients with nephropathy, and found no adverse phenomena.
Add and subtract the Shu Chi consonant of Fangba.
Source: Sichuan Traditional Chinese Medicine
It consists of Notopterygium root 10g, Gentiana macrophylla 15g, Areca catechu 20g, Phytolacca acinosa 15g, Zanthoxylum bungeanum 15g, Pericarpium Arecae 15g, seaweed 30g, Poria 15g and Alisma orientalis.
The function is to drain water and drive wind.
Indications: chronic glomerulonephritis, triple energizer, water-heat syndrome differentiation. Symptoms include general edema, swelling of the head and face, wheezing and thirst, dry mouth and throat, dysuria, constipation, abdominal distension, red tongue, white and thick tongue coating, and heavy, smooth and strong pulse.
This prescription can be used for publication, diarrhea and diuresis, in which Notopterygium incisum and Gentiana macrophylla perspire to relieve exterior syndrome, open the door of hell, diuresis and sweating; Pericarpium Arecae, Cortex Zingiberis Recens, and Poria Pixin Powder can eliminate skin moisture; Phytolacca acinosa and areca catechu break hard and attack accumulation, so that water is wet and discharged from the stool; Hornwood, adzuki bean and Alisma orientalis let water flow from childhood. The whole prescription perspires, promotes diuresis to relieve constipation, and eliminates its water from inside and outside; In addition, add seaweed, two ugly soft hard loose knot, attack water and drink.
Pharmacology The volatile oil of Notopterygium Rhizoma has antibacterial and anti-inflammatory effects. Gentiana macrophylla has antibacterial and diuretic effects. Phytolacca acinosa has inhibitory effects on Shigella dysenteriae, pneumococcus and influenza to varying degrees, and its root extract has diuretic effect. Alisma Decoction and its extract have obvious diuretic effect, and increase the excretion of sodium, potassium, chlorine and urea in urine.
Decoct with water.
Fang Jiuqing Xin Lian Zi Yin Jia Xu
Source: Sichuan Traditional Chinese Medicine
Comprises 50g of astragalus root, 30g of codonopsis pilosula, 20g of wolfberry bark, 20g of Ophiopogon japonicus, Bupleurum root 15g, Scutellaria baicalensis Georgi 15g, 20g of plantain, lotus seed 15g and licorice root 15g. 50 grams of Hedyotis diffusa and 30 grams of motherwort.
Function of supplementing qi and nourishing yin, clearing heat and storing essence.
Indications: chronic glomerulonephritis, proteinuria, deficiency of both qi and yin, damp heat. The main manifestations are proteinuria, no hypertension or abnormal renal function, general fatigue, backache, low back pain, dizziness and palpitation, no edema or mild edema, fever in hands and feet, dry mouth and throat, red tongue or tip of the tongue, white fur, slippery pulse or counting.
The prescription is that both Radix Astragali and Radix Codonopsis are qi-invigorating drugs, and Cortex Lycii, Semen Nelumbinis, Radix Ophiopogonis, Scutellariae Radix and Bupleuri Radix have the functions of nourishing yin and clearing heat. Herba Hedyotidis Diffusae, Herba Leonuri and Semen Plantaginis have the effects of clearing away heat and toxic materials, promoting blood circulation and promoting diuresis.
Pharmacology Astragalus membranaceus, Codonopsis pilosula and Ophiopogon japonicus can promote immunity. Bupleurum has inhibitory effects on hemolytic streptococcus, Staphylococcus aureus, Vibrio cholerae and influenza virus. Scutellaria baicalensis Georgi has antibacterial and anti-inflammatory effects. Hedyotis diffusa can stimulate the proliferation of reticuloendothelial system, promote antibody formation, resist bacteria and diminish inflammation. Motherwort can improve renal microcirculation, improve cell membrane permeability, and eliminate edema and proteinuria.
Decoct with water.