Chronic kidney disease is an important disease that threatens people’s health worldwide today and has become a global public health problem. In China, the prevalence of chronic kidney disease in the general population is also close to 10%, with 18.7% of people over 40 years old, which means that the number of people with chronic kidney disease in China is likely to exceed 100 million. The kidneys are located deep in our abdomen, about the size of a fist, and their main job is to remove toxins and excess water from the body’s bloodstream. The kidneys filter and clean about 200 liters of blood each day – an amount equivalent to 1 0 buckets of drinking water! In addition, the kidneys play an important role in controlling the body’s blood pressure, maintaining water and electrolyte balance, stimulating the production of red blood cells, and maintaining healthy bones. Chinese medicine has a broad and complex understanding of the kidneys, which are known as the “essence of the innate nature”. The main functions of the kidneys according to Chinese medicine are: the kidneys store essence, the main reproduction and development, and the growth and development, maturation and decline of human reproductive function are closely related to the function of the hypothalamic-pituitary-gonadal axis, which is similar to the “kidney” in Chinese medicine. It is similar to the entire content of the “kidney” in Chinese medicine, which is responsible for reproduction. The kidney is the master of bone and bone marrow production. Clinically, the application of TCM kidney tonics to accelerate bone growth and healing, and the treatment of various bone marrow diseases and aplastic anemia have received satisfactory results. The kidney is the master of water, and diseases related to water metabolism such as frequent urination, nocturia, little urination and swelling are mostly related to the kidney. The kidney is responsible for the fire of the vital gate. The fire of the vital gate has the function of warming and promoting the internal organs, if the fire of the vital gate fails, it can lead to impotence, premature ejaculation, slippery sperm, irregular menstruation in women and other symptoms. If the Fire of the Gate of Life is strong, it can lead to spermatorrhea, hypersexuality, sleeplessness and other symptoms. The kidney is the main organ of Qi absorption. If kidney deficiency affects its function of Qi absorption, it will lead to wheezing disease with more breathing and less inhalation. In addition, since the kidney is the essence of the innate nature, it “receives the essence of the five viscera and six bowels and collects it”, so the relationship between the kidney and the internal organs of the body is very close. If the kidney yang is weak and cannot warm the spleen yang, the spleen’s transportation and transformation functions may become abnormal or the five shifts of diarrhea may occur. Since the kidneys play a vital role in the human body, once the kidneys are diseased for various reasons and gradually lose their functions, it will directly affect people’s growth and development, life and life, and its harm is far beyond people’s imagination. Even if modern medicine has kidney transplantation, hemodialysis and peritoneal dialysis and other kidney replacement treatments, they are still far from being able to replace the miraculous function of the kidney itself. Modern medicine confirms that chronic kidney disease is not a separate systemic disease, it is closely related to diabetes, hypertension and cardiovascular diseases with each other. On the one hand, chronic kidney disease is one of the major causes of high incidence and death rate of diabetes, hypertension and cardiovascular diseases, on the other hand, as chronic kidney disease progresses, the risk of end-stage renal disease and cardiovascular diseases increases greatly. Recent clinical studies have found that adverse cardiovascular events and atherosclerotic cardiovascular disease are 20 times higher in patients with uremia than in the general population. According to the National Kidney Foundation, cardiovascular disease is the leading cause of death in all stages of kidney disease, and the mortality rate from cardiovascular disease is 35 times higher in patients with uremia than in the general population. Early detection of kidney disease is the key to treatment and prevention of kidney function deterioration, however, from the available epidemiological data, the knowledge rate of chronic kidney disease in China is still less than 10%. The main reasons for this are: 1. The clinical symptoms of chronic kidney disease are not obvious or can even be completely asymptomatic. This “silent” state often does not attract sufficient attention from patients and their families, and when patients go to the hospital because of anemia, dizziness or nausea and vomiting, kidney function has often developed end-stage. 2.Lack of measures for regular urine and kidney function checks for the general public. In China, both kindergartens, schools, workplace physical examinations, and even wedding examinations do not provide for urine and kidney function tests, and many people have never had a urine or kidney function test in their lives, which is an important reason for the low awareness of chronic kidney disease in China. 3, some doctors lack the awareness of routine urine and kidney function tests for patients, especially for high-risk groups. For patients with hypertension and diabetes who are diagnosed for the first time, some doctors only treat them with antihypertensive drugs and hypoglycemic drugs, but fail to implement urine routine and kidney function tests in a timely manner. 4, the public lack of kidney-related knowledge. Chronic kidney disease is a class of clinically “silent” disease, often not “felt” when the disease starts, there is no discomfort symptoms, often ignored by everyone; some patients even early physical examination found to have kidney disease, but because there is no obvious discomfort and do not go to receive formal Many patients’ kidney function gradually deteriorates unknowingly, and finally reaches the point of complete destruction and needs kidney replacement therapy, which is called “end-stage renal disease” (also known as uremia), many patients only seek medical treatment at this time, but it is too late, the kidney function is irreversible. Therefore, we remind the general public that chronic kidney disease is all around you! It is as common as hypertension and diabetes, and is more insidious, but can be detected early and treated well. The form of prevention and treatment of chronic kidney disease in China is very serious, but fortunately, early detection of kidney disease is completely feasible, because the detection technology is relatively easy and simple, therefore, we hope that the general public pay attention to urine examination, regular examination of urine, blood and blood pressure is an important step in the early detection and early diagnosis and treatment of chronic kidney disease. Meanwhile, by observing some clinical symptoms such as increased nocturia; edema; urine foamy for a long time, or cloudy like rice water; urine discolored in the form of meat wash or thick tonic or soy sauce-like; back pain or lumbago or lumbar distension can show most of the early signs of kidney disease. Once these problems are known, we can slow down or even stop the progression of chronic kidney disease by taking some therapeutic drugs and changing certain lifestyle habits to reduce the harm of chronic kidney disease, the “silent killer” to individuals and society. For healthy people without kidney disease, prevention of kidney disease is the key, specific measures are to reduce salt intake, diet should be light. Balanced diet, people eat a lot of plant and animal protein, the final metabolites – uric acid and urea nitrogen, etc. need to be eliminated by the kidney burden, so binge drinking, overeating will increase the burden on the kidneys. Drink more water properly and do not hold urine, as it is easy to breed bacteria in the bladder for too long, and bacteria are likely to infect the kidneys via the ureter. When there is inflammation in the throat or tonsils, it should be treated immediately and thoroughly with antibiotics under the guidance of a doctor, otherwise streptococcal infection can easily trigger kidney disease (especially for children). Quit smoking, drink alcohol in moderation and avoid alcohol abuse. Avoid drug abuse, many drugs and chemical poisons can lead to kidney damage, such as long-term heavy use of painkillers, inappropriate application of aminoglycoside antibiotics, long-term, excessive use of herbs containing aristolochic acid, etc., which can slowly cause kidney function destruction. It is best to check the kidney disease and kidney function before pregnancy. If you have a considerable degree of kidney disease (sometimes you don’t even know it), you should discuss with a nephrologist whether you can get pregnant. Otherwise, if you get pregnant blindly, your kidney disease may deteriorate quickly and cause renal insufficiency. Have regular annual urine tests and kidney function tests, or have an ultrasound of the kidneys at the same time. Chinese medicine has its own characteristics and advantages in the prevention and treatment of chronic kidney disease: 1, evidence-based treatment, overall conditioning, Chinese medicine is to emphasize the human science, is to treat people with diseases, the human body itself and with nature, society is a whole. Can not be isolated from a person’s body organs, tissues, cells and related diseases. If a person is compared to a skin and a disease is compared to a hair, if the skin does not exist, how will the hair be attached? People’s unwell, the kidney will suffer. 2.Specialized prescriptions and medicines, evidence and disease together, the evidence reflects the main contradictions of the human body at a certain stage, the disease can summarize the pathophysiological process of the whole process, reflecting the basic contradictions. 3, the combination of Chinese and Western medicine. Complementary advantages, inch has a long, foot has a short, Chinese and Western medicine and modern scientific and technological means of mutual reference, to complement each other’s strengths and weaknesses, can improve clinical efficacy. 4, medicine and food rest row, comprehensive treatment, chronic kidney failure is the common end of the development of chronic kidney disease to the final, heavy, poor prognosis, must be treated by drugs, diet, movement, access, body and mind, Chinese and Western and other multi-path. Kidney disease prevention and treatment no savior, there is no miracle cure, the key to rely on their own, to have health awareness, to do before the disease, to develop a good lifestyle, from now on, from the little to do, persistent, take care of the kidney, have a healthy, everyone can live a wonderful life.