Some children with nephrotic syndrome are seen in Western hospitals and are treated with pure Western medicine or with proprietary Chinese medicine; some are seen in Chinese hospitals and are treated with pure Chinese medicine or with Western medicine. So what is the difference between these two types of visits? I’ll analyze them for you based on what I’ve seen in the clinic for years and what I’ve communicated with my Western medical colleagues. Children in Western hospitals to see nephrotic syndrome, generally speaking, Western doctors are more familiar with Western drugs, such as hormones and second-line drugs, such as the control of toxic side effects of FK506, cyclosporine, cyclophosphamide, etc., more experienced in the addition and subtraction of hormones, they also add Chinese medicine treatment according to the requirements of the child’s parents, such as nephritis rehabilitation tablets, Huai Qi Huang granules, Yu Ping Feng granules, Astragalus granules, Jin Shui Bao capsules, etc., but after all But after all, most Western doctors do not have a comprehensive grasp of Chinese medicine theory, so it is difficult to do what TCM doctors do based on the child’s TCM symptoms and tongue and pulse for evidence-based treatment, so with TCM treatment, it may not always be very accurate, which may have a certain impact on the effectiveness of the treatment, and some even counterproductive. When a child is seen in a Chinese medicine hospital for nephrotic syndrome, the doctor will generally prescribe the appropriate Chinese medicine and tonics to treat the child based on the child’s TCM symptoms and tongue and pulse. When parents take their children to see a doctor in a Chinese hospital, they will unknowingly choose old Chinese doctors, especially famous old Chinese doctors, but these old Chinese doctors, due to their age, have relatively little knowledge of the ever-changing Western medicine for nephrotic syndrome, such as they are often not familiar enough with second-line drugs and do not know much about the physical changes caused by hormones, so they either want their children to stop taking hormones and immunosuppressants, or are less For example, children with cyclosporine have certain nephrotoxicity, and at this time, they should reduce the application of nephrotoxic herbal medicines, such as Caulophyllum, Hesperidin, Drynaria, etc., and possibly with Cordyceps to reduce the toxicity of the renal tubules. When the child is seen in a Western hospital, the doctor is more concerned with laboratory tests, such as urine routine, urine protein quantification, renal tubular function, liver and kidney function, followed by infections, such as blood routine, CRP and Mycoplasma pneumoniae. They often adjust hormones and immunosuppressants based on these laboratory tests. They pay less attention to the subjective feelings of the child, i.e. TCM symptoms, such as appetite, sweating, urine color and smell, nature of stool, and fatigue. The ancients did not have laboratory tests, they relied on these symptoms and the tongue to take the pulse. Many parents who come to see me for the first time sometimes say, “Next time I don’t bring my child to see you, can you just prescribe some Chinese medicine? I will tell him that if he sees a Western doctor, he may not come, but if he sees a Chinese doctor, the child must come, that’s the reason. How often a child needs to see a TCM doctor depends on the situation. Generally, the first time you see a TCM doctor, the doctor will often prepare a preliminary prescription based on the child’s TCM symptom information, and generally take it for 1-2 weeks. If the child has no discomfort after taking the medicine, the doctor can prescribe a longer period of time, such as 1 month or 2 months for a follow-up visit, and if the child has discomfort the first time you take the medicine, you will need to adjust the medicine, and you will also need to come back for a follow-up visit in 1 to 2 weeks. In addition, hormone reduction also means that the herbal medicine will need to be adjusted soon, the herbal medicine will need to be suspended when you have a cold, and the herbal medicine will need to be adjusted when the urine protein is recurring, which will increase the frequency of your child’s follow-up visits to 1-2 weeks to adjust the herbal medicine. I don’t really agree with the issue of remote prescribing of Chinese medicine, because there is a gap between what parents report about their child’s condition and what the doctor observes, so the Chinese medicine prescribed may not be accurate. Remote prescribing of Chinese medicine may be used for emergencies, but it is not good for long term. Some parents report that there is no good TCM doctor in their hometown, and their children want to combine Chinese and Western medicine, I can only express my regret, because inappropriate TCM treatment is better than no TCM treatment at all. What are the best cases of TCM intervention? 1.The child is uncomfortable during the full dose of hormone treatment, such as too big appetite, difficult to sleep, hard stool, too excited, sweating a lot; 2.Relapse due to hormone reduction; 3.Easy to repeat during the small dose of hormone; 4.Consolidation of the efficacy after hormone discontinuation; 5.TCM treatment can also be tried if the large dose of hormone does not turn negative.