Self-management of patients with chronic kidney disease Chronic kidney disease is mostly insidious, slow progressing, lifelong disease, the prevention and treatment of the disease is more time by the patients themselves “master”. Early recognition of chronic kidney disease The onset and progression of most chronic kidney disease is insidious and easily missed or ignored, but the absence of symptoms is not the same as the absence of kidney disease. For patients with chronic kidney disease without any symptoms, it is best to check urine routine 2 to 4 times a year. In fact, combined urine routine, blood creatinine and kidney ultrasound can enable early detection and timely diagnosis of the vast majority of CKD patients. If there are suspicious signs of early kidney disease (more urine foam that does not disappear for a long time; change in urine color, such as strong tea color, washed water-like; excessive or too little urine volume; increased nocturia; edema of lower limbs; edema of eyelids or face after waking up in the morning) you should promptly go to the nephrology department of a regular hospital. For patients with diabetes, hypertension, chronic infections, immune diseases, and those who often take various painkillers, antibiotics, and prescriptions of unknown ingredients, they should see a nephrology clinic regularly for early detection of possible kidney damage. Positive treatment of chronic kidney disease Patients who have been diagnosed with chronic kidney disease can keep the risk factors of chronic kidney disease within the target range by receiving regular checkups by specialists and cooperating with treatment. For example, quantitative proteinuria <0.5-1.0 g/d; blood pressure <130/80 mmHg; fasting glucose <6.1 mmol/L, 2-hour postprandial glucose <8.0 mmol/L, glycosylated hemoglobin <6.5%; total cholesterol <4.4 mmol/L, low-density lipoprotein cholesterol (LDL-C) <2.6 mmol/L. Meanwhile, a good lifestyle can also help delay the progression of kidney disease and the emergence of comorbidities, including: adhering to a low-salt, light diet; a balanced diet without overeating; drinking more water appropriately and not holding urine; appropriate physical exercise and weight control; avoiding strain and infection; quitting smoking and alcohol; and avoiding drug abuse. For patients with chronic renal failure, the focus of treatment shifts to various comorbidities of chronic kidney disease (such as anemia, metabolic disorders and bone disease). Patients should adopt a low-protein diet, pay attention to adequate calorie supplementation to prevent malnutrition, and prepare for renal replacement therapy. TCM treatment can help delay the progression of kidney disease and reduce the occurrence of complications, which is very effective in improving patients' symptoms. However, it must be treated in the nephrology department of a regular Chinese medicine hospital, and do not listen to the biased prescriptions or experimental methods. Many patients believe that once they enter dialysis treatment, in addition to their own pain, but also a great burden on the family and society, life will lose its meaning, but this is not the case. But this is not true. Dialysis is generally difficult to get off for life (unless kidney transplant), but it is not the end of life, as long as you actively cooperate with the physician and at the same time strictly self-manage, dialysis patients have the possibility to return to society and family.