How is chronic nephritis prevented and treated?

Chronic nephritis is a group of glomerular diseases with multiple etiologies dominated by chronic glomerulopathy. Strictly speaking, it is not an independent disease, but just a progressive stage of any primary and secondary glomerulonephritis before it enters into end-stage renal failure, and its main clinical manifestations are proteinuria, hematuria, and hypertension. The course of the disease is long, prolonged and recurrent, and continues to progress, eventually developing into uremia. According to the clinical manifestations and pathological evolution of chronic nephritis, it can be attributed to the category of “edema”, “fatigue” and “lumbago” in Chinese medicine. Is the external evil for a long time hurt the function of internal organs, especially lead to spleen and kidney deficiency and become, but also due to diet and fatigue, room irregularities, such as depletion of the spleen and kidney for the disease, or due to the dysfunction of the internal organs, the resumption of the external evil and the development of the. Because chronic nephritis clinic more positive deficiency and evil coexist, with positive deficiency as the root, evil as the standard, so the clinical treatment is often used to supplement the deficiency of the main, taking into account the principle of treatment of the evil. Referring to the typing program of the Second National TCM Academic Conference in 1986, positive deficiency is mainly lung and kidney qi deficiency, spleen and kidney yang deficiency, liver and kidney yin deficiency, and qi and yin deficiency. Evil solid mainly includes entrapment of exogenous sensation, entrapment of water-dampness, entrapment of dampness-heat, entrapment of silt and blood, and entrapment of dampness and turbidity. According to the nature of the evil and positive, the location of the lesion, the transformation of the nature of the positive and negative between the various types, the change of the different stages of both the labeled and evil changes in the selection of prescriptions and medicines, flexibility, and continuous adjustment. Chronic nephritis is a very stubborn disease, with a long course of disease, repeated delay, continuous progress of the characteristics of each patient must clearly recognize the special nature of this disease, treatment should be prepared for a long-term battle. At the same time, we should pay attention to the following aspects: 1, correctly treat the disease, maintain optimism: due to the patient’s illness for a long time, the condition is repeated, easy to make the patient pessimism and disappointment, and even self-abandonment, which will directly damage the patient’s physical and mental health, affecting the condition. To constantly self-regulate, maintain optimism, maintain a stable state of mind, will be conducive to the recovery of the disease. 2, pay attention to self-protection, actively prevent infection: any infection will aggravate the condition of nephritis, to actively prevent upper respiratory tract infections, acute and chronic tonsillitis, acute and chronic pharyngitis, as well as skin infections, urinary tract infections. For patients who have been infected, timely treatment is needed. Due to chronic nephritis patients, immunity is poor, usually in the absence of infection can be used in jade screen oral liquid, or astragalus essence oral liquid, or Cordyceps sinensis, to the spirit of the capsule in order to enhance the body’s resistance. As the saying goes, “when positive energy is stored in the body, evil can not be dried up”. 3, active treatment of primary diseases, such as hypertension, diabetes and so on. 4, live and let live, work and rest: exertion can cause proteinuria, hematuria increase, recurrence of the disease, so rest is very important for chronic patients. However, it is not required that the patient long-term bed rest, if the long-term bed rest, resulting in further decline in physical fitness and resistance to disease, is not conducive to the recovery of the disease! To find a set of suitable for their own way of life, to do a combination of work and rest, in order to enhance physical fitness, in this way, conducive to the recovery of the disease. 5, regular diet, light-based: Chinese medicine treatment still attaches importance to dietary regimen, to achieve regular diet, light, reduce thick and greasy to help dampness and injury to the spleen food intake, low-salt and less salty in order to nourish the kidneys. At the same time, on the basis of evidence-based treatment, the use of medicinal diets, such as astragalus porridge, in order to enhance immunity, Gorgon fruit glutinous rice porridge can eliminate proteinuria. 6, medicine loss of kidney qi, medication must be careful: certain Chinese medicines such as Mutong, Han Fangji, motherwort, centipede, fish gall, Panax ginseng tablets, Chinese Bone-setting pills and so on has been clear nephrotoxicity, Western drugs such as gentamicin and other nephrotoxicity is even greater, especially for the elderly and pediatrics, should be used with caution or prohibited.