Kidney tonic does not necessarily need to first detoxify the liver, and the treatment needs to be determined according to the patient’s specific condition. If kidney deficiency is caused by liver qi stagnation, it is generally necessary to first detoxify the liver and tonify the kidney; if there is simple kidney deficiency, it is generally not necessary to detoxify the liver first.
If the patient has symptoms of Liver-Qi stagnation such as mental depression, chest tightness, stomach distension, distension and pain in the abdomen and ribs, loss of appetite, or obstruction of the pharynx by a foreign body, which later leads to symptoms of Kidney Deficiency such as fatigue, tinnitus, aching of the lower back and knees, frequent and clear urination, and incomplete urination, then the Liver should be detoxified in conjunction with tonification of the Kidneys.
If the patient does not have symptoms of liver qi stagnation and only has symptoms of kidney deficiency, it is generally not necessary to dredge the liver first.
If there are any of the above symptoms, it is recommended to seek medical treatment promptly.