Clinical use of the truncation method in renal disease

  Kidney disease every more acute critical illness, such as the failure to rescue the appropriate treatment in a timely manner, often make the patient into the evil Qi scops, zhi sprawl difficult to figure out the situation. Therefore, we should strike hard, with large and heavy doses of products to thwart the momentum of the disease, and grasp the way to help the evil into the deep, to intercept and reverse the effectiveness of the deep into the disease. The above treatment method is called the interception method by the author, and has been used to treat patients with acute and critical kidney disease with many successes. Therefore, this method is summarized below for the benefit of fellow patients.  1, the disease G humble, urgent when quickly cut off the cut-off method that cut off the treatment method is established for the treatment of acute and critical kidney disease. Because these acute and critical illnesses have rapid development, rapid change, fierce, heavy, threatening and other clinical characteristics. Therefore, when the treatment of emergency to “speed”, decisive and heavy attack, in order to quickly cut off and reverse the disease, to prevent the disease into the danger of evil. If you’re looking for a new way to get the most out of your home, you’ll be able to get the most out of your home. Otherwise, within a very short period of time (usually 2-4 weeks), the underlying pathology transforms from cellular to fibrous crescent and the lesion changes from an acute active state to a chronic inactive one, thus making the renal histopathological changes and the clinical tendency of renal failure irreversible. Another example is the active stage of lupus nephritis, which is characterized clinically by the incandescence of heat and toxicity. The heat toxin can be trapped deep inside the muscle surface, starting in the Wei part, then entering the Qi part, then running into the Ying part, and even into the Blood part. It can also be caused by the toxicity of medicine and food, and the clinical manifestation of heat in the Qi part or burnt in both Qi and Ying is seen at the beginning. As heat toxin causes the disease, the transmission is the most rapid, so the symptoms of heat in the Qi part and burnt Qi and Ying are common during the course of the disease, while the symptoms in the Wei part are rarely seen. In most cases, the initial manifestation of the disease is the burning of both Qi and Ying, and even the critical symptoms of heat toxin penetrating into the blood. Some people with Yin deficiency and dryness,
Therefore, the active stage of lupus nephritis should be treated with a large dose of heat-clearing and detoxification to clear the heat and toxicity in the qi part, and regardless of whether there is evidence of the ying part or the blood part, it should be combined with heat-transferring and blood-cooling products to cool the ying and disperse the blood, so as to clear both the qi and ying and the qi and blood, so as to quickly cut off and reverse the disease. To sum up, for the above-mentioned symptoms, which are G-strong, rapidly progressing and rapidly changing, strong therapeutic measures must be taken in order to save the storm and turn danger into peace.  2, fast cut off, curb the evil to cut off the road together. Once the acute and serious kidney disease is found, must be quickly cut off. However, the method of interception, the clinical significance of two, a sudden setback, save the crisis in a moment; the second is to cut off the path of the disease, to prevent the evil spillover to other organs or internal trapped deep. The former is to target the evil of scops and G, and strike hard to contain the disease and thwart the disease; the latter is to see the way of the evil to enter and block it in advance. As mentioned above, the active phase of lupus nephritis is characterized by the presence of heat in the qi part of the body, so it is important to use large doses of heat-clearing and detoxifying agents to clear the heat in the qi part of the body and to stop the disease; however, considering that the evil is in the qi part of the body, it is very easy to enter the ying part of the body and even to enter the blood part of the body, therefore, when clearing the heat in the qi part of the body, it is necessary to use heat-transferring and cooling products to cool the ying and cool the blood to disperse the blood, so as to collect the effect of clearing both the qi and ying and the qi and blood, thus blocking the way of the evil to prevent the disease from being trapped and the scope of lesions from This will prevent the internal trapping of the evil and the expansion of the disease.
There is no need to be bound to the sweat in the Wei, Qi, Ying, Blood ladder into the treatment method. For example, in chronic nephritis, dampness and heat in the upper jiao, in addition to cooling and aromatizing the dampness, for those who have a strong stomach heat, to prevent the evil in the upper jiao from Yangming heat, we should use gypsum and Zhi Mu to clear the heat of Yangming qi, so as to stop the evil from Yangming heat; for those who have a weak spleen and dampness in Taiyin, we should use Dang Shen and Bai Zhu to strengthen the spleen and remove dampness, so as to break the evil into Taiyin and dampness from Taiyin. If the evil invades the five organs, the disease may be transmitted through the relationship between the five elements, as stated in “Su Wen – Yu Ji Zhen Dou Lun”, “The five organs are connected, and all of them have a second move, and if the five organs are sick, then each transmits its victory”, grasp the five organs disease transmission law, such as ”
The five organs receive gas in its birth, transmitted in its victory, gas in its birth, death in its incompetence. Sickness and death, must first pass line, to its incompetent disease is dead. This is to say that the Qi retrograde, so death.”
For example, “The kidney receives qi from the liver, which is transmitted to the heart, and the qi is surrendered to the lungs and dies in the spleen.” (Su Wen – Yu Ji Zhen Dou Lun) Thus, early therapeutic measures are taken to intercept the pathway of transmission of disease and prevent the deterioration of disease transmission, which is to see the disease of kidney, know that the kidney transmits to the heart, we should first regulate the heart. It is the embodiment of Chinese medicine’s prevention and control idea of both disease and change in this method.  3, the implementation of the cut off, when the hand must hold a sharp weapon cut off the method to achieve the momentum of the disease and stop the spread of evil clinical effect. Must have a strong treatment method, in order to be able to save the wild waves, turn the crisis into peace. In the acute stage of kidney disease or chronic nephritis, we must cut off the disease quickly”, which fully reflects the guiding idea of “Su Wen – Yin Yang Ying Xiang Daxue”, “the G is tough, press and collect”, which is to treat urgency with “speed” and cut off the disease quickly to stop the development of the disease. The guiding idea of spreading the disease. Among the many cut-off therapies, heat purification and detoxification is an important cut-off method. Toxicity plays an important role in the development of kidney disease. “External toxicity is produced by abnormal changes in the natural climate, and it covers all pathogenic microorganisms that cause infectious or contagious diseases in the human body. Internal toxicity is the pathological product of the malfunction of the internal organs, including inflammatory factors and membrane attack units produced by the activation of immune complexes and complement, oxygen free radicals formed by oxidative stress, cytokines and inflammatory mediators, as well as the retention of metabolites in the body. Whether it is external or internal toxin invasion, the nature of the disease is just two ends, one is that the toxin has the nature of fire and heat, fire is toxic; the second is that the toxin has the nature of destruction, very destructive to human organs and tissues. Therefore, if the poisonous evil is not removed, the kidney disease is difficult to be safe, and prone to disasters. In addition to the common nature of Chinese medicine to remove heat and toxins, Chinese medicine also has different functions of removing wind, phlegm, phlegm, blood circulation, blood circulation, blood stasis, dampness, and dispersion of knots, but all of them have the important function of removing heat and toxins. The kidney virus evil burns and the use of heat-clearing and detoxifying drugs, its to have three, one is to use early, to prevent the evil spreading and difficult to cure; second is the amount of drugs to be large, heavy attack, the force to thwart the disease; third is to take the drug interval to be short, can be a day several suits, in order to collect the effect of cutting off the reversal. Clinically, the commonly used drugs for clearing away heat and detoxifying toxins are eugenol, silver flower, forsythia, bitter ginseng, yellow lily, scutellaria, yellow cypress, mountain gardenia, dandelion, big blue leaf, panacea, heartwort, fishy grass, purple flower groundnut, wild chrysanthemum, gentian grass and so on. When treating acute active lupus nephritis, the author believes that this period is the rapid progress stage of the disease, and the symptoms are characterized by heat and toxicity, while the most preferred method is to use Qing Fei Dei Poison Drink, which integrates Bai Hu Tang, Rhizoma Di Huang Tang and Huang Lian Dei Poison Tang to clear the qi, cool the ying and detoxify the toxin. This formula combines Bai Hu Tang, Rhizoma Dihuang Tang and Huang Lian Detoxification Tang to clear Qi, cool Ying and detoxify the toxin. This is the key to cut off the progress of the disease. The method of expelling water is an important tool for the rapid interruption of acute and critical kidney disease. This method is used to remove phlegm, accumulated drinks, dry stools and drowning poison by dipping the lungs and expelling water, cleansing the stomach and intestines, and directly attacking the arena of the disease, leading to the exhaustion and intercepting the disease. Therefore, it is an important tool for rapid interception. Clinically, the author often uses Scape Drabble and Jujube Diarrhea Lungs Tang to remove lungs and expel water to treat wheezing and palpitations of pericardial cavity effusion in uremic syndrome; uses Pepper Drabble and Yellow Pill to expel water between intestines to treat abdominal fullness such as water wrapped in a sac in nephrotic syndrome abdominal cavity effusion; uses Xiao Cheng Qi Tang to pass through the internal organs and remove turbidity to treat vomiting and vomiting and urinary shutdown in renal failure. It can really receive the function of cutting off the pass, chasing water and leading stagnation, unblocking congestion and blocking transmission. Cooling the blood and dispersing stasis can have a better effect on the treatment of hematuria in kidney disease if it can be used in a timely manner. I have found that in patients with IgA nephropathy, the clinical manifestations of hematuria are often aggravated or even visual hematuria is seen when the evil heat first attacks the pharynx and symptoms of heat in the upper jiao-wei or qi divisions have just appeared. This is because the heat from the pharyngeal artery into the kidney ligament, burning the kidney ligament body, agitating the ligament blood, forcing the blood to travel delusionally, the lighter the ligament injury and blood seepage, the heavier the ligament broken blood overflow. In addition to the treatment of pharyngeal detoxification drugs, it is important to use the method of cooling blood and dispersing blood stasis in a timely manner, common drugs are raw earth, four seasons green, big green leaf, red peony, danpi, xuan shen, water hyacinth, comfrey, etc. Qingzhen submerged method is also one of the important means of rapid interception of acute and critical kidney disease. This method is used for the rapid increase of blood pressure and even malignant hypertension due to the movement of the kidney liao wind in kidney disease. The wind movement of kidney liao is the result of kidney disease that does not heal, phlegm and turbidity blocking the kidney liao, soaking the liao body, resulting in the narrowing of the liao channel, the loss of flexibility of the liao body, and then due to annoyance, Zhang Yang or depression and anger injury to the liver, the liver Yang suddenly bursts into the kidney liao, causing the wind movement of the liao injury, up to the brain and see dizziness, dizziness, head swelling, headache, vision, and other clinical symptoms; or even headache, black vision, limb convulsions, increased urine foam, vomiting, vomiting and urinary shutdown and other critical symptoms. The headache is fractured, the vision is black, the body is convulsing, the urine is frothy, and the vomiting and urination are closed. The formula can be added to Zhang Xichun’s “Medical Heart and Middle Ginseng and Western Medicine” of Qing Dynasty to quench the liver and extinguish the wind: Niubizi, raw ochre, neem, raw dragon bone (crushed), raw oyster (crushed), raw tortoise shell (crushed), raw peony, xuan shen, asparagus, raw malt, Yin Chen, Xia Ku Cao, hooked vine, ground dragon, stiff silkworm, etc. The above methods can be called the sharpest tool in the truncation method, and when used properly and in time, it can really stabilize the disease quickly and reverse it.  4, cut off the rest, do not forget to adjust the aftermath of the cut-off method is the treatment method used for acute and critical kidney disease. And to “diarrhea its surplus” as the characteristics of the treatment. Therefore, in the clinical application of the above-mentioned methods of clearing heat and detoxifying the toxin, expelling water and laxative, cooling blood and dispersing blood stasis, and clearing and subduing, all have the commonality of more drugs, fierce, large amount, and urgent treatment, otherwise it is difficult to receive the function of truncation and reversal of the disease. However, after the implementation of cut-off therapy, we should fully consider the many clinical conditions such as yin injury, yang loss, qi deficiency, blood deficiency and fluid loss that may occur after the heavy attack of cut-off methods, and give timely aftercare. For example, if the heavy use of clearing, there is a risk of injury to Yang and curb Yang, so after the clearing, with discretionary warming Yang and pass Yang products; after the water and pass the stool, there is the loss of injury to fluid and loss of Qi, so with the rest of the pass, give the agent to increase fluid and benefit Qi; after cooling the blood and activating the blood, there is the risk of loss of Yang and loss of blood, so with the end of the cooling and dispersal, less with the taste of warming Yang and nourishing blood; after the clearing and submerging, there is the worry of Yang deficiency and Qi trapping, so with the end of the clearing and descending, slightly with the warming and raising of Yang medicine. In addition to grasping the deficiency of yin and yang, qi and blood and fluid after the implementation of the cut-off method and make corresponding adjustments, should also examine the dynamic changes of the disease caused by the interaction of his physique, disease and drugs, “observe his pulse evidence”, “treat with the evidence”.  To sum up, cut off is the needle kidney disease of acute and serious cases and the use of a sudden setback, to prevent the spread of the disease of the treatment method. The implementation of the cut-off method must have a strong treatment method, in order to save the wild, such as clearing heat and detoxification, remove water and laxatives, cooling blood and dispersing blood stasis and clearing the submerged method. Because of the clinical use of all the methods have more drugs, fierce, large, urgent treatment commonality, so as to receive the clinical effect of the truncated reversal. After the implementation of truncation therapy, we should pay attention to the clinical conditions such as Yin injury, Yang loss, Qi deficiency, Blood deficiency, and Jin loss after the use of drugs, and give timely treatment afterwards; and according to the changes of the physical constitution, disease and the interaction of the three drugs, we should treat them appropriately.