1, clearing heat, removing dampness, detoxifying, activating blood stasis, protecting the spleen and stomach
The “Su Wen – to the true to the great theory” said: “water turbidity, all belong to the heat”, due to water metabolism disorder, dampness in the body, constitutes the basis for the production of damp heat. Xu Lingyi said: “there is wet then there is heat”, chronic nephritis is a long course, damp heat is easy to heat, wet stagnant, wet heat together, such as oil into the surface, so the kidney disease is longer difficult to heal quickly. And the treatment of kidney disease drugs hormones, immunosuppressants, etc. can also cause pharmacogenic damp heat. Zhu Danxi also said: “damp-heat fumigation and for stasis”, damp-heat and stasis of poison both for the problem, both pathological products, but also pathogenic factors. The evil of damp-heat and stasis can not only damage the kidney element, but also block the spleen and stomach and affect the three jiao.
Therefore, in treating kidney diseases, Master Gao firmly grasps the pathogenic characteristics of “dampness, heat, stasis and toxicity” in selecting prescriptions and medicines, and never forgets that the spleen and stomach are the foundation of the latter, which often leads to outstanding results and immediate effects. For example, Master Gao often treats purpura nephritis by adding and subtracting Kidney Soup, basic formula: Angelica Sinensis 15g, Radix Paeoniae 10g, Radix Rehmanniae 15g, Mudanpi 10g, Peach kernel 10g, Safflower 10g, Radix Salviae Miltiorrhizae 30g, Fructus Yimou 15g, Forsythiae 15g, Dandelion 30g, Honeysuckle 30g, Panax quinquefolium 30g, Cyperus rotundus 30g, Little Thistle 30g, Water hyacinth 15g, Shiwei 30g, White foxglove 30g, Glycyrrhiza glabra 6g. At the same time, according to the characteristics of the patient’s condition, we can add and reduce the symptoms, aiming at clearing heat, resolving dampness and toxins, activating blood circulation, resolving blood stasis, protecting the spleen and stomach, interrupting the development of the disease and reversing the evil to obtain a chance.
2.Generosity for major diseases and keeping up with the times
The general standard of the Chinese medical community is less flavor and lighter medicine, typhoid formula less flavor, warm disease formula lighter medicine, and was once respected. However, the principles of TCM prescriptions are originally large, small, slow, urgent, odd, even, and complex, etc. Prescriptions should be considered from the simplicity and complexity of the condition, and should not be judged from the size of the prescription. The origin of the application of generous prescriptions for the treatment of diseases should have started in the era of the Nei Jing, as stated in the Su Wen – Zu Zhen Yao Da Lun: “Jun Yi Chen two, the system of small; Jun Yi Chen three Zuo Wu, the system of medium; Jun Yi Chen three Zuo nine, the system of large.” At the same time, the Nei Jing also believes that “the treatment is the main, appropriate size for the treatment”, that is, according to the severity of the disease should be used generous small prescription.
The medical sage Zhang Zhongjing in the “Treatise on Typhoid and Miscellaneous Diseases” stressed that “small prescriptions treat one disease, while large prescriptions treat many diseases and complex diseases”, and the Qing dynasty doctor Yu Jiayan said that “big diseases need big (large prescriptions) medicine”, and the Qing dynasty doctor Wang Mengying also said that “emergency The Qing dynasty physician Wang Mengying also said that “no one can save the danger of a serious disease without a big medicine”. Shanghai Qiu Peiran old Chinese medicine doctor on generous research that: “both method (generous) is not a miscellaneous method, its prescription is rich in ingenuity, and the combination is extremely precise, which is a very deep attainment in Chinese medicine prescription”.
Modern society is changing rapidly, modern people live a fast-paced and stressful life, and due to the destruction and pollution of the natural environment, the reduction of authentic medicinal materials, the decline in the quality of medicinal materials, the abuse of drugs caused by the resistance of disease-causing microorganisms, drug resistance, the generation of new disease-causing microorganisms, etc., directly led to the diversification and integration of modern human diseases. In the development of a complex and difficult disease, contradictions are everywhere, contradictions are always present, and the contradictions are multifaceted or diversified, the discriminatory use of generous, multi-link, multi-target integration of regulatory action, is a proven method to resolve such contradictions.
Chronic kidney diseases often have complex pathological mechanisms such as Qi deficiency, blood stasis, water aggregation, heat toxicity, stagnation, etc. By relying on the characteristics of the previous medication, it often appears that the disease is heavy on the medication, with little effect. Master Gao adopts ancient formulas, takes modern theory, combines disease, disease and evidence, clears heat and detoxifies, nourishes Yin and blood, reduces water retention and swelling, warms kidney yang and nourishes spleen qi, and so on, and often receives the effect of the clouds and the rafter. Master Gao believes that efficacy is the hard truth, is the essence of medicine, single treatment of a single evidence, often missing one thing, it is difficult to save the wild waves, but multiple evidence to take into account, several methods and advance, can synergize the effectiveness, taking into account the overall situation. In the treatment of kidney disease with a large number of generous is the need for clinical work, the needs of the patient’s condition, as long as the identification of accurate, proper use of drugs, often achieve significant results.
3, pay attention to the symptoms and primary and secondary
”Urgent is to treat the symptoms, slow is to treat the root, both the symptoms and the root” is an important principle of treatment in Chinese medicine, emergency conditions should be the first priority to solve the “symptoms” of the problem, and the process of disease is complex, often more than one contradiction, treatment must seize the main contradiction In order to treat the “root” of the disease, we must focus on the “root” of the disease.
Master Gao believes that chronic kidney diseases, those who feel external evil again should address the immediate needs and follow the treatment principle of “treating the symptoms in an urgent manner, treating the root cause in a slow manner, and treating both the symptoms and the root cause”. In the “Treatise on Typhoid”, it is said that “if you see one symptom, it is not necessary to have all of them”. By one symptom, Zhongjing means the main symptom, which is an important method to treat the present disease with ancient prescriptions.
Gao Shi believes that patients with kidney disease, complex conditions, treatment, not only to take into account the main disease, such as edema with poria, poria, zedoary, mulberry bark, ginger bark, Chen Pi, poria bark, belly bark, corn husk, pepper, petuniazi; face and eyelid swelling with mulberry bark, ginger bark; lumbar trapped lumbar pain with Chuan Xiejian, Duzhong, Baji Tian, Huai Niu Knee; incomplete urination with Dioscorea Z, Wu Yao, Qomai, puzzle nuts. Also to take into account other symptoms, such as blurred vision, Celosia argentea, Mimosa, Fructus Lycii, Chrysanthemum; poor night sleep, sour date palm, raw dragon peony; dry throat and dry mouth, Shengdi, XuanShen, MaiDong, GeGuan, wood butterfly; liver depression, rose hips, green calyx plum; easy to catch a cold, Astragalus, Atractylodes, wind; upper limb movement is unfavorable, mulberry branch, piece of ginger yellow, wind; fear of cold, Epimedium, Cistanches, system of epimedium; gout For those who are afraid of cold, use Cistanthus aristolochiae, Fructus fructus and Radix et Rhizoma; for gout, use Qian Qian Jian, Bonesetter, Di Long, G Datura, Yan Hu Suo and Myrrh.
4, Chinese and Western medicine and pay attention to seasonal and seasonal weather
In the current clinical work of Chinese medicine, modern medical diagnostic instruments have been widely used, which plays an important role in improving the level of diagnosis and the observation of the efficacy of treatment, the parallel emphasis on Chinese and Western medicine is imperative. Chinese medicine treatment not only requires improvement of symptoms, but also improvement of physical and chemical indicators. In clinical practice, Master Gao often selects herbs that studies have shown to have clear pharmacological effects.
For example, for those who have protein in urine analysis, use Qing Feng Vine, ghost arrow feather, white foxglove, gunner’s bead, big fire grass; for those who have high blood pressure, use Xia Ku Cao, chrysanthemum, hooked vine, asparagus, grass cassia; for those who have high blood lipids, use gynostemma; for those who have high potassium, use flowers and herbs with caution, etc. As the ancient saying goes: “To treat diseases, we must first age the gas, not to cut the heavenly harmony”, Master Gao believes that different climatic environments will produce different pathogenic factors, so we should pay attention to the natural climate and seasonal influences on the occurrence, development and regression of diseases. For example, we should make good use of patchouli and pelargonium during the long summer season.
5. Typical case
Liu, female, 13 years old, was first diagnosed on February 9, 2009. She had a hemorrhagic rash on the extremities, abdominal pain, swelling of the face and lower extremities, and recurrent episodes of tea-colored urine for more than 40 days. She has a scattered red rash on the extremities, which is symmetrically distributed and does not fade when pressed, dark yellow urine, mild facial puffiness, dry mouth, itchy throat, and lumbar drowsiness, a red tongue with thin yellow and slightly greasy coating, dark red veins at the base of the tongue, and a smooth pulse. Urine routine: protein ( ++ ), occult blood ( +++ ), microscopic examination of red cells ( +++ ) /HP. Traditional Chinese medicine diagnosis: blood evidence (epistaxis, blood in urine); Western medicine diagnosis: allergic purpura nephritis.
The diagnosis is that dampness and heat are contained within the body, forcing blood to move delicately and stasis in the veins. Treatment: Clearing heat, detoxifying and relieving dampness, cooling blood and activating blood circulation to stop bleeding. Herbs: Radix Rehmanniae Praeparata 8g, Peony Peel 8g, Radix Paeoniae Alba 8g, Rhizoma Polygonati 12g, Rhizoma Polygonati 12g, Radix Salviae Miltiorrhizae 20g, Rhizoma Thistle 20g, Rhizoma Polygonati 20g, Semen Coix 20g, Radix Eucommiae 10g, Radix et Rhizoma Saxifraga 5g (later), Pericarpium Citri Reticulatae 8g, Rhizoma Polygonati 20g, Radix Scutellariae 8g, Radix Plantago Asiaticae 20g (decoction) 1 dose daily with water. The rash on the extremities subsided, the swelling on the face disappeared, and the urine remained dark yellow. Urine routine: protein ( + ), occult blood ( + + ), microscopic examination of red blood cells ( + + ) /HP.
On February 22, the third consultation: urine yellowish, dry and itchy throat. On March 12, the fourth diagnosis, the above 20 doses were taken and the condition was stable. Tongue light red, coating thin yellow, smooth pulse, abide by the above formula slightly add or subtract, take more than 30 doses, all symptoms eliminated, urinalysis continued to be negative and reported healed, no recurrence on follow-up.
The patient’s skin rash was red in color, the urinary tract was thin and yellow in color, the pulse was slippery. The patient has a red rash, dark yellow urine, dry mouth, itchy throat, thin yellow greasy moss, and slippery pulse, suggesting that dampness and heat are contained within the body, forcing blood to move. Long-standing disease is bound to stasis. The disease has entered the ligaments for a long time, and the veins and ligaments are stagnant and dark red at the base of the tongue.
In the formula for the initial diagnosis, Jin Yin Hua and Scutellaria Baicalensis clear heat and detoxify the blood; Sheng Di Huang, Peony Peel, Red Peony, Radix Paeoniae Alba, Radix et Rhizoma Ligustrum, Dry Lotus Grass and Salviae Miltiorrhizae clear heat, cool the blood and invigorate the blood; Xiao Ji, Bai Mao Root and Shi Wei cool the blood and stop bleeding. Due to the long duration of the disease, the righteousness is damaged, so Job’s Tears, Che Qian Zi, Du Zhong, Sha Ren, and Chen Pi are given to promote dampness and eliminate turbidity, strengthen the spleen and benefit the kidney, and protect the stomach qi so as to stand invincible. The formula and evidence are corresponding, so the effect is like a rafter. If there are signs of yin deficiency, we can reduce the dampness and add yin nourishing products as appropriate, so we can heal step by step and finally receive full success.