Abstract: Kidney is water, main water, kidney disease is water disease. The so-called treatment of water is the treatment of kidney disease. The left kidney is kidney, belongs to yin, the right kidney belongs to the fate, belongs to yang, so the kidney is the house of yin and yang, also known as the house of water and fire. Treating water is really regulating yin and yang or water and fire, and warming is the main method of treating water. Warm is the root of the treatment, focusing on warming the yang and benefiting the qi in order to melt water; Tongli method includes: pungent warm dispersal, light seepage of water, attack and expel the water drink, through the bowels of the diarrhea turbid, lead to flow of water drink, and so on. “Sanyuan therapy” use of the body’s own immune function, strengthen the body, inspire yang qi, promote the leakage of water, to achieve the purpose of yang qi, yin qi since the elimination of the purpose. When reading this topic, people can’t help but think of the story of “Dayu’s water treatment” 4000 years ago. In the face of the flood, Dayu learned from the failure of water treatment and changed the method of “blocking” to channeling the flood, which shows that he has the ability to lead the people to overcome the difficulties. This shows that he has the wisdom to lead the people to overcome the difficulties. Kidney is the main water, the five elements are water, kidney disease is water disease, water disease is kidney disease. Therefore, the treatment of water in the broad sense actually refers to the treatment of various kidney diseases, not only edema. As a nephrologist, it is necessary to learn from Dayu’s innovative spirit of “breaking stereotypes and cutting a new path” to make breakthroughs, innovations and achievements in the treatment of kidney diseases! 1, water for the can Water is the source of life, “water main Run down”, the nature of the yin, yang is chemical. In the dirty kidney, in the internal organs of the bladder. Orientation in the north, the hexagrams for , hexagram poetry: Tianshi Earth Run water only through, a gas containing three manufacturing chemical industry. The foundation of all things is established from here on out, and the birth of life is in the time of the Mu. Trigrams: Kan is water, Yin, blood, and the true yang. In a line, that is, the sky. The sky a lifetime of water, in the person for the kidney, a little bit of real sun, contained in the two yin, residing in the place of the most yin, is the root of human life, the real seed. The books are called the real sun. Zhenyang two words, each place to explain the different words, all refer to one of the sun in the kan also. A sun of the innate Qianjin transformed, so the name of the dragon. A Yang fell in the two yin, into water, the water pole (is the root of the yin Yang also), water downstream, after the day of the positioning of the Kangua, is not easy to reason also. We must know that this inter-dragon, is a newborn dragon (dragon refers to a sun in the kan also), can not soar and Xingyunbu rain, but submerged in the depths of the water, water as a home, water as the nature of the position, so that its position in the lower, and bowed down to the next also. If the virtual fire on the charge and other symptoms, Ming Department of water (water that is, yin), water Sheng a point, the dragon is also a point Sheng (dragon that is, fire), the water is one foot high, the dragon is also one foot high, the dragon’s swim because of the water is full of, non-dragon does not dive against its normal. Therefore, the scripture: yin full of people, the sun will decline, that is, this can be realized that the medicine must support the yang inhibition of yin also. Is the city doctors see a false fire on the stroke and other symptoms, and do not look at its so to speak nourishing yin to lower the fire, said they have its grasp, but do not think of the original Yin Sheng (Yin Sheng two words, refers to the kidney water Wang) Yang deficiency (Yang deficiency two words, refers to the weak Jun fire), this is not to help its Yang, and more nourishing its yin, it is not like the snow added frost, non-medical mediocre hand to? I also see every false fire on the charge and other diseases, the patient more like to drink hot soup, cold things all do not accept, that is, this is more sufficient to levy the nourishment of Yin of the wrong carry on. Also known as cinnamon with fire return to the source of the person, are not aware of its reference, I do not know cinnamon with dry ginger, purely a fire, the fire is strong yin self-canceling, such as the sun and the cloud of the piece of strong. Moreover, the gui with two things, the force can make up for the sun in the kanli, the nature of the strongest to the extreme, enough to eliminate the yin gas on the unauthorized. Yin gas eliminated, space for the (gallery gallery) [Kulang], natural up and down Dianan, no bias Sheng also, is not really lead to the source of the fire! All generations of note writer, all not a sun submerged in the water underlying the search out, so that the latter ignorant of no basis, nourishing Yin drop fire, killing countless, really a thousand years of ills, the medical profession is also a great pity. The most common disease of false fire, for today’s medicine called chronic pharyngitis, laryngitis, stomatitis, etc., although by clearing away heat and detoxification, nourishing yin to lower the fire and other methods of treatment, such as the six god pills, laryngeal pills, etc., and the disease is not cured. And the method of supporting yang and suppressing yin, such as licorice and dry ginger soup, with the seeds of the Chinese medicine soup and other formulas for treatment, each with good results. 2, water classification Kidney left and right each one, however, the role is completely different, the left kidney for the kidney, belongs to the yin, the right kidney belongs to the fate of the sun, belongs to the sun, so the kidney for the yin and yang of the house, also known as the house of fire and water. In the physiological situation, the water main moist, is the material basis of human physiological activities. A person will not die if he does not eat for 7 days, but he will die if he does not drink water for 3 days, thus showing how valuable water is to the human body. However, when the body is subjected to external evil or visceral dysfunction, especially the lungs, spleen, kidneys, triple jiao function abnormally, the lungs can not pronounce the sustenance, the spleen can not transport water and wetness, the kidneys can not transpire qi, the triple jiao waterway is not passable, resulting in the metabolism of the water is out of duty, not in accordance with the normal way, overflow in the skin, it is issued for edema; or retention of body cavities such as the thorax, the abdominal cavity, as well as the bladder and so on, to form occult edema (referred to as occult water), will brewing disease! The disease will be born. Usually, water is a disease that can be categorized into Yang water, Yin water and Hidden water according to its manifestations. Clinically, different treatments should be applied to different manifestations, so that the evil water can have no hiding place and return the kidney to its normal duty, which is also the vocation of the doctor of kidney disease. 3, water treatment method As for the treatment of water law, “Suwen Tangliu mash sweet” pointed out that “Pingzhi in the balance of power, to go to Ivana Chen s … open the ghost gate, clean bowels”; “Jin Gui Yao Liao, water and gas disease,” said: “water, below the waist, when the swelling, when the urinary; waist above the swelling, when the sweat! is healed”. According to the theory of “blood evidence theory”, “blood stasis and water, hair for edema, is a blood disease and water also.” According to the theory of “blood evidence theory”, activating blood stasis to facilitate water is also a good treatment for edema. In short, the principle of treatment of edema in human body is consistent with the principle of “Dayu cures water”, and it is also a “through” word: or send out its sweat – swelling above the waist, so that the water evil from the surface dispersal; or facilitate its urine Or, to facilitate the urine – swelling below the waist, so that the water evil from the urine; or, to pass their stools – strong and dry stools, so that the water evil with the stools discharge. Or warm its yang – long illness yang qi deficiency, yang qi is full of yin qi dispersal. For example, The Essentials of the Golden Chamber: Phlegm and Drink Diseases says: “When one is sick with phlegm and drink, warm medicines should be used to harmonize it”, which points out the general method of treating phlegm and drink and water dampness, and points out the direction of treating this kind of disease for the future generations. However, for the water in the body cavity, i.e. hidden water, only the method of drainage outside the body is used, which is also the scope of Chinese medicine guide method. In short, no matter what kind of treatment, the main method is to make the water have a way to go. Through years of clinical practice, reference to the literature of the past dynasties, summarize the clinical treatment experience, our nephrology department took the lead in proposing the “three elements of therapy” for the treatment of chronic kidney disease, and achieved more significant clinical efficacy. The so-called “triple therapy” refers to the multi-faceted treatment of physiotherapy with “grasping the two ends and bringing the middle”, non-invasive autologous therapy of “treating the kidney with urine”, and comprehensive treatment of preferred Chinese and Western medicines. This method can maximize the mobilization of the body’s own immunity and resistance, reduce the secondary damage caused by drug treatment, focus on self-conditioning, and reduce the burden of kidney metabolism moderately. It has been clinically verified by countless patients that this method can significantly reduce proteinuria and hematuria, improve the body’s own resistance to disease, and improve kidney function. 4.Example In clinical practice, the nephrology department has admitted numerous patients with typical edema, in addition to limb edema, accompanied by pleural effusion, ascites, urinary retention are not a few. The case of nephropathy combined with pleural and abdominal fluid has to be Zhou Moumou. The patient is a female, 72 years old. Chronic renal failure history of more than 7 years, 2011-6-13, due to high limb edema admitted to the hospital, the examination: the right lung respiratory tone low, percussion turbidity, ascites sign (+). Chest X-ray was taken first, which was reported as occupying, and then CT examination was performed, which confirmed a large amount of fluid in the right pleural cavity, right lung atelectasis, and a large amount of ascites. Generally speaking, pleural fluid is mostly bilateral, but this patient only had it on the right side and none on the left side, which was different from ordinary patients with pleural fluid. In addition to long-term sodium and water retention, hypoproteinemia, and accumulation of toxic metabolites, the mechanism of its production may be related to its long-term right lateral position, and the water tends to be downward. Since the patient refused hemodialysis, he was given conservative internal medicine treatment. Traditional Chinese medicine was used to strengthen the spleen and tonify the kidney, activate the blood and pass the internal organs in order to promote water retention and eliminate swelling, pass the internal organs and drain the turbidity, together with the application of drugs to improve the renal circulation, correct anemia, correct the acid and replenish the calcium, benefit the qi and nourish the yin, improve the supply of blood to the coronary arteries, and promote diuresis to eliminate the swelling, and the patient’s general condition was improved. However, the patient had a large amount of pleural effusion on the right side, and the right lung function was severely impaired, affecting respiration. In order to get rid of pleural effusion and improve respiration, the method of draining pleural fluid must be implemented. Therefore, color ultrasound localization of thoracocentesis with closed drainage was adopted, at the same time, the drained pleural fluid was routinely sent for examination, and the CEA of pleural fluid was (-) for several times, and all the indexes suggested that the pleural effusion was a leakage fluid, which excluded the pleural fluid caused by diseases other than nephropathy. As the pleural fluid contains protein, glucose and other adhesive substances, it is very easy to form flocculent in the mouth of the retained drainage tube causing blockage, and re-intubation not only increases the pain and chance of infection for the patient, but also increases the economic burden. What to do? According to the composition of pleural fluid, we analyze the cause of tube blockage, and consider that prolonged retention in the mouth of the retained tube due to the accumulation of protein and other adherent substances, resulting in the tube mouth sticky blockage. Therefore, saline flushing was performed regularly to keep the area around the tube opening clear and clear, so that the adherent substances could not come close to it, and so the tube would not be blocked naturally. The method is to withdraw 20 ml of pleural fluid from the drainage tube every three hours, and then inject 30 ml of saline to lubricate the tube and flush away the flocculent material adhering to the tube opening. This method has been proven to be effective in preventing obstruction of the drainage tube, and the retention time of the drainage tube has been significantly prolonged. Chest water was released once a day in the morning and once in the afternoon to avoid blockage of the drainage tube and to avoid discomfort caused by centralized water release. A total of about 30,000 ml of pleural fluid was released from the drainage tube, and the “compressed” right lung was basically restored by imaging examination. For the patient’s large amount of ascites also used local anesthesia under the abdominal cavity puncture and drainage, once every 5-6 days, significantly relieving abdominal distension, abdominal wall tension reduction. It is worth noting that, for women with thick abdominal fat, especially patients with severe skin edema, due to the thick abdominal wall coupled with obvious edema, the 5ml syringe needle tends to enter the needle without a sense of breakthrough, and need to be replaced with a longer needle for puncture. High edema is a typical clinical manifestation of nephrotic syndrome, and a typical case with obvious treatment effect and short treatment cycle is Feng Moumou. The patient was a 25-year-old male. With a history of primary nephrotic syndrome for more than 1 year, he was admitted to the hospital on 2011-11-20 due to a relapse of his condition after being exposed to cold, and his symptoms included high edema of the face, limbs, circumference, and even scalp, and the diagnosis was made clear after complete examination. The patient was given Chinese medicine to clear the heat and benefit the pharynx, to support the positive and dispel the evil, and to regulate the internal environment of the body. Oral intake of relevant Chinese and western medicines, static hemosiderosis, blood-sparing to improve renal blood flow. The patient’s weight decreased every day and the edema gradually reduced. After 12 days of treatment, the patient’s weight decreased by 18Kg, and the patient was like a different person before and after the treatment. The daily urine output should be limited when diuresis, and excessive diuresis is one of the causes of NS combined with ARF. Generally speaking, for patients with obvious edema, the daily weight loss should be 0.5-1 Kg for patients under 60 years old, and 0.25-0.5 Kg for patients over 60 years old; or the daily urine output should be controlled at about 3000 ml. However, we have observed in our clinical practice that the weight loss can be up to 2 kg a day, and as long as it is combined with traditional Chinese medicine to benefit the qi and blood, strengthen the spleen and tonify the kidney, there is usually no adverse reaction. Chinese medicine believes that the pharynx kidney related, such as the “Ling Shu・ meridian” said: “kidney foot Shaoyin vein …… its straight from the kidney up through the liver and diaphragm, into the lungs, through the throat, hostage to the tongue this … … … … … … … … … … … …”. It can be seen that the meridians of the kidneys are directly connected to the pharynx. Pharyngeal long-term infections, such as chronic pharyngitis, tonsillitis, etc., easy to cause immune complexes snapping sorghum admonishing perch boo meteoric perch booming Fi injury kites ΑR flea play Yi窃suwa俅仓瘟浦校咀拧跋虏∪∩稀 barium brain Ying piggybacks to the Jia loam service Lan chrysanthemum acycloja Ran misplaced entanglement province titanium snail wishing to ornithosis rubbing the bodily bath Clinically, except for the glomerular disease can be seen in the edema, but also in the cardiogenic, hepatic, endocrine edema, malnutrition edema and idiopathic edema, there are still some unknown causes of edema, but also some of them are not known to have any cause. There are still some unexplained edema. For example, on 2011-8-31, a 53-year-old Wang Moumou, a woman, was admitted to the hospital with “generalized edema for 2 days”, initially diagnosed as “nephrotic syndrome”, but no obvious abnormalities were found in the biochemistry of the hospital, and the 24h urine protein quantification was as follows: urine volume of 3340 ml, protein 457.5 mm. The quantification of 24h urine protein was: urine volume 3340ml, protein 457.58mg. three items of thyroid function: only T3 1nmol/L (reference value: 1.3-3.1nmol/L) was a little lower than the normal value, and the vascular ultrasound of both lower limbs: intermuscular vein widening, which ruled out hypothyroidism, venous thrombosis of the lower limbs, and angioedema. The patient was asked to cough paroxysm, sometimes feel chest tightness, auscultation breath sounds slightly low, given X-ray examination, the results showed that the right lower 1/3 lung atelectasis, so the color ultrasound localization of the right thoracic cavity puncture and drainage, pleural fluid sent to the examination, the treatment of the administration of the spleen and tonifying the kidneys, blood circulation and drainage of traditional Chinese medicine orally, with intravenous drip of cefminox, levofloxacin anti-inflammatory, pulsatilla Ning, hemosiderosis injections in order to activate the blood and collaterals. 3 days after the edema subsided. Because the examination found that the patient had an 8cm×9cm2 oval-shaped mass in the right lower abdomen, which was tough, smooth surface, fixed, and without obvious pressure pain, he asked for surgical consultation, and CT examination was recommended, and the results showed that: there was no occupancy in both lungs, a small amount of effusion in the right thoracic cavity, and multiple metastatic tumors in the abdominal and pelvic cavities. At the same time, the result of pleural fluid returned: malignant tumor cells were seen in four smears. Routine pleural fluid: LDH500u/l,suggesting malignancy, severe infection, and blood tumor markers: CA-125 488.7u/ml (reference value <35u/ml), neural progenitor-specific enolase 79.72u/ml (reference value <16.3u/ml). After informing the patient's family of the test results, the patient's family conferred and transferred to Tai'an City Cancer Hospital for treatment, the aftermath of which is unknown. Through the clinical diagnosis and treatment of this patient, we summarize the following points: 1. Serious, careful and comprehensive body examination is indispensable for clinical diagnosis and investigation, especially for obese people with thick chest and abdominal wall, if the auscultation is not careful and the palpation is not conscientious, it is easy to miss the important positive signs and cause misdiagnosis. 2. Necessary auxiliary examination must be done. In this case, the release of pleural fluid not only relieved the patient from the pain of suffocation, but also provided a basis for clinical diagnosis of the pleural fluid specimen sent for examination.3. Do a good job in communicating with the patient and his family. In this case, the patient refused to take further examination when the mass was detected on physical examination, thinking that the disease would be cured if the edema subsided, and the patient agreed to do so only after repeated explanations and persuasions. Communicating with the patient is not only responsible for the patient, but also to protect oneself.4. According to the clinical pathway, the factors leading to edema are excluded one by one. As China enters the period of aging society, the incidence of prostatic hyperplasia is increasing year by year. Therefore, clinically, it is common to see patients with urinary retention caused by prostatic hyperplasia and the resulting chronic renal insufficiency (obstructive nephropathy). For such patients, conservative treatment can be chosen or surgical therapy can be used. The key to the former is early detection, indwelling urinary catheterization and Chinese herbal medicine comprehensive regulation, most can be relieved. The key to catheterization is to inject 5% lidocaine into the urethra before inserting the catheter, preferably at a faster rate. This prevents the catheter from being inaccessible due to spasm of the posterior urethral sphincter caused by prostatic hyperplasia and the patient's nervousness. Secondly, for patients with a highly filled bladder, the urine must be released in small amounts and discharged slowly, generally 600ml for the first time, and then again every 45 minutes, do not try to be quick and release too much urine at one time, so as not to cause blood vessel rupture of bladder biocapillar to produce bleeding. Again, is to stay for a period of time, generally more than 7 days is good, so as not to pull out the catheter and then urine and urine out of the phenomenon occurs. In short, in the clinic, most of the patients with renal disease performance is not exactly the same, individual differences, coupled with the treatment of medication before coming to the clinic is not consistent, which puts forward a brand new topic for us, must not be accustomed to the previous routine, but to seriously study, analyze the situation, and formulate countermeasures. Our experience is: study the patient's constitution, analyze the internal and external causes of the disease, find out the root of the patient, observe the clinical response to medication, explore the many factors affecting the efficacy of the implementation of the mobilization of the body's own immunity-based "triple therapy", focusing on the therapeutic role of meridian acupuncture points, starting from the patient's daily life, guiding its We focus on the therapeutic role of meridian points, start from the patient's daily routine, guide him/her to cooperate with the doctor's treatment in diet, living, mood, medication, etc., so as to achieve a coordinated battle between the doctor, the patient and the family, and to make due contribution to the patient's early recovery!