The view that “kidney has no real evidence” and “kidney has no diarrhea” is quite stubborn in the minds of many medical practitioners. There are three reasons for this: First, kidney disease is easy to deficiency, as one of the five organs, it has the characteristics of “hidden but not drained, full but not real”, “Nei Jing” so-called “kidney, the main dormant, the essence of the seal”, so the kidney disease more deficiency; Second, in the ” Second, under the guidance of the “real is the sun, deficiency is Shaoyang”, the actual evidence is blamed on the bladder, deficiency is blamed on the kidney; Third, the theory of “kidney tonic” and “kidney benefit” prescriptions of many generations of doctors, so that many later generations of doctors have formed a Thirdly, the theory of “kidney tonic” and “kidney beneficial” prescriptions have been widely used by doctors in the past, which has led to the formation of a one-sided understanding of “kidney diseases should be tonic”. In fact, the so-called “no real evidence of kidney” and “no diarrhea of kidney” only refer to the fact that kidney diseases are clinically common with deficiency evidence, and the treatment method is mostly with tonic. The kidney, like the other four organs, also has a difference between deficiency and actuality, and “deficiency of kidney qi is syncope, actuality is distension” in the Nei Jing is the earliest discussion of actual kidney evidence. It is not uncommon to see clinical evidence of kidney solidity, as the capital of yin and yang of the kidney, often due to loss to deficiency, but also repeatedly attacked by evil, due to deficiency to the real, resulting in a mixed evidence of deficiency and reality. Treatment should of course follow the principle of “diarrhea of excess, supplementation of deficiency”. The following is a brief discussion of some common clinical evidence to diarrhea as a remedy for the treatment of the kidney, for the reference of colleagues. 1, the kidney fire depression, diarrhea fire nourishing yin: Yang strong, seminal discharge, dream emission, urinary turbidity and other evidence, mostly due to qi and blood depression for a long time, the transformation of fire injury to yin, the treatment should be diarrhea fire nourishing yin, the selection of bitter cold products Zhi Mu, Huang Bai and other drugs for use. Case 1: Cui, male, 37 years old, worker, first diagnosed on May 18, 1994. He reported that for the past 1 month he had been sleeping less and dreaming more, with seminal emission in case of dreams, dizziness, fever, palpitation, forgetfulness, short urine, red tongue, and fine pulse. Evidence: fire stagnation in the kidney meridian. Treatment: Eliminating fire and nourishing Yin. Prescription: Zhi Mu 15g, Huang Bai 15g, Sheng Di 10g, Shan Yao 10g, Cornus officinalis 10g, Fu Ling 10g, Ze Di 10g, Dan Pi 9g, Mai Dong 10g, Huang Lian 6g, Chen Pi 12g, 1 dose daily with water decoction. The patient was also instructed to pay attention to the regulation of the mind, abstain from sexual intercourse, abstain from masturbation, abstain from alcoholic beverages, and live a regular life, with the above formula as the mainstay, and add and subtract with the evidence for more than 2 months, the clinical symptoms disappeared. Six months follow-up, no recurrence. 2, water-dampness blockage, water to tonify the kidney: the kidney is the stomach off, the kidney is the master of the two stools, the function of opening and closing, if due to emotional and mental disorders, feeling external evil, or dietary disorders, so that the gas is not conducive to the distribution of fluids can lead to “kidney water” “addiction closed” and other kidney evidence, the treatment should be water to tonify the kidney, more The treatment should be to promote water and tonify the kidneys, mostly using pig ling, zedoary, Zhi Mu, Fu Ling, coix seeds and other medicines, such as Wu Ling Tang, Wu Pi Drink, Zhan Che Wan and so on. Clinical practice shows that the method of tonifying the kidneys with water has good efficacy in the treatment of chronic nephritis edema, nephrotic syndrome, urinary retention, etc. Case 2: Zhang, male, 15 years old, student, was first diagnosed on February 3, 1995. He complained of intermittent swelling of the face and both lower extremities for six months, aggravated for one week, accompanied by chest tightness, dullness, generalized evil, heavy body, short urine, white greasy moss, and sluggish pulse. He was found to have swelling of the face and both lower extremities, no finger when pressed, plasma albumin 35g/L, lipid series: total cholesterol 8.58mmol/L, triglyceride 3.7mmol/L, LDL 2.lmmol/L, 24-hour urine protein quantification 4.3g, urine protein (++++), remainder (-), western medicine diagnosis: nephrotic syndrome. After treatment with western medicine, his condition was recurrent and indefinite, so he sought treatment from a Chinese medicine doctor. The diagnosis: kidney water is caused by the evil of water and dampness, which impregnates the skin. Treatment: Strengthen the spleen, resolve dampness, and promote Yang and water circulation. Herbs: Atractylodes Macrocephala 15g, Poria and Poria 10g each, Zeligia 10g, Coix Seed 30g, Pericarpium Citri Reticulatae 12g, Morinda Citri Reticulatae 9g, Dagastrodiae 10g, Osmanthus 9g, Yimu Cao 15g, Magnolia 10g, Ginger Bark 9g. 10 doses, 1 dose daily, decoction with water. Second Diagnosis: After taking 10 doses of the medicine, the swelling was significantly reduced, the spirit improved, and the appetite increased day by day. Urine volume is gradually increasing, but both lower limbs are still mildly swollen, the waist is sleepy, he likes to lie down with cold, white fur, slow pulse. The above formula removed Mulberry Bark, Big Belly Bark and Ginger Bark, and added 15g of Cow’s Knee, 15g of Boneset, 15g of Semen Cuscutae, and 10g of White Peony, and the clinical symptoms basically disappeared after 6 doses. Laboratory tests: plasma albumin 45g/L, lipid series: total cholesterol 4.3mmol/L, triglycerides 2.smmol/L, LDL 1.8mmol/L, 24-hour urine protein quantification 2.0g, urine protein (+). He was treated with evidence-based management to improve his condition. Follow-up for six months, no recurrence. 3. Blood stasis, activating blood circulation to remove stasis: Kidney is the root of the innate nature, the main transpiration, bladder gasification, storage of the essence of the five viscera and six bowels, if due to deficiency of positive qi, emotional and moral disorders, qi blockage, kidney qi, kidney essence distribution is not normal, the essence and blood stay but do not go for accumulation as stasis, can form “kidney accumulation” “Guange “The treatment should be based on activating blood circulation and resolving blood stasis, using such medicines as peach kernel, safflower, Chuanxiong and Danshen, etc., such as squid bone pill in Nei Jing and saltpeter alum and stone in the Treatise on Typhoid. Modern medical research has confirmed that blood activating and blood stasis removing drugs have certain effects on inhibiting glomerular atrophy and fibrous tissue proliferation, promoting the reversal of spent kidney units, inhibiting cellular and humoral immune effects, and reducing metamorphic damage. Blood stasis and blood blockage are throughout the chronic nephritis and uremia, and treatment with blood activation and stasis removal method has achieved satisfactory clinical results. Case 3: Li Moumou, male, 47 years old, a cadre, was seen on May 7, 1994. He complained of chronic nephritis for 3 years and intermittent back pain. He had been treated with western medicine, but it did not heal. Now he had urine occult blood (++), protein (+), renal function series: urea nitrogen 8.46 mmol/L, blood creatinine 179 mmol/L, the rest (a). On examination: skin nail fault, dark complexion, stasis on the tongue, stasis of the sublingual tendon system, and sunken, thin and astringent pulse. The treatment is to invigorate blood circulation and remove blood stasis, clear heat and detoxify the toxin, using angelica 10g, red peony 10g, chuanxiong 10g, safflower 10g, peach kernel 9g, danshen 15g, silver flower 15g, motherwort 15g, asteranthus 30g, dandelion 30g, hyssop 15g, one dose daily, 15 doses, the back pain was cured and the remaining symptoms improved. The above formula was added and reduced with the evidence, and the treatment was carried out for 2 months, and the symptoms gradually recovered. In conclusion, there are deficiency and actual kidney diseases in the clinic, and it is appropriate to supplement the kidney deficiency, and it is appropriate to laxate the kidney actuality, and it is appropriate to attack and supplement both for the coexistence of deficiency and actuality. Only accurate identification, proper use of drugs, in order to achieve satisfactory results, do not commit the “false false real”.