Nephrolithiasis is a crystalline substance caused by the abnormal accumulation of the kidney, which is a common and frequent disease of the urinary system, more common in men than in women, and more common in young adults, among which calcium oxalate stones are the most common.
Professor Tan Xinhua, a Confucian doctor, has a unique opinion on kidney stones, and the following is Professor Tan's self-proposed Sanjin Pai Stone Soup** Kidney stones, let's take a look!
Sanjin Pai Shi Tang is a prescription summarized by Professor Tan Xinhua based on his clinical experience in kidney stones
Desmodium 30g, Haijin Sand 20g (fried in pack), Salvia miltiorrhiza 30g, Chicken Inner Gold 20g, Citrus aurantium 10g, Mulberry parasitism 20g, Oxknee 10g, Red Peony 10g, Astragalus 20g, Poria Cocos 15g, Talc 10g (fried in pack), Pangolin 5g, Licorice 5g.
Fangzhong reuses salty and cold desmodium as the king's medicine, enters the kidney and bladder meridians, clears dampness and heat, and diuretics and excretes stones.
Haijinsha tastes salty and cold, enters the bladder meridian, and the function is patented and the urine is drenched;
The golden taste of the chicken is sweet and flat, and it enters the bladder meridian, and it is good at dissolving the stone and activating the blood and removing the stasis;
Ox knee is good at going down, which can not only improve the water and drench, but also invigorate the blood and remove stasis;
Pangolins are good at walking, can stasis, and pass through meridians;
Talc slippery trick, can clear the bladder damp heat and clear the waterway, citrus aurantium shell breaks the qi and stagnates and relieves pain;
Mulberry parasitism tonifies the liver and kidneys;
Astragalus invigorates qi and strengthens the spleen;
Poria cocos strengthens the spleen and relieves dampness;
Then mix the herbs with licorice.
This sideEliminate the supplement and take into account the specimenstoNourish the spleen and kidneys, clear dampness and heat, invigorate blood and remove stasis, and drain stonesfor the rule of law.
Addition and subtraction of low back pain, add eucommia, continuation;The two are both subordinate medicines.
For those with hematuria, add white grass root and crane grass;
For those who are intertwined with stasis, add three edges and curcuma to break the blood and disperse stasis;
If the pain is even worse, add Yan Husuo and black medicine.
The patient, a 28-year-old male, was first seen on 20 August 2016. The patient was admitted to the emergency department of the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine with pain in the left abdomen and waist 1 day ago, accompanied by hematuria and stabbing pain in the urethra. Emergency urinalysis showed that:Red blood cells (++ white blood cells 6 8 hp, urine protein (+) B ultrasound showed that a strong light shadow of about 5 mm * 3 mm was seen in the upper calyx in the left kidney, and there was no abnormality in the ureter and bladder.
The emergency department gave levofloxacin anti-infection, racemic scyamine antispasmodic analgesia and related support**, the patient's pain was slightly relieved, the hematuria was reduced, and he came to the outpatient clinic this morning to ask for traditional Chinese medicine to remove stones**. Symptoms include pain in the lower back, which can involve at least the abdomen, accompanied by gross hematuria, frequent urination, painful urination and incomplete urge to urinate, no obvious fever, normal diet and sleep, and normal stool.
Physical examination:Left renal area tenderness, percussion tenderness. The tongue is light, yellow and greasy, and the pulse is smooth. Traditional Chinese medicine diagnosis: stone shower, damp heat stasis syndrome. Treatment: clear away heat and dampness, invigorate blood and remove stasis, and drain stones.
Prescription:Desmodium 30g, Haijin Sand 20g (fried in packs), Salvia miltiorrhiza 30g, Chicken Inner Gold 20g, Citrus aurantium 10g, Eucommia ulmoides 20g, Interrupted 15g, Mulberry parasitism 20g, Hyssop 10g, Red Peony 10g, Astragalus 20g, Poria Cocos 15g, Coix Seed 15g, Talc 10g (fried in pack), Pangolin 5g, Licorice 5g, Rhubarb 6g.
7 doses, decoction in water, divided in the morning and evening;At the same time, the patient is instructed to decoction of Chinese medicine 3 times, decoction instead of tea, drink more water, beat more, arrange meals reasonably, and hold urine appropriately to help the stone be discharged.
Follow-up visit on August 28, 2016. Patient complainsOn the 5th day after taking the drug, an irregular stone the size of a mung bean was dischargedMild low back pain, no other discomfort, pale red tongue, thin yellow moss, and stringy pulse. After the patient expels stones, the tongue coating still has a hot image, so he can add or subtract Zhibai Dihuang decoction
Zhimu 10g, Phellodendron 10g, Rehmannia Rehmannia 15g, Cornwood Meat 10g, Yam 20, Poria Cocos 10g, Zexiao 10g, Peony Peel 10g, Eucommia Ulmoides 20g, Mulberry Parasitism 15g, Cuscuta Seed 15g, Honeysuckle 15g, Licorice 5g. 10 doses, decoction in water, divided in the morning and evening.
At the follow-up after half a month, the patient had no obvious discomfort.
The patient had kidney stones accompanied by acute urinary tract infection, and the patient had an acute onset, with low back pain and blood in the urine as the main symptoms, and tenderness and percussion pain in the left renal area were examined.
The tongue is light, yellow and greasy, and the pulse is smooth. Therefore, the diagnosis was stone shower, damp heat and stasis syndrome.
It is used to clear away heat and dampness, invigorate blood and remove stasis, and drain stones.
Add or subtract the three gold rows of stone soup.
The follow-up patient only had mild low back pain, but after considering the expulsion of stones, the kidney qi was damaged, which is the so-called "evil will make up for it, and its qi will be deficient".
Therefore**It is mainly based on tonifying the kidneyHowever, the patient still has a heat image, and the Zhimu and Phellodendron are added and subtracted to know the Bo Dihuang decoction, and the formula is consistent with the change of the syndrome, so the effect is like a drum.