The core of traditional Chinese medicine treatment lies in people, and since ancient times, there has been a saying that one person has one side, which is also my ** concept. Only by finding the best and solving the internal causes can we truly solve the problem。If the indicator does not cure the root cause, then ** is naturally expected.
The idea of Western medicine is to treat the disease, as long as it is the same disease, follow the same steps**. The idea of traditional Chinese medicine is to treat people, no matter what kind of disease, first look at the person, what kind of body foundation it is, and then treat it according to the person, dialectically.
Last year, I saw a patient who complained of intermittent edema in both lower limbs for half a year and abnormal urine tests for more than 4 months.
History of present illness: edema of both lower extremities in August last year, which was not taken seriously. Examination in September revealed a slight increase in urine protein (++ blood pressure,The local hospital gave Bailing capsules, Huangkui capsules, and losartan tablets**, but there was no obvious relief
On October 15, urine protein was checked (++24 h urine protein quantification 4.).0 g。
At the initial diagnosis, the symptoms were: mild pitting edema of both lower limbs, drowsiness and fatigue, bitter mouth, poor sleep, heavy lumbar sleepiness, foamy urine, sticky stool, 2 times a day. The tongue is dark, thin and yellow, and the pulse is smooth and smooth.
Clinically diagnosed with chronic nephritis (lower scorching damp heat, renal deficiency and blood stasis pattern); It is treated with clearing away heat and dampness, tonifying the kidneys and removing stasis
Prescription:Ze Yuan, Verbena, Earth Dragon, Cuscuta Seed, Sand Garden, Golden Cherry Seed, Coix Seed, White Flower Snake Tongue Grass, Panshan Dragon, Ghost Arrow Feather, Gourd, Eucommia
Second diagnosis: check urine protein (+) edema of both lower limbs, bitterness in the mouth, fatigue, waist sleepiness improvedAdd tangerine peel and ginkgo kernels to the top base and continue to take it
After taking the prescription for 2 months, the urine protein (-) patients had basic symptoms, and there were no clinical manifestations such as edema and nephritis. At the beginning of the year, there was no discomfort in the urine protein (-) at the follow-up examination
The patient did not have a long course of diseaseIt is mainly damp and hot, and has kidney deficiency and blood stasis, I used to take Bailing Capsule, Huangkui Capsule, Losartan and other medicines, and the proteinuria was not significantly reduced, and then I switched to traditional Chinese medicine for syndrome differentiation**.
At the initial diagnosis, the patient's urine protein was high, and the symptoms of dampness and heat were obvious, but the patient's course of disease was not long, but the tongue was darkIt is a significant manifestation of blood stasis
Therefore, it is added on the basis of conventional heat clearing and dampnessVerbena, Pangolin Dragon, Ghost Arrow Feather, Earth Dragon and other products that invigorate blood circulation and dispel blood stasis to help reduce protein
Give the seeds, golden cherry seeds, sand garden seeds, dodder seeds, and eucommia ulmoides to tonify the kidneys and prevent subtle leakage
In this medical case, the three focal points are used to distinguish dampness and heat, and the viscera is used to determine the deficiency and reality, and the characteristics of the patient's damp heat syndrome and concomitant syndrome are considered, and the treatment method of invigorating blood circulation and removing blood stasis and taking care of yang qi is adoptedSo that the dampness and heat are gradually removed, and the viscera is at ease
The patient's problem is actually the internal cause of Chinese medicine. Why Chinese medicine treats diseases, not only to treat diseases, but to treat people, that is, if the internal cause problem is not solved, many diseases are easy. For example, thyroid and breast hyperplasia nodules still grow after cutting.
TCM treatment is never limited to the elimination of specific factors that cause diseases, which can be eliminated or generated. If the local conditions and the overall environment cannot be changed, it is difficult to break the root of the disease