At the age of 38, there was intermittent edema of both lower limbs, proteinuria and hematuria for 3

Mondo Health Updated on 2024-02-22

If you have lower limb edema, proteinuria, or even hematuria, don't be anxious and afraid, these can be regulated within the scope of Chinese medicine. I am Zhao Chunzhi, director of the nephrology department of a tertiary public hospital in Beijing, and when I went out of the specialist clinic at the end of last year, I received a young patient, Mr. Zhang

Zhang, male, 38 years old. Initial visit in September 2023.

Intermittent edema and proteinuria in both lower limbs for 3 years, and edema in both lower limbs aggravated for one week. Three years ago, he was diagnosed with "nephrotic syndrome" and was diagnosed with atypical membranous nephropathy by renal biopsy, and his condition was reversed after the symptom, with yellow face, black and rough color of both lower limbs, edema, cold intolerance, low back pain, hair loss, nausea, and nausea. The tongue is red and thin. thin pulse;

Physical and chemical examination showed that creatinine was 1256umol l, urea nitrogen 67 mmol L, serum albumin 305 g l, 24-hour urine protein quantification 71g

The dialectic is the loss of spleen and kidney, the dampness of water and dampness, and the long-term illness into the network. It is advisable to strengthen the spleen and benefit the kidneys, warm the yang and benefit the water, invigorate the blood and circulation, and add or subtract the astragalus decoction and the peach kernel Chengqi decoction.

Medicinal composition: 30g of raw astragalus, 20g of atractylodes, 15g of Hanfangji, 15g of parsnip, 15g of Poria cocos, 30g of Zexiao, 15g of white peony, 15g of aconite (decoction first), 15g of salvia, 10g of peach kernels, 10g of wine rhubarb, 10g of raw licorice, 10g of leech, 10g of turtle worms, 2 pieces of ginger, 10g of sand kernels (lower back).

1 dose per day, decoction in the morning and evening 2 times, 28 doses in a row.

Second diagnosis in October: fatigue was reduced, edema of the lower limbs was significantly improved, and the remaining symptoms were reduced, and the physical and chemical examination showed creatinine of 1006umol l, urea nitrogen 43 mmol L, serum albumin 37 g L, 24-hour urine protein quantification 25g

Then add Dilong, Guizhi, and Ghost Arrow Feathers above, 1 dose per day, and 21 doses of water decoction.

Third diagnosis in November: the front plus or minus continued to take for half a month, both lower limbs were no longer swollen, and the physical and chemical examination showed creatinine of 953.6umol l, urea nitrogen 40 mmol L, serum albumin 44 g L, 24-hour urine protein quantification 102g, the examination results tended to be stable, and the observation was not ** for 1 month.

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