Most children and teenagers tend to be self-limiting. The onset was relieved naturally after several months. However, the prognosis of adult patients is poor, and only 50% of them recover naturally. If you find clear pathogenic factors, try to avoid them. Common antiallergic drugs such as diphenhydramine and chlorpheniramine can be taken orally. Preventive antibiotics (such as penicillin) should be avoided as much as possible. Aminopyrine can be used for joint symptoms, and aspirin is generally used. If there are manifestations of renal diseases such as edema and hypertension, the treatment is the same as chronic nephritis.
Adrenal cortical hormone has no obvious effect on skin damage, but it is beneficial to joint swelling and pain, abdominal pain and gastrointestinal symptoms. It is generally considered that it is useless to prevent renal damage or promote the recovery of renal damage. Immunosuppressants, such as cyclophosphamide, azathioprine and chlorambucil, have been used, but their effects are uncertain.
Traditional therapy in China
Syndrome differentiation treatment
According to the clinical and pathological characteristics of this disease, it is often divided into the following treatment methods.
(1) wind-heat junction:
Symptoms: At first, there may be fever, slight aversion to wind and cold, sore throat, thirst, upset tongue, thin yellow fur and so on. Followed by wind-heat collateral damage and lower extremity purpura, and even hematuria.
Syndrome analysis: due to exogenous pathogenic factors, invading the muscle surface and inhibiting the defense of qi, fever and slight aversion to cold are seen; Wind and heat rush to the throat, and the throat is dry and painful; Heat hurts body fluids, so it causes thirst, red tongue and thin yellow fur. The pulse of blood overflows outside the pulse, so there is subcutaneous purpura, heat evil pouring down, disturbing kidney collaterals, and hematuria.
Treatment: cool wind and heat, cool blood and remove blood stasis.
Prescription: Yinqiao Decoction. Medicinal Flos Lonicerae, Fructus Forsythiae, Folium Bambusae, Radix Rehmanniae, Radix Ophiopogonis, Nodus Nelumbinis, Rhizoma Imperatae, Radix Glycyrrhizae, Radix Platycodi, etc. For patients with abdominal pain and hematochezia, Radix Paeoniae Alba and Sanguisorba officinalis are added; If hematuria is seen, add Cirsium japonicum, Verbena, Platycladus orientalis, Rubia, etc.
(2) Excess heat leads to excess blood:
Syndrome: Severe toxic heat, serious illness, serious bleeding tendency, large purpura in both lower limbs, obvious hematuria with naked eyes, irritability, dry mouth and cold drinks, and red tongue.
Syndrome analysis: due to excessive heat toxicity, blood is forced to run, so the bleeding tendency is serious, and a large area of purpura can be seen, even accompanied by gross hematuria; Heat toxin contains and burns body fluids, so it causes irritability, thirst and red tongue. Treatment: clearing away heat and toxic materials, cooling blood and removing blood stasis.
Prescription: Modified Rhinoceros Horn Dihuang Decoction, medicinal Rhinoceros Horn (or buffalo horn), Radix Rehmanniae, Cortex Moutan, Radix Paeoniae Rubra, Flos Lonicerae, Fructus Forsythiae, Radix Scrophulariae, Radix Rubiae, Lalang Grass Rhizome, etc. If you urinate blood, you can add or subtract the Xiaoji primer; Flos Chrysanthemi, Concha Haliotidis and Prunellae Spica can be added for patients with hypertension. If the skin is itchy, Kochia scoparia, Dictamni Radicis, cicada slough, etc. Can be added; Sanguisorba, Sophora japonica, etc.
(3) Yin deficiency of liver and kidney:
Syndrome: Purpura and hematuria of lower limbs can also occur due to deficiency fire burning collaterals, accompanied by hand and foot heart fever, dry mouth and thirst, dry stool, red tongue and little body fluid.
Syndrome analysis: due to yin deficiency of liver and kidney, deficiency fire is endogenous, which burns blood collaterals, and blood moves with fire to cause purpura and hematuria; Yin deficiency is internal heat, so I see hands and feet burning; Deficiency fire leads to excessive internal heat, dry mouth and thirst, and red tongue with little body fluid.
Treatment: nourish liver and kidney, cool blood and dissipate blood stasis.
Prescription: Xiaoji Yinzi, Baizhi Huangtang or Xuefu Zhuyu Decoction. Medicinal Radix Rehmanniae, Cortex Moutan, Rhizoma Dioscoreae, Cornus officinalis, Radix Angelicae Sinensis, Radix Paeoniae Rubra, Cirsium japonicum, Platycladus orientalis, Verbena, Motherwort, Lalang Grass Rhizome, etc.
(4) Humid heat resistance:
Syndrome: Damp-heat blocking collaterals, forcing blood to rush to ren, then purpura and hematuria, as well as bitter and sticky mouth, dry mouth without drinking, chest tightness and fullness, yellow and greasy tongue coating.
Syndrome analysis: due to insect bite, insect poison soaking, damp toxin turns into heat, collaterals are blocked, blood circulation is not smooth, blood is forced to flush, and purpura or hematuria can be seen; When damp heat accumulates, the mouth is bitter and sticky; Damp-heat obstruction leads to dry mouth but not thirst, chest tightness and fullness, and yellow and greasy tongue coating.
Treatment: clearing away heat and promoting diuresis, promoting blood circulation and removing blood stasis.
Prescription: Sanren Decoction or Simiao Powder, medicinal Coicis Semen, Rhizoma Atractylodis, Cortex Phellodendri, Rhizoma Coptidis, Fructus Amomi Rotundus, Rhizoma Cyperi, Talcum, medulla Tetrapanacis, Radix Salviae Miltiorrhizae, Herba Lycopi, Verbena, Radix Paeoniae Rubra, Radix Notoginseng, etc. If there is edema, clear heat and promote diuresis, and promote blood circulation. The prescription is to add Salvia Miltiorrhiza, Eupatorium adenophorum, Achyranthes bidentata, Semen Plantaginis, etc.
(5) Cold coagulation and blood stasis:
Syndrome: Yang deficiency in the body, invasion of cold pathogen, blood stasis can cause skin purpura or hematuria, as well as cold limbs, fatigue, low voice, pale mouth and thirst, and fat tongue.
Syndrome analysis: mostly due to body yang deficiency, invasion of cold pathogen, stagnation of blood collaterals, extravasation of blood, skin purpura, hematuria and so on. Yang Qi can't reach outside, so his limbs are cold; Mental fatigue and low voice are all caused by insufficient yang.
Treatment: Warming channels and dispelling cold, promoting blood circulation and removing blood stasis.
Prescription: Danggui Sini Decoction combined with Guizhi Fuling Pill, medicinal Angelica, Radix Paeoniae Alba, Guizhi, Poria, Chuanxiong, Herba Asari, Radix Astragali, etc. If edema is obvious, it can be used to warm yang and promote diuresis, supplemented by promoting blood circulation. Zhenwu decoction combined with Guizhi Fuling pill, or Danggui Shaoyao powder combined with Radix Aconiti Lateralis Preparata, Cortex Cinnamomi, Radix Cyathulae, Semen Plantaginis, etc.
(6) Deficiency of temper:
Syndrome: Spleen deficiency is out of control, blood is not absorbed by qi, and it can overflow into spots or hematuria. At the same time, shortness of breath, lack of food, laziness, palpitation, dizziness, sallow complexion, pale tongue and tooth marks can be seen.
Syndrome analysis: Purpura and hematuria are caused by chronic illness, spleen deficiency or spleen deficiency. Spleen deficiency and qi and blood are passive in biochemistry, so the complexion is sallow, shortness of breath and fatigue, eating less and talking lazily; Blood does not nourish the heart, then palpitations and dizziness; Pale tongue and light teeth marks are all manifestations of spleen deficiency. Treatment: Yiqi Jianpi, Huoxue Buxue.
Prescription: Guipi Decoction combined with Guizhi Fuling Pill, medicinal Radix Astragali, Radix Codonopsis, Atractylodis Rhizoma, Radix Angelicae Sinensis, Radix Polygalae, Poria, Ramulus Cinnamomi, Radix Paeoniae Rubra, Radix Salviae Miltiorrhizae, etc. If yang deficiency occurs at the same time, Radix Aconiti Lateralis Preparata and Rhizoma Zingiberis Preparata can also be added. Those with obvious edema can strengthen the spleen and promote diuresis, supplemented by promoting blood circulation and removing blood stasis. Ji Fang Huangqi Decoction, Ji Fang Fuling Decoction and Guizhi Fuling Pill can be used.
Prescription prescription
(1) Cortex Lycii 50g, Xu Changqing 25g, decocted in water twice a day, suitable for allergic purpura nephropathy in the early and middle stages, and used for antiallergic purposes.
(2) Jujube 4 parts, lotus root 1 part. Boil the lotus root knot until it is thick, then add jujube and cook it together. Eat a proper amount of jujube every day.
(3) Semen Phaseoli 30g, Coicis Semen 30g, Concha Ostreae 30g, Radix Glycyrrhizae 9g, Radix Scrophulariae 12g, and Fructus Jujubae 1 tablet are used to treat hematuria caused by various reasons, as well as epistaxis and purpura.
(4) Fresh earthworm soup: 50 Shengdilong, Ejiao 15g, cuttlefish bone 10g, and sugar 100g. Wash 50 live earthworms, put them in clean water, add 3 ~ 5 drops of cooking oil, spit out the mud in the abdomen with earthworms until it is transparent, then put it in a clean bowl, sprinkle with white sugar and it will soon become syrup. Take another donkey-hide gelatin 15g, dissolve it, mix it with earthworm syrup, and take squid bone powder, the daily dosage for adults and children, and take it three times.
(5) 60 grams of fresh plantain, 60 grams of fresh lotus root and 60 grams of fresh Cirsium japonicum, and all kinds of hematuria are treated with juice.
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What should the diet of patients with kidney disease pay attention to?
Patients with kidney disease are forbidden to eat foods high in salt, protein and fat. The specific situation should be determined according to renal function. For example, patients with acute nephritis and edema and hypertension should be given a salt-free or low-salt diet (2 ~ 3g/ day), and those with azotemia should be given a high-quality protein diet (chicken, eggs, milk, etc.). ) 0.5g/kg/ day; Patients with chronic nephritis should limit their intake of protein and phosphorus, patients with edema and hypertension should limit their intake of salt to 3g/ day, and at the same time limit their intake of cholesterol (see Table 2 for the cholesterol content of various foods) and saturated fatty acids (animal fats). Because these foods will increase the burden on the kidneys and accelerate the loss of renal function.
What is acute nephritis?
Acute glomerulonephritis is the abbreviation of acute glomerulonephritis, which is an acute disease of diffuse glomerular damage in both kidneys caused by allergic reaction after infection by pathogenic microorganisms. It is one of the most common renal diseases in clinic. The disease is characterized by acute onset, and a series of clinical manifestations such as hematuria, proteinuria, tubular urine, edema, oliguria, hypertension and transient azotemia appear at 1 ~ 3 weeks after infection. Teenagers with the onset age of 5 ~ 14 account for the vast majority, while adults and the elderly are relatively few; This disease is prone to occur in humid and changeable weather season, and generally occurs sporadically in the crowd, and it may also be popular. The course of disease is short, generally not exceeding 1 year; After proper rest and Shen Ning powder treatment, the prognosis is good, otherwise it may turn into chronic nephritis.
What is chronic nephritis?
Chronic nephritis is the abbreviation of chronic glomerulonephritis, which is a group of diseases with hematuria, proteinuria, hypertension and edema as the main clinical manifestations. It is the general name of primary glomerular disease caused by various etiologies and composed of various pathological types, and it is also the most common renal disease in clinic. Its characteristics are: the onset is hidden, the course of disease is long, it can last for several years or decades, and there can be asymptomatic urine abnormality for a long time, and then it will develop slowly and continuously, resulting in different degrees of renal insufficiency, and finally it will develop into chronic renal failure. The clinical manifestations are diverse and the severity varies greatly. At first, there was only a small amount of proteinuria or microscopic hematuria and tubular urine. In the later stage, edema and hypertension are the main symptoms, and anemia, severe hypertension, gradual decline of renal function and eventually renal failure are prone to occur in the later stage. The incidence rate is 2: 10 ~ 40 years old, which can affect both men and women. Clinically, chronic nephritis is divided into common type, nephropathy type, hypertension type and acute attack type according to the different manifestations of patients. Due to the diversity of etiology and pathological types, the treatment effect and prognosis are different, and the overall prognosis is poor. Shenning powder has a good effect on it, but generally it should be taken continuously for more than two courses.
What is pyelonephritis?
Pyelonephritis is inflammation of renal pelvis and renal parenchyma caused by pathogenic microorganisms such as Escherichia coli, Proteus, aerogenes, Staphylococcus, Enterococcus, etc. Clinically, it can be divided into acute stage and chronic stage. Some patients have no acute and long-term unconscious symptoms or mild fatigue, backache, low fever and other symptoms, and most of them are occult chronic nephritis, but the symptoms are aggravated when they are tired, catch cold or catch a cold. The decline of human body's resistance and the change of urinary tract environment are related to the onset. The common causes are decreased resistance, unclean life, urinary tract infarction, pregnancy (pregnancy) and delivery. In the acute stage, chills, chills and high fever are the main symptoms, accompanied by headache, nausea and vomiting, loss of appetite and so on. , accompanied by obvious frequent urination, urgency, dysuria, dysuria, burning sensation of urethral orifice, etc. In the chronic phase, some patients only have low fever, backache and other symptoms, while others are accompanied by fatigue, weakness, anemia, loss of appetite, high blood pressure and other symptoms. In acute stage, antibiotics should be given priority to, and Shen Ning powder should be taken orally. In the chronic phase, Shen Ning powder should be given priority to. If it can't be treated actively, it can gradually develop into chronic renal failure, that is, uremia, and the consequences are unimaginable.
What are the characteristics of low back pain in patients with nephritis?
Patients with low back pain are generally mild, often dull pain and soreness due to conscious waist discomfort, and the pain can be unilateral or bilateral; The pain site is mostly in the kidney area, and there may be tapping points on the body surface at the rib angle of the spine (the angle between the twelfth rib and the spine) and the rib-waist angle (the angle between the twelfth rib and the psoas muscle). The renal region was positive at physical examination. The method of percussion is: put the palm of your left hand on the patient's waist, make a fist with your right hand, and beat lightly on the back of your left finger, with the intensity from light to heavy. At this point, the patient will feel pain in the renal area due to the beating.
Low back pain is not a prominent symptom of nephritis, but if the patient is accompanied by nephritis symptoms such as hematuria, proteinuria, oliguria, edema and hypertension, or is unwell, such as fatigue, loss of appetite, nausea, vomiting and dizziness, it is necessary to consider whether there is nephritis. At this time, we should attach great importance to it, go to the hospital for examination in time, and take Shenning powder capsule for treatment.
Is eating Shen Ning freckle harmful to health?
Shen Ning powder capsule and its drug-induced cogongrass rhizome are pure Chinese medicine preparations, and do not contain any chemical components, pigments, preservatives, etc. The planting base of the company's proprietary medicinal materials is more than 5 kilometers away from the highway, which avoids the pollution of automobile exhaust and industrial waste gas, organizes planting in strict accordance with national green standards, and completely eliminates the pollution of pesticides and fertilizers to raw materials, thus ensuring the quality of raw materials.
Tianjin Institute of Traditional Chinese Medicine conducted toxicological experiments on the drug. The experimental results of acute toxicity showed that mice could tolerate a dose 30 times (6.0g/kg.d) higher than the normal dose of human body (0.2g/kg d), and there was no poisoning phenomenon. The results of subacute toxicity test showed that after three weeks, the mice did not cause any tissue and organ damage and abnormal biochemical indexes, and the indexes of free ammonia, urea nitrogen and non-protein nitrogen in the body decreased obviously. Therefore, Shenning powder is a safe and almost non-toxic drug for the treatment of nephropathy, and taking Shenning powder in large doses for a long time will not cause any harm to the body.
Why can't watermelon and garlic diet replace Shenning powder?
The pulp, skin and seeds of watermelon can be used as medicine. It is cold and sweet, and enters the heart, stomach and bladder meridian. It can clear away heat and relieve summer heat, relieve thirst, facilitate urination, and treat summer heat and polydipsia, body fluid injury, dysuria, laryngitis and aphtha. Has the function of treating nephritis. However, because watermelon contains a lot of water, eating more will increase the burden on the kidneys and cause edema. Therefore, people with severe edema should limit the intake of drinking water and watermelon and reduce the intake of water. Garlic contains a variety of protein, unsaturated fatty acids, sugars, calcium, germanium, iron, zinc, selenium, copper, strontium, vitamin C, B 1, B2 and allicin. Allicin has a wide range of antibacterial effects, and has obvious bactericidal effect on Shigella dysenteriae, meningococcus, pneumococcus, streptococcus and diphtheria. It can be used to treat sore throat, common cold, dysentery, enteritis, edema and other diseases, in which germanium and selenium are indispensable trace elements for human body, and have the functions of regulating immune function and removing heavy metal toxins in the body. However, garlic is spicy and irritates the gastrointestinal tract, so it is not advisable to eat more. Moreover, due to the continuous improvement of watermelon and garlic varieties, the extensive use of chemical fertilizers and pesticides, the growth cycle is getting shorter and shorter, the output is getting bigger and bigger, and the effective components are not fully accumulated, so the therapeutic effect of existing varieties of watermelon and garlic on nephropathy is very limited.
Shenning powder adopts Kaifeng traditional varieties of watermelon and garlic, commonly known as "stupid melon" and "stupid garlic", and adopts green cultivation techniques to completely reject the pollution of chemical fertilizers and pesticides. The essential effective components of watermelon and garlic are obtained after extraction and concentration, which are rich in the repair activating factor FPS of kidney cells and have no irritation to gastrointestinal tract, and are ideal drugs for treating nephropathy.
References:
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