Exploration of TCM Prevention and Treatment Strategies for Nephrotic Syndrome based on the Theory of Guben Peiyuan
Based on the theory of strengthening the foundation and nourishing the essence,nephrotic syndrome is treated. Nephrotic syndrome is a common renal system disease,which belongs to the category of "edema" in traditional Chinese medicine. Insufficient vital energy is the fundamental factor of nephrotic syndrome,and spleen and kidney deficiency is an important factor leading to nephrotic syndrome. From the perspective of modern clinical diagnosis,hy-poproteinemia and edema are mostly caused by the loss of a large amount of protein from the urine. Chinese medicine believes that protein is a fine substance,and the fine substance is discharged downward,which is most related to the spleen and kidney. The method of strengthening the foundation and nourishing the essence is used to analyze and treat nephrotic syndrome. The purpose of reducing edema,absorbing fine substance,and supporting vital energy is achieved by replenishing the spleen and kidney and cultivating vital energy. In addition,insufficient vital energy,spleen and kidney deficiency,and visceral dysfunction often cause diseases due to deficiency,so the formation of phlegm and blood stasis needs to be considered during treatment. The specific treatment principle is to nourish the spleen and kidney to consolidate the foundation and promote diuresis,with Shenfu Decoction and Jinkui Shenqi Decoction as representative prescriptions. The method of nourishing the essence should be carried out throughout,nourishing the middle burner to replenish the vital energy,mainly with ginseng and astragalus,and nourishing the lower burner with ginseng,astragalus,ginger,atractylodes and cinnamon to nourish the kidney and nourish the essence. At the same time,pay attention to the use of warming Yang and promoting diuresis and blood circulation and blood stasis removal drugs.
Strengthening the spleen and kidneyGuben PeiyuanNephrotic syndrome