Study on Clinical Thinking of Treating Renal Edema
The onset of renal edema is closely related to dysfunction of the zang and fu organs,particularly the lung,spleen,and kidney.Fundamentally,the primary pathogenesis is deficient root cause and excessive manifestation.The lung governs diffusion and dissemina-tion,purification and descending.The spleen governs transportation and transformation of fluid,and the kidney regulate fluid by warming and resolving.The harmonious function of these three organs is essential for maintaining the normal flow of body fluid.According to Plain Questions,the fundamental treatment methods for edema are"opening the ghost gate""cleaning the mansion"and"eliminating stagnant and obstructive substances."These methods include ventilating lung qi,draining the bowels to eliminate turbid substances,and activating blood circulation to resolve stasis,thus inducing diuresis and relieving edema.Among these methods,"cleaning the mansion"is the most critical,serving as a pivot between"opening the ghost gate"and"eliminating stagnant and obstructive substances."Based on syndrome differentiation and treatment principles,the"cleaning the mansion"method aims to achieve the goal of"expelling patho-genic factors without harming the healthy qi,and supporting the healthy qi without assisting pathogens."Each method has its specific indications,so it is essential to identify the primary pathogenesis,nourish the affected organs,and eliminate pathogenic factors to main-tain the normal function of qi,blood,and body fluid.
"opening the ghost gate""cleaning the mansion""eliminating stagnant and obstructive substances"renal edemaHuang-di's Internal Classic