Modern medicine believes that the pathogenesis of renal edema is complicated,and the pathogenesis of the disease is different in different periods,so the pathogenesis of renal edema can not be explained by a single pathogenesis.There are two clinical mechanisms for the pathogenesis of renal edema:"insufficient filling"and"excessive filling".However,most scholars believe that the main pathogenesis of renal edema is still related to hypoproteinemia and decreased glomerular filtration rate.Modern medicine often uses diuretics as the main treatment plan for renal edema,but the use of diuretics is easy to produce many compli-cations,such as abnormal metabolism of lipids and uric acid,and electrolyte disorders.It is found that TCM has its unique advantages in the treatment of renal edema.Although there is no name of renal edema in TCM,it can be divided into the category of"edema"in TCM.TCM believes that the incidence of renal edema involves the five viscera and six organs,and its disease is often manifested as a mixture of deficiency and excess,so dinical treatment can not be confined to one method,which often needs to supplement deficiency and purge the excess instead of simply supplementing deficiency or purging the excess.There are many methods to treat renal edema in TCM,and most scholars mainly treat the disease based on Zangfu viscera(脏腑)syndrome differentiation.However,this article mainly summarizes and discusses the treatment methods,the current commonly used clinical treatment methods include releasing lung by sweating and removing water,benefiting Qi(气)and removing water,invigorating spleen and warming Yang(阳)and removing water,invigorating kidney and warming Yang and removing water,nourishing Yin(阴)and removing water,activating blood and removing water,and regulating Sanjiao(三焦).Now the above TCM treatment methods are summarized,and we put forward the idea of using Linggui prescription(苓桂剂)to treat renal edema on the basis of conventional syndrome differentiation.
Renal edemaTraditional Chinese medicineLinggui prescriptionTreatment progress