Chief Physician MA Hongbin's experience in treating renal edema
Edema is one of the common symptoms and classic clinical manifestations of kidney diseases.It can cause swelling in the head,face,eyelids,and limbs,and in severe cases,it can develop into generalized edema.It falls under the categories of edema,swelling,and hydropneumatosis in traditional Chinese Medicine.It is characterized by a protracted course,a mix of deficiency and excess,a tendency to relapse,and concurrent multiple symptoms,making it quite challenging in clinical treatment practice.Traditional Chinese Medicine has its unique advantages in the diagnosis and treatment of nephrotic edema,and targeted treatment is beneficial for the reversal of the disease course.Chief Physician MA Hongbin considers that nephrotic edema is a a condition of both fundamental deficiency and superficial excess,involving the lung,spleen,and kidney,that Qi(vital energy),blood,water,and deficiency are present throughout the disease,and that the pathogenic factors are wind,dampness and heat.In terms of treatment,the chief physician has put forward the fundamental treatment principle of'protecting the spleen and kidney is the main strategy,and promoting the lung to facilitate the flow of Qi is indispensable.'The chief physician excels at strengthening the spleen,warming Yang(阳),and promoting diuresis,while also focusing on clearing heat,eliminating dampness,and resolving blood stasis.The chief physician advocates the medication primarily for tonification and secondarily for dispelling pathogenic factors.Clearing heat and eliminating dampness are used to address the symptoms,while warming Yang and strengthening the spleen are used to treat the root cause.In clinical practice,Chief Physician MA Hongbin adjusts the treatment according to the degree of deficiency and excess of the patient's condition,treating it flexibly and choosing the appropriate formulas.For the condition of kidney deficiency and damp-heat,Chengshi Bixie Fenqing Yin(程氏萆薢分清饮)is used to strengthen the spleen and benefit the kidney,as well as to clear heat and promote diuresis;for the condition of spleen deficiency and damp-heat,the Shenyan Siwei decoction(肾炎四味汤)is used to boost energy and strengthen the spleen,as well as to clear heat and promote diuresis;for the syndrome of Qi deficiency with damp obstruction,the Xingshi Buqi Yangxue decoction(行湿补气养血汤)is used to boost Qi,strengthen the spleen,and promote diuresis;for the syndrome of phlegm-heat disturbing the interior,the Huanglian Wendan decoction(黄连温胆汤)is applied for clearing heat,resolving phlegm,and promoting diuresis and detoxification.The treatment on renal edema by Chief Physician MA Hongbin addresses both the root cause and the symptoms,while also protects the spleen and stomach's healthy Qi.There is considerable experience in the clinical treatment of nephrotic edema.The article aims to introduce Chief Physician MA Hongbin's experience in treating nephrotic edema,hoping to provide a reference for clinical practice.
Renal edemaExperience of famous doctorThe Shenyan Siwei decoctionTraditional Chinese medicine therapy
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