Prevention and Treatment of Chronic Renal Failure
Chronic renal failure is caused by various factors leading to chronic kidney damage. When metabolic waste accumulates, disturbances in water, electrolyte, and acid-base balance occur, resulting in a series of clinical manifestations, which is referred to as this condition. Main preventive and therapeutic measures are as follows:
1) Dietary therapy: ① Raw Astragalus 60g, one large carp, boiled into soup for drinking. Suitable for elderly patients with urinary retention. ② Cinnamon Heart Porridge: 60g white rice, cooked into porridge; add cinnamon powder (5g daily) when porridge is half-cooked. Suitable for urinary retention due to deficiency of lower jiao yang. ③ Chestnut Porridge: chestnuts and white rice boiled into porridge for consumption. Suitable for urinary retention due to deficiency of lower jiao yang. ④ Eucommia Kidney Slices: 2 lamb kidneys (or pig kidneys), Eucommia 15g, salt, ginger, scallion, and other seasonings as needed. First cut open the kidneys, remove membranes, then stew together with Eucommia, add seasonings, cook until done, and eat the kidney slices. Suitable for urinary retention due to deficiency of lower jiao yang.
2) Acupuncture and moxibustion: Select Shenshu, Neiguan, Zusanli, Sanyinjiao, Taixi. For reduced or absent urination, add Zhongji, Guanyuan, Yinlingquan; for nausea and vomiting, add Zhongwan and puncture Neiguan; for altered consciousness, add Renzhong and Yongquan; for limb convulsions, add Yanglingquan, Taichong, Quchi. Add moxibustion for deficiency syndromes. Auricular acupuncture: select subcortex, adrenal gland, endocrine, kidney, spleen, bladder points; acupuncture, embedding needles, or pressing seeds can be used, once daily or every other day.
3) Single prescriptions and proven remedies: ① Fuzi Dahuang Tang: Prepared Aconite 15g, raw rhubarb 15g, motherwort 15g, Astragalus 30g, mirabilite 10g. For severe edema, add plantain seed, white rush root; for obvious vomiting, add Pinellia, tangerine peel; for abdominal distension and fullness, add magnolia flower. Decoct and take orally. Suitable for acute and chronic renal failure. ② Rhubarb 1.2g, Prunus mume 1.2g, licorice root 0.6g, borax 0.6g, Sichuan pepper seed 3g, ginger juice 3g, stir-fried coptis 3g, evodia fruit 3g, white peony root 5g, bamboo茹 12g, Purple Gold Pill 2 tablets (taken separately). Decoct and take orally. Suitable for uremic nausea and vomiting. ③ Prepared aconite slice 9–30g, Poria 15g, Magnolia bark 9g, Pinellia 9g, ginger 9g, ginseng 15g, bamboo茹 9g, coptis 6g, processed rhubarb 15–30g. Decoct and take once daily, divided into 2–3 doses. Suitable for uremia. ④ Rhubarb 60g, oyster shell 30g, decocted to obtain 200–300ml juice, retained enema, once or twice daily. Suitable for uremia. ⑤ Raw rhubarb 12g, processed aconite 9g, oyster shell 30g, decocted to extract juice for retained enema. ⑥ Danshen injection 16–20ml added to 5% glucose 500ml for intravenous infusion, once daily, 14 days per course. Suitable for acute and chronic renal failure. ⑦ Rhubarb injection: raw rhubarb 50g/100ml added to 10% glucose 400ml for intravenous infusion, once daily. Suitable for acute and chronic renal failure. ⑧ External application on renal area: garlic 240g, mirabilite 60g. Apply first to both renal areas for 2 hours, then mix rhubarb 150g with vinegar 200ml, apply to both renal areas for another 2 hours, once or twice daily. To prevent skin damage, apply benzoic acid tincture to renal skin first, then place a layer of petroleum jelly gauze underneath. Suitable for acute renal failure.
4) Prevention and health maintenance: ① Avoid excessive fatigue and strong mental stimulation; ② Prevent infection and eliminate infection foci to reduce triggers for disease deterioration; ③ Quit smoking and alcohol if addicted; ④ Patients with edema, hypertension, significant proteinuria, or symptoms worsening with slight activity should rest in bed. [Renal Failure]