Traditional Chinese Medicine's Understanding of the Etiology and Pathogenesis of Chronic Nephritis

Chronic nephritis patients are often prone to complications such as edema, difficulty urinating, and liver kidney yin deficiency. With the continuous improvement of medical level, traditional Chinese medicine is currently the best method to treat chronic nephritis. Experts remind patients and friends that not only should they cooperate with medical students to do a good job in treating chronic nephritis, but also should not underestimate the complications of the disease.

Proteinuria is one of the main clinical manifestations of chronic nephritis, which often persists and is prone to recurrence. At present, there is a lack of effective treatment methods for chronic nephritis proteinuria. In recent years, traditional Chinese medicine has achieved good results in treating this disease. This article provides an overview of traditional Chinese medicine treatment in recent years. This disease belongs to the category of deficiency and excess, with a mixture of deficiency and excess. Zhengxu includes qi deficiency, yang deficiency, blood deficiency, yin deficiency, as well as deficiency of both qi and yin, and deficiency of both yin and yang. The standard reality includes external sensations, water consumption, damp heat, blood stasis, warm turbidity, and heat toxicity. The treatment is based on the principle of nourishing the right and eliminating pathogenic factors, involving the kidneys, spleen, and liver as the main organs. The syndrome differentiation of this disease can be divided into four types: spleen and kidney qi deficiency with dampness turbidity type; Spleen and Kidney Yang Deficiency with Water Drinking Type; Liver and kidney yin deficiency with dampness heat type; Qi and Yin deficiency combined with heat toxicity type.

From the perspective of positive deficiency, proteinuria is nothing more than a loss of qi, blood, yin, and yang, as well as dysfunction of the organs. Whether it is weak qi and blood or insufficient yin and yang, it can affect the function of the spleen and kidney to store and absorb essence. In terms of pathogenic factors, there are dampness and heat, wind pathogenic factors, blood stasis, etc. As for the causes and effects of these factors and chronic nephritis proteinuria, specific analysis should be conducted. Some patients with proteinuria may not disappear for a long time, and it is difficult to achieve results by regulating the functions of the organs and strengthening the spleen and kidney. However, after adding products that clear dampness and heat, proteinuria can quickly disappear; For example, in some patients, there are infection foci in the body that make proteinuria difficult to cure, or in some patients, proteinuria once turns negative, leading to a recurrence of the infection. Many patients also experience urinary incontinence due to a cold, or relapse due to a cold that turns proteinuria negative, indicating the importance of exogenous wind pathogens in the formation of proteinuria. In addition, blood stasis also has a certain impact on chronic nephritis. Due to the lengthy course of chronic nephritis, it conforms to the traditional theory of "prolonged illness entering the meridians" and "prolonged illness leading to blood stasis". After the formation of blood stasis, it often makes proteinuria stubborn and difficult to eliminate, and cannot be effectively treated without promoting blood circulation and resolving blood stasis. Blood stasis obstructs the kidney meridians, hinders the smooth flow of essence and qi, causing it to accumulate and overflow, resulting in slight discharge of essence and proteinuria. Such as fatigue, mental stimulation, etc., may also make proteinuria difficult to dissipate or recur. In short, the formation of proteinuria in chronic nephritis is complex and composed of multiple factors. Qi deficiency and blood deficiency, liver dysfunction, and interference from pathogenic factors are often intertwined, greatly increasing the difficulty of differentiation and treatment of chronic nephritis.