Rehabilitation for chronic nephritis (1)

Chronic nephritis mostly results from acute nephritis that is lingering without cure. The disease may have latent onset as well. It can develop into chronic renal failure eventually. Therefore, people should attach great importance to the rehabilitation at remission stage.

1.      Syndrome differentiation and treatment

1.1 Excessive dampness due to splenic asthenia

Prescription: modified Shenling Baizhu Powder. In the case of urinary protein, use more Huangqi and add Chixiaodou.

1.2 Asthenia of both the spleen and kidney

Prescription: modified Bupi Yishen Decoction.

1.3  Yin deficiency of the spleen and kidney

Prescription: Qiju Dihuang Bolus. In the case of hypertension, add Zhenzhumu, Xixiancao and Juemingzi; in the case of purple tongue, add Taoren, Honghua and Danggui.

1.4  Internal accumulation of dampness and heat

Prescription: modified Ganlu Xiaodu Pill. In the case of scanty urine, add Zexie(Rhizoma Alismatis), Fuling(poria) and Zhuling(Polyporus Umbellatus); in the case of sore throat, add Tuniuxi(Radix et Rhizoma Acuyranthis), Xuanshe(Radix Scrophulariae) and Mabo(Lasiosphaera seu Calvatia)

2. Rehabilitation methods

2.1 Physical therapy

It is suitable to take a walk on the flat ground for fifteen to twenty minutes in the morning or at dusk. In addition, it is advisable to select Taijiquan, five mimic-animal games and eight-section brocade.

1.2  Acumox and massage

Acumox: BL23, BL20 and BL22. In the case of splenic asthenia, add CV9, CV6, ST36 and SP6; in the case of renal asthenia, add GV4, BL28, CV4, KI10. Apply acupuncture once every other day. After acupuncture, apply moxibustion , or moxibustion with the warming needle.

Acupoint injection: inject 2ml of Banlangen(Radix Isatidis) injection and 2ml Yuxingcao(Herba Houttuyniae) injection into BL23 and ST36 alternately once a day and 20 times constitute one course of treatment. Or inject 0.5ml of 5% Danggui(Radix Angelicae Sinensis) injection into one to two acupoints of GB25, BL28, ST28, ST36 and KI7 once a day and seven to ten times make up one course of treatment.

As for the ear acupuncture, select MA-SL8, with the puncturing method, or the needle-embedding method of thumb-tack needle. It is also advisable to apply Wangbuliuxingzi (Semen Vaccariae) on acupoints externally.

2.3 Massage:

Select the acupoints in the light of acupoint selection and adopt the pushing, kneading, pressing and scrubbing manipulations to massage the acupoints several times a day. It is also advisable to rub the costal regions, BL23, sulcus auriculae posterior and KI1 respectively for one hundred times or so with the palm in the morning and evening. In the case of hypertension, scrub and knead KI1 or KI3 respectively for one hundred times in the morning and evening day; in the case of nausea and vomiting, press and knead ST36 and PC6; in the case of scanty urine or anuria, press and knead CV4 and SP6 to dredge the water passage.

Written by WangXudong

Translated by LiYong’an

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