Chapter 275: The lesser of two evils
In traditional Chinese medicine, kidney failure is called guange.
This disease is a serious illness with spleen and kidney failure, unfavorable gasification, turbidity and evil congestion, resulting in inability to urinate, vomiting and other symptoms.
Of course, the most typical symptoms are inability to urinate and vomiting.
The reason why it is called Guan Ge is also due to these two main symptoms.
It is not possible to urinate and vomit.
This disease generally rarely appears, and only when edema, gonorrhea, seizures and other diseases cannot be cured for a long time, will there be a guange.
To put it bluntly, when the kidney function was just damaged, it was not cured, and when it dragged on for too long, it became a proof of the gate.
The pathological nature of Guan Ge is based on deficiency and solidity, spleen and kidney deficiency is the foundation, and dampness and poison are the standard. The disease is located in the spleen, stomach, kidneys and bladder, especially the kidneys, and also involves the lungs, liver, and heart.
The initial disease is in the spleen and kidney, and in the later stage, multiple organs can be damaged.
If the kidney yang fails, the cold water is committed, and the heart and lungs are ejaculated, it will turn into palpitations and chest paralysis; If Yang damages Yin, kidney Yin is depleted, Liver Yang is hyperactive, and internal wind is self-generated, it can cause dizziness and stroke; If the turbidity is abundant and the pericardium is invaginated, it is coma, delirium, and even the separation of yin and yang, which is life-threatening.
If you want to cure this disease, you must distinguish whether it is spleen and kidney yang deficiency or liver and kidney yin deficiency, and at the same time, you must distinguish the difference between cold and dampness and dampness.
The second is to distinguish the location of the disease, and we should distinguish the difference between the spleen and stomach, the kidney, the heart, and the liver.
The treatment of Guan Ge is a dilemma, and the treatment should be both offensive and supplemental, and the specimen should be taken into account.
In the early stage, it should be supplemented first, and the turbidity and water should be supplemented, and in the late stage, it should be supplemented with laxatives, and the laxative should be supplemented with equal emphasis after the laxative, or long-term tonic laxative should be used together.
There is no doubt that Xiang Ye can only be the latter.
However, the first six years of blood pressure medication, plus the next four years of dialysis, have already hurt his heart a little badly, and whether the current disease position is mainly based on the spleen and kidney, or the heart, this needs to be judged by Lu Jiu himself.
Of course, the core idea of strengthening the heart in kidney treatment will never change.
Because judging from Xiang Ye's current condition, although the heart is also damaged, the degree is obviously not as serious as the kidney.
As long as this relationship between strength and weakness does not change, there is no need to change the way of thinking about healing.
Although the key ideas are there, the treatment plan is not so good.
At the same time, Lu Jiu also had to worry about the fact that the patient had been taking blood pressure medication.
Ten years of medication history is no joke.
Lu Jiu still has to worry that even if the Chinese medicine is symptomatic, it may not be able to save the rotten five organs.
After all, the patient's body has become dependent on the drug!
Lu Jiu withdrew his hand and looked at Xiang Ye's wrist where there were still traces of his fingers pressed down, and his bloated arm was like a pinched of mud, and the three finger pits did not rebound for a long time.
"Can you pee out on a regular basis?" Lu Jiu asked.
Xiang Ye had a bitter look, "You can only urinate once or twice a week, and you can only urinate a little." ”
Lu Jiu asked, "Do you feel powerless when you urinate?" ”
Xiang Ye nodded, "Hmm." ”
Lu Jiu then asked, "I see that your palms are cold, and the soles of your feet should be too." ”
Xiang Ye continued to nod.
Lu Jiudao, "Open your mouth and I'll look at the tongue coating." ”
Open your mouth towards the leaf.
Almost instantly, a foul smell like urine hit.
Lu Jiu instantly held his breath and carefully observed Xiang Ye's tongue coating.
"Ten years ago, did you like to eat and drink nonsense, and your diet was extremely irregular?" Lu Jiu asked.
Xiang Ye was stunned, "It's true that there are a lot of entertainments." ”
Lu Jiu nodded, "The reason is almost that the diet is not modest, which causes the spleen and stomach to be abnormal, brewing dampness and heat, and this damp heat bet hurts the kidneys, resulting in unfavorable gasification, that is, the urination is not smooth, and the situation is that the scrotum is damp, and the desire cannot be controlled, this dampness and heat have not been removed, and over time, it will lead to more and more deficiency of kidney yang, the fire of the life gate is weakened, and the evaporation is weak, resulting in more and more gasification, and it is more and more difficult to urinate." ”
At this time, you think it is high blood pressure, and then start to take antihypertensive drugs, but you don't know that this will hurt the heart, so after taking too many blood pressure drugs, you must have symptoms of palpitations and chest tightness, and at the same time, antihypertensive drugs can not solve the problem of dampness and dampness, and the body will begin to become swollen, first of all, the face and stomach, and slowly all over the body."
"At this time, it is very, very late to wait for the diagnosis of uremia, if it was treated ten years ago, three Chinese medicine can be solved, now, I can only say give it a try, I dare not pack the ticket, can understand what I mean."
Hearing Lu Jiu's words, Xiang Ye was dumbfounded.
It was true that he did not have a good spleen and stomach because of indiscriminate eating at the beginning.
There was always sweating underneath, and he basically didn't mention it to the doctor.
Lu Jiu actually knew so much about his situation just by taking a pulse, which was really amazing.
However, what surprised Xiang Ye the most was that Lu Jiu actually said that if it was ten years ago, then three payments of Chinese medicine could solve it, and he knew that this was the case, and he would not take blood pressure medicine if he said anything.
In fact, the side effects of blood pressure medication are known to everyone.
But if you have high blood pressure, you really have no other way than to take blood pressure medication.
It is uncomfortable not to eat, although there are side effects after eating, but at least this side effect does not occur on the spot, how much harm can it bring in the future, how could he have predicted it at that time?
"Doctor Lu, what should we do now?" Xiang Ye's wife looked down.
Lu Jiudao, "I'll find a way to preserve his cardiopulmonary function first, a week, give me a week, if I can't do it within a week, then you can go to other doctors to see." ”
A week isn't a long time, but it's not too short.
If he tried his best and still couldn't achieve the expected effect within a week, it would prove that it was almost impossible for Xiang Ye's kidneys to recover.
"Uh-huh, Dr. Lu, we listen to you." Xiang Ye and his wife hurriedly responded.
The reason why they came to Lu Jiu was because of the perennial dialysis, which made Xiang Ye's physique worse and worse.
Even the doctor said that with Xiang Ye's physical condition, dialysis for another two or three years may be a little unbearable.
But if he doesn't have dialysis, he won't be able to carry it now.
The lesser of two evils.
The doctors at the hospital naturally recommended that Xiang Ye continue to do dialysis.
If they hadn't known about Lu Jiu, they might not have other ideas.
Who let them know!
"Okay, sit there, I'll give you a needle first." Lu Jiudao.
Xiang Ye Wenyan, then walked to the side of the small bed and sat down.
Lu Jiu came to take the needle and began to prick the needle for the leaf.
Zhongguan, Neiguan, Bladder Yu, Zhongji, Sanjiao Yu, Yinling Spring, Zusanli, Sanyinjiao......
Zhongguan and Neiguan can reduce stomach inversion and stop vomiting, and bladder Yu and Zhongji regulate brisk function and play a diuretic role.
Sanjiao Yu sparses the upper, middle and lower three coke gas machines to regulate the waterway, and Yinling Spring awakens the spleen and relieves dampness.
In addition, the three miles of the foot strengthen the spleen and stomach, support the righteous qi, and the three yin jiao strengthen the spleen and stomach and nourish the liver and kidneys.
This set of acupuncture is just a simple recovery effect, making Xiang Ye less uncomfortable first.
After doing this, Lu Jiu had to give Xiang Ye a prescription.
……
(End of chapter)