How to treat chronic nephritis proteinuria with traditional Chinese medicine

When it comes to proteinuria, everyone will say that this is one of the most common symptoms of chronic nephritis. Therefore, how to treat urinary protein is closely related to the treatment of chronic nephritis. The current Western medicine treatment for urinary protein is more one-sided, so the effect is not very good. Traditional Chinese medicine makes up for this deficiency better, so let’s learn about how Traditional Chinese Medicine treats proteinuria in chronic nephritis.

1. Wind-dispelling method

This method is suitable for chronic nephritis caused by exogenous wind evil, internal disturbance of the kidney, resulting in worsening of the disease and increased urine protein. Symptoms include aversion to wind, fever, headache, limb aches, sneezing, runny nose, or itchy throat and cough. Those with both cold and fever will have severe aversion to cold, white tongue coating, floating and tight pulse, etc. The treatment should be to dispel wind and cold. The prescription should be Jingfang Baidu San with modifications. Commonly used medicines include Perilla leaf, Schizonepeta tenuifolia, Saposhnikovia divaricata, Rhizoma Cynoglossi, Cnidium monnieri, Fructus Xanthii, etc. Those with heat will have severe fever, sore throat and dry mouth, yellow sputum, red urine, red edges and tip of tongue, thin yellow tongue coating, floating and rapid pulse, and the treatment should be to dispel wind and clear heat. The prescription uses Yinqiao Powder with modifications. Commonly used medicines include honeysuckle, forsythia, burdock fruit, houttuynia cordata, isatis root, viola yedoensis, cicada shell, Achyranthes bidentata, duckweed, etc.; those with qi deficiency often have repeated colds, aversion to wind, pale tongue, floating and slow pulse. The treatment should be to invigorate qi and dispel wind. Yupingfeng Powder with modifications is used. Commonly used medicines include astragalus and saposhnikovia divaricata.

2. Heat-clearing and detoxification method

This method is suitable for chronic nephritis with heat or dampness stagnation and internal attack on the kidney. Symptoms include swollen and painful nipples, or red and swollen sores, or skin eczema, fever, bitter taste in the mouth, red urine, red tongue, yellow or white tongue coating, slippery and rapid pulse, increased protein in urine test or long-term treatment failure. You can choose Wuwei Xiaodu Yin with modifications. Commonly used medicines include Viola yedoensis, dandelion, Scrophularia ningpoensis, Isatis indigotica, Lithospermum officinale, Polygonum multiflorum, Sophora flavescens, Smilax glabra, Dictamni bark, Kochia scoparia, Cynanchum indica, Hedyotis diffusa, and Scutellaria barbata.

3. Diuresis and Dampness Removal Method

This method is suitable for chronic nephritis with damp-heat or dampness turbidity in the body and forced ejaculation. Symptoms include edema of the head, face, eyelids or whole body, fullness and stuffiness in the chest and abdomen, scanty and short red urine, yellow or white greasy tongue coating, slippery and rapid or deep and stringy pulse, high protein level in urine test or prolonged illness. You can choose Weiling Decoction, Fangji Huangqi Decoction or Qingli Decoction with modifications. Commonly used medicines include Stephania tetrandra, corn silk, Imperata root, Coix seed, Atractylodes, Glehnia littoralis, Oldenlandia diffusa, Moneywort, Calabash tea, Shepherd's purse, Thistle, Poria, and Alisma orientalis.

4. Blood Activating and Stasis Removing Method

This method is suitable for the symptoms of chronic nephritis with internal blood stasis and loss of kidney qi. Symptoms include dark complexion, petechiae (spots) on the skin, fixed and stabbing waist pain, hematuria, purple tongue or petechiae, and proteinuria that does not heal after long-term treatment. The prescription for this disease is Yishen Decoction with modifications. Commonly used medicines include motherwort, moutan bark, salvia miltiorrhiza, safflower, red peony root, peach kernel, raw hawthorn, etc.

5. Calming the Liver and Calming Wind Method

This method is suitable for chronic nephritis with symptoms of Yin deficiency and Yang hyperactivity, and virtual fire disturbing the kidney. Symptoms include dizziness, swelling and pain in the head, irritability, insomnia and frequent dreams, facial flushing, back pain, tinnitus, dry and bitter mouth, red tongue, yellow tongue coating, stringy and fine pulse, high protein level in urine test, and prolonged illness. The prescription is Tianma Gou Teng Yin with modifications. Commonly used medicines include earthworms, Uncaria rhynchophylla, Bombyx batryticatus, Tribulus terrestris, Prunella vulgaris, centipede, golden scorpion, and Achyranthes bidentata.

6. Strengthening the Spleen and Replenishing Qi

This method is suitable for chronic nephritis with spleen deficiency syndrome. Symptoms include pale complexion, fatigue, limb weakness, poor appetite, loose stools, abdominal distension, pale tongue with teeth marks on the edges, white tongue coating, deep, thready and weak pulse, high protein content in urine test or prolonged illness. The prescription is Shenling Baizhu San with modifications. Commonly used medicines include astragalus, codonopsis, yam, lotus seed, kudzu root, cimicifuga, ginseng, etc.

Regarding how to treat proteinuria in chronic nephritis with traditional Chinese medicine, the above are six treatment methods. Everyone can have a detailed understanding. Of course, different physical conditions should choose the treatment method that suits them, so as to better help the body recover health. In addition, you also need to have a good understanding of dietary care, which will also be helpful during the treatment process.