Chapter 278 The Lesser of Two Evils

In traditional Chinese medicine, kidney failure is called Guan Ge.

This disease is a serious illness caused by deficiency of the spleen and kidneys, unfavorable Qi transformation, and obstruction of the triple burner by turbid evil, resulting in obstruction of urination, vomiting and other symptoms.

Of course, the most typical symptoms are difficulty urinating and vomiting.

The reason why it is called Guange is also derived from these two main symptoms.

When urination is blocked, it is called Guan, and when vomiting occurs, it is called Ge.

This disease generally occurs rarely. It only occurs when diseases such as edema, stranguria, and abscess cannot be cured after long-term treatment.

To put it bluntly, when the kidney function is first damaged, it is not cured. If it is delayed for too long, it becomes a sign of failure.

The pathological nature of Guange is deficiency in origin and excess in excess, spleen and kidney deficiency is the root cause, and dampness and turbidity are the standard symptoms.The disease is located in the spleen, stomach, kidneys and bladder, especially the kidneys, but also involves the lungs, liver, and heart.

The disease initially affects the spleen and kidneys, but can damage multiple organs in the later stages.

If kidney yang fails, cold water invades, and the heart is high and shoots to the lungs, it will turn into palpitations and chest numbness; if yang is damaged and yin is lost, kidney yin is depleted, liver yang is elevated, and internal wind arises spontaneously, it may cause dizziness and stroke; if If the turbid evil is excessive and the pericardium is invading, coma, delirium, or even separation of yin and yang will be 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. At the same time, you must also distinguish between cold-dampness and damp-heat.

The second step is to identify the location of the disease. You should distinguish whether the disease is in the spleen and stomach, in the kidneys, in the heart, and in the liver.

Guan Ge's treatment is a dilemma of reinforcing and purging. It is advisable to apply both attack and supplement, taking into account both the symptoms and the root cause.

In the early stage, tonifying is the first priority, and it is also used to dissolve turbidity and diuresis. In the late stage, the tonic should be combined with diarrhea, and both tonifying and purging should be emphasized. Tonifying should be done after diarrhea, or both tonic and purgative should be used for a long time.

There is no doubt that Xiangye can only be the latter.

However, the antihypertensive drugs for the first six years and the dialysis for the next four years have seriously damaged his heart. Whether the current disease is mainly based on the spleen and kidneys or the heart, this requires Lu Nine, judge for yourself.

Of course, the core idea of ​​treating the kidneys and strengthening the heart will never change.

Because judging from Xiang Ye's current situation, although the heart is also damaged, the extent is obviously not as serious as the kidneys.

As long as this strong-weak relationship does not change, there is no need to change the way of treating the disease.

Although the key ideas are there, the treatment plan is not that easy to come up with.

At the same time, Lu Jiu also had to worry about the fact that the patient had been taking antihypertensive drugs.

A decade of medication is no joke.

Lu Jiu also had to worry that even if the Chinese medicine was right, it might not be able to restore the damaged internal organs.

After all, the patient's body is already dependent on the drug!
Lu Jiu withdrew his hand and looked at Xiang Ye's wrist where there were still traces of his fingers pressing down. His bloated arm felt like it had been pinched by mud, and the three finger pits had not rebounded.

"Can I urinate normally?" Lu Jiu asked.

Xiang Ye had a grimace on his face, "I can only pee once or twice a week, and I can only pee a little."

Lu Jiu asked, "Do you feel powerless when you urinate?"

Xiang Ye nodded, "Yeah."

Lu Jiu then asked, "I see your palms are cold, and the soles of your feet should be too."

Xiang Ye continued to nod.

Lu Jiu said, "Open your mouth and let me see the coating on your tongue."

Xiang Ye opened his mouth.

Almost instantly, a breath that smelled as bad as urine hit me.

Lu Jiu held his breath for a moment and carefully observed Xiang Ye's tongue coating.

"Ten years ago, did you like to eat and drink a lot and have an extremely irregular diet?" Lu Jiu asked.

Xiang Ye was stunned, "It's true that there was a lot of socializing." Lu Jiu nodded, "The reason is probably due to improper diet, which caused abnormal transportation and transformation of the spleen and stomach, causing dampness and heat. This dampness and heat caused damage to the kidneys, resulting in poor qi transformation. , that is, urination is not smooth, and the symptoms are that the scrotum is moist and the desire is uncontrollable. This dampness and heat are not eliminated. Over time, the kidney yang becomes more and more insufficient, the Mingmen fire is weakened, and the evaporation is weak, making the qi transformation even more difficult. , it becomes increasingly difficult to urinate.”

"If the water and moisture cannot be discharged, and the dirty things in the body remain for a long time, people will start to feel dizzy. At this time, you think it is high blood pressure, and then you start taking antihypertensive drugs. Little do you know that this will damage the heart, so antihypertensive drugs After eating too much, you will definitely have symptoms of palpitations and chest tightness. At the same time, antihypertensive drugs cannot solve the problem of water and moisture being unable to be discharged, and the body will begin to become swollen, starting with the face and stomach, and gradually the whole body. throughout."

"At this time, by the time you are diagnosed with uremia, it is actually very, very late. If it had been treated ten years ago, three doses of traditional Chinese medicine would have solved the problem. Now, I can only give it a try. I can't guarantee the result. You understand what I mean."

Hearing Lu Jiu's words, Xiang Ye was stunned.

It is true that he had a bad spleen and stomach because of eating randomly at the beginning.

He almost never mentioned it to the doctor about the constant sweating down there.

It's really amazing that Lu Jiu understood his situation so well just by taking his pulse.

But what surprised Xiang Ye the most was that Lu Jiu actually said that if it were ten years ago, then three doses of Chinese medicine would be able to solve the problem. If he had known this was the case, he would not have taken antihypertensive drugs at all.

In fact, everyone is aware of the side effects of antihypertensive drugs.

But if you have high blood pressure, you really have no other solution except taking antihypertensive drugs.

It felt uncomfortable not to eat it. Although there were side effects after eating it, at least the side effects did not occur on the spot. How could he predict how much harm it would cause in the future?

"Doctor Lu, what should we do now?" Xiang Ye's wife looked depressed.

Lu Jiu said, "I'll first find a way to preserve his cardiopulmonary function. Give me a week. Give me a week. If I can't do anything within a week, then you can go find other doctors."

A week is not long, but it is not short either.

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, Doctor Lu, we listen to you." Xiangye and his wife responded quickly.

The reason why they came to Lu Jiu was because years of dialysis had made Xiang Ye's physical condition worse and worse.

Even the doctor said that given Xiangye's physical condition, he might not be able to survive another two or three years of dialysis.

But without dialysis, he would not be able to bear it now.

The lesser of the two evils.

The doctor at the hospital naturally suggested that Xiang Ye continue dialysis.

If they hadn't known about Lu Jiu, they might not have had other ideas.

Who let them know!

"Okay, sit there and I'll give you acupuncture first," Lu Jiu said.

Hearing this, Xiang Ye immediately walked to the small bed and sat down.

Lu Jiu came over with a needle and started pricking Xiangye with needles.

Zhongwan, Neiguan, Banshu, Zhongji, Sanjiaoshu, Yinlingquan, Zusanli, Sanyinjiao...

Zhongwan and Neiguan can harmonize the stomach and relieve vomiting, while Bladdershu and Zhongji regulate bladder function and play a diuretic role.

Sanjiao Shu regulates the Qi mechanism of the upper, middle and lower Sanjiao and regulates water channels, while Yinlingquan wakes up the spleen and removes dampness.

In addition, Zusanli strengthens the spleen and stomach and strengthens qi, and Sanyinjiao strengthens the spleen and stomach and nourishes the liver and kidneys.

This set of acupuncture only has a simple recovery effect, making Xiang Ye less uncomfortable first.

After doing this, Lu Jiu had to give Xiang Ye a prescription.

……

(End of this chapter)

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