Keywords: acute nephritis

    Acute nephritis

    The acute nephritis general seen in children over 3 years of age, multi-infections caused by beta-hemolytic streptococcus or other bacteria, virus infection. By antigen – antibody complexes calm in the glomerular basement membrane, the basement membrane damage and the incidence of congestive heart failure can be combined in the course of the disease or hypertensive encephalopathy. The general prognosis is good, very few can become chronic nephritis. Acute nephritis weeks TCM “yang water," feng shui “category.

    Clinical manifestations

    Eyelid or lower extremity edema, were tensions edema, acupressure depression, oliguria, urine Secheng the deep yellow, brown sauce smoke color or wash the meat in water samples, may be associated with headache, vertigo, and even coma, convulsions; or with shortness of breath, irritability, anxiety, palpitation and other symptoms.

    [Diagnosis]

        I. 1-4 weeks before the onset of the history of upper respiratory tract infections, tonsillitis, scarlet fever or purulent skin infections and other medical history.
        2. Edema, hematuria, hypertension (“18/1l-kpa).
        3. Severe cases may appear in any of the following complications in the onset of the week.
        (1) heart failure: the performance of shortness of breath, irritability, pulmonary rales bottom appear wet, fast heart strings, or gallop, the liver increases rapidly.
        (2) Hypertensive encephalopathy: headache, with flowers, temporary blindness, severe cases, coma, convulsions, blood pressure was significantly higher.
        (3) Acute renal failure: oliguria or anuria, azotemia, hyperkalemia, acidosis.
        4. Laboratory tests
        (1) urine: red blood cells, casts and proteinuria.
    (2) ESR.
    (3) increased anti-nisin “O" (ASO).
        (4) serum complement C3 decline.

    [Treatment]

        1. Western medical treatment
        (1) treated with antibiotics: penicillin 5-10 u / kg / day in 2 intramuscular injection, or cefotaxime (claforan) 50-100mg / L / day, 2 times intravenously.
        (2) diuretic; hydrochlorothiazide 1-2mg/kg / day orally 3 times. (3) buck: reserpine O. 07mg/kg intramuscular injection or 0.02mg/kg / day orally 3 times. Hypertensive encephalopathy, in conjunction with other drugs, such as saltpeter celecoxib sodium 5mg dissolved in 5% glucose solution lOOml, start 8-10 drops depending on the blood pressure bell, 1-5 minutes after intravenous drip rate adjustment, or 50% magnesium sulfate 0.1ml/kg intramuscular injection.
        (4) cardiac treatment: a reference to “pneumonia".
        2. Chinese medicine treatment
        (1) acute phase
        ① the feng shui guilty: eyelid edema, gradual and systemic evil wind, cough, oliguria, urine turbid or hematuria, pink tongue, thin white fur, floating and tight pulse or floating number.
        Governing Law: the appropriate lung diuresis.
        Recipe: 3 grams of ephedrine and 25 grams of gypsum (Xian Jian), Plantago 10 grams (including fried), Alisma 10 grams, Radix 15 grams, 10 grams of skullcap, Agrimony 10 grams, Rhizoma Imperatae 15 g.
        ② hot and humid impregnation: limb edema, thirst, upset, chest tightness, abdominal distension, skin sore, headache, body weight, such as tea or urine turbid urine or washing broth-like, red tongue, yellow greasy moss, pulse a few slip.
        Governing law: heat dampness detoxification.
        Recipe: 10 grams of almonds, business Ren 15 grams, 6 grams of white Kou Yan, 10 g of talc (including fried), through the grass 3 grams, 6 grams of Magnolia, Pinellia 6 grams, 6 grams of Cork, size Thistle (s) 10 g.
        ③ moisture Ling cardiopulmonary: limb edema, cough, shortness of breath, palpitations, chest tightness, irritability not supine, purple lips, nails, cyanosis, tongue white or greasy, pulse weak.
        Governing Law: straight the lung diuresis Yiqiwenyang,.
        Recipe: 3 grams of ephedrine, Campanulaceae 6 grams, Alisma 10 grams, of aconite (fry) 10 grams, 6 grams of cassia twig, Asarum 1 g, 10 g heterophylla, the North Wujiapi IO grams, evergreen 10 g, Salvia 10 grams, 6 grams Chuanjiao.
        Chinese patent medicines: black anchor Dan.
        (4) evil heart and liver depression: headache, dizziness, nausea, vomiting, blurred vision, irritability, severe cases can be sudden convulsion, coma, red tongue, yellow coating, pulse string.
        Governance the law; Pingganxifeng, dampness resuscitation.
        Election party: antelope horn powder (blunt) 1.5 g; of Uncaria Inula (including fried), Ruddle, skullcap 10 grams, gentian, Alisma, Plantago (including fried), angelica, habitat 10 grams each, Akebia 3 g Mountain capejasmine.
        Chinese medicines: Su Pill.
        (2) Recovery
        ① weakness temper: tired body fatigue, pale complexion, spontaneous sweating, poor appetite, loose stools, pale tongue white, pulse 11 slow.
        Governing Law: Jianpiyiqi.
        Recipe: 10 grams of ginseng, Astragalus 15 grams, 10 grams Atractylodes, Poria 10 grams The 3 grams Zhigancao, Angelica 10 grams, 6 grams of dried tangerine peel, Cimicifuga 6 grams, 6 grams of Bupleurum.
        Chinese medicines: Buzhongyiqi pills.
        ② Yin deficiency: dizziness, fatigue, low back pain, dysphoria hot, hot flashes, night sweats, pink tongue, less moss or exfoliation, rapid pulse.
        Governing Law: Yin and kidney.
        Recipe: Rehmannia, Hill Levin dogwood, Alisma, Dan, Poria, Daji, thistle, Achyranthes, Ligustrum lucidum, Eclipta each 10 grams, 12 grams of yam, 15 g Rhizoma Imperatae.
        Chinese patent medicine: Liu Wei Di Huang Wan, ZDP.

    [Prevention and nursed back to health

        1. Exercise, enhance physical fitness, prevention of colds.
        2. Aggressive treatment of a variety of infections and to prevent the disease induced.
        3. Acute phase for more than two weeks of bed rest, and monitoring of blood pressure, urine output, heart rate and rhythm. Be edema disappeared, normal blood pressure, gross hematuria, can gradually increase activity levels.
        4. The attention appropriate to limit the amount of water, salt and protein until edema, blood pressure to normal gradually transition to a normal diet.