Patient: LI Jiahong
Gender: Male
Age: 47 years old
Chief Complain: edema in bilateral lower limbs interruptedly for 5 years,
accompanying with nausea and vomiting for 2 weeks
Physical Examination: BP150/95mmHg, R20times/min, moist rales can be heard in
bilateral lung base and heart is enlarged with low blunt sounds, heart rate
95times/min, there are pitting edema on both lower limbs of the patient, red,
swollen, fever and pain on the skin of pretibial of left lower limb, Cr 1056
Umol/L, BUN33.19mmol/L, K6.16mmol/L.
Clinical Diagnosis: Chronic Nephrotic, Renal Insufficiency in Uremia
Stage
Treatment Process: First we adopted hemodialysis to improve the symptom of
heart failure, and then applied Micro-Chinese Medicine to repair the renal
function. After 6 days’ treatment, patient sweat from head to foot, years of
cold bilateral lower limbs improved, appetite returned normal, symptoms of
nausea and vomiting disappeared, urine volume increased and diuretic could be
stopped. After 20 days’ continuous treatment, mental state improved with rosy
cheeks, edema disappeared, urine volume in 24 hours increased to about 1400ml,
urine became turbid, smell of urine became thick, red and swollen, red, swollen,
fever and pain on the skin of pretibial and left lower limb went away, creatine
level declined to 657umol/L while BUN 12.22mmol/L, K5.4mmol/L and BP
130/75mmol/L.
Analysis: Micro-Chinese Medicine can dilate renal artery and improve the
effective perfusion ability of the glomerulus, which can gradually improve the
state of high pressure and high filtration in glomerulus, thereby, the patient
can stop taking the oral hypotensor because of the decline of blood pressure,
and get rid of the diuretic due to the increase of urine volume. Its effect of
promoting blood circulation and removing obstruction channels can effectively
accelerated the systemic blood circulation, improve the microcirculatory
disturbance in intestinal mucosa and blood vessels in skin. Therefore, edema in
gastrointestinal mucous membrane can be removed, the secretion of
gastrointestinal fluid can increase, appetite improves, sweat gland unblocks
with ruddy cheeks, cellulitis have been cured, which have no good effects by
using antibiotics and other drugs for many years.
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