Using Berberine Wendantang Main Treatment For Chronic Kidney Disease (3b-5 Period) Experience In Clinical Research And Analysis Damp-heat Syndrome

Huanglian wendan tang has long been widely used in diseases of such as multiple clinical disciplines:the digestive system, cardiovascular system disease, spirit and diseases of the nervous system, endocrine system disease and kidney disease. The physicians in all the subjects like using in it because of the distinct curative effect. Chronic renal failure subjects manifested as deficiency syndrome mingled with excess syndrome, Zheng qi deficiency and excess syndromes. In the excess syndrome,turbid damp cases are the main. Patients will appear ou evil, dry mouth, bitter mouth stick, vomit saliva, food not xin, or even stay and the diagnosis bilge full, abdominal distension, thick white greasy tongue coating or yellow greasy, slippery tongue veins disease such as pulse string. The treatment of traditional Chinese medicine in the treatment of chronic renal failure should be based on syndrome differentiation.We must seize the biao, take urgent symptoms to remove real evil, slow fundamental to solid upright; Specimens and eliminate pathogenic righting simultaneously. Even if such patients have deficiency syndrome, but remove the real evil first. Huanglian wendan tang is preferred to remove turbid damp.This paper can be divided into three parts, including literature review, clinical study and analysis of knotty cases. And then, it expounds the experience of Huanglian wendan tang treatment of chronic renal insufficiency or hot and humid embodiment in the damp and hot resistance card and summarized experience of mentor clinical uses Huanglian wendan tang for the treatment of kidney disease.The literature review part, mainly introduces the origin, class party of Huanglian wendan tang, modern clinical research progress and general situation research in traditional Chinese medicine treaing chronic renal failure. Clinical study part, through to the48patients with chronic renal insufficiency, hot and humid embodiment card using Huanglian wendan tang as the main prescription treatment for clinical research, to evaluate the clinical curative effect, and then, to summarize the experience of Yu Ren huan, who is a professor of cl inical, uses Huanglian wendan tang to treatment chronic renal failure.During the period from in September2011to January2014, we enrolled48patients with a diagnosis of chronic renal failure into this research and score The TCM syndrome for them. Statistical analysis was performed with two groups of related non-parameters Wilcoxon symbols test to test the change of in before and after treatment serum creatinine and24hours urinary protein quantitative and TCM syndrome integral comparison with matching-t-test. After treatment, patients with laboratory indexes improved, there exists significant difference compared with before treatment (P<0.05) in serum creatinine and24hours urinary protein quantitative value. Show that Huanglian wendan tang has obvious effect to delay the renal progress. TCM syndrome curative effect:clinical control at20.8%; Total effective rate of83.33%. The patients with clinical symptoms improved so. The effect is ideal in Huanglian wendan tang to treatment ou, mouth, gooey trapped, body weight, yellow greasy moss, eat less, stay for the treatment of damp heat syndrome. Clinical symptoms at the same time as the languid, lumbar debility, pharynx dry dry mouth, five upset hot, cold, and cold limbs, shortness of breath lazy words such as qi deficiency, Yin deficiency and Yang deficiency syndrome have also improved, that Huanglian wendan tang has auxiliary role in the recovery of patients with upright. From the above research results, Huanglian wendan tang is the treatment of chronic renal insufficiency which is one of the effective prescription of damp heat syndrome patients, can effectively delay the progress of renal function, and improve the clinical symptoms of patients. Finally by8clinical cases, display professor Yu Ren huan use Huanglian wendan tang’s clinical experience in the treatment of chronic kidney disease and syndrome differentiation characteristics.Mentor professor Yu Ren huan attention from the spleen and stomach treatment of chronic kidney disease (CKD). Spleen and stomach in zhongzhou, spleen main litres of qing dynasty, stomach advocate material to lift. If the spleen and stomach illness, will affect the water wet or transport of water and to di qi activity indicates lag. In the clinical, useingof Huang lian wendan tang teacher always adhere to the "keep pathogenesis""for syndrome differentiation, treatment for this""urgent, treats the delay is fundamental" principle, has obtained the good clinical curative effect.