How does traditional Chinese medicine explain nephrotic syndrome?

(1) Causes of the disease 1. Wind evil attacks the lungs externally and is the upper source. It dominates the surface of the body and covers the fur. It is most susceptible to invasion by external evils. Once wind-cold is absorbed externally or wind-heat is absorbed above, Then the lung qi loses its circulation, cannot regulate the water channels, and flows down to the bladder, causing the wind to block the water and the wind and water to fight against each other, overflowing the skin, and causing edema. 2. Rheumatism soaks the wind and dampness, causing paralysis internally. If the paralysis syndrome persists and exogenous symptoms are repeated, it competes with the internal organs and qi, damaging the spleen and stomach, and the transportation and transformation fails. It cannot raise the clearness and lower the turbidity, transform qi and move water, and water will spread on the skin. , causing edema. Just as "Treatise on the Causes and Symptoms of Various Diseases? Symptoms of Beriberi" says: Rheumatism poisonous gas enters the inside from the feet, fights with the internal organs, and gathers and persists, so the heart and abdomen are bloated and anxious. Urgent distention is swelling. 3. Damp-heat sores, all painful and itchy sores, all belong to fire. Boils, scarlet rashes, sores that turn into pus, etc. cause abnormal gasification of body fluids. Damp-heat toxins permeate the triple burner, causing water to stop accumulating, leading to edema. For example, "Jisheng Fang? Edema" says: There are also young people who have sores due to blood heat and become swollen and full. Li Ting's "Introduction to Medicine" of the Ming Dynasty also pointed out that excessive Yang water combined with food accumulation may be caused by drinking poisonous water or sores. 4. Tiredness, internal injuries, overuse, or indulgence can consume qi and damage body fluids, affecting the spleen and kidneys, leading to spleen deficiency and loss of luck, dysfunction of absorbing subtle substances, and endogenous water-dampness. The kidneys do not control water, and water spreads across the skin, leading to edema. 5. Qi stagnation, blood stasis, internal water-dampness, blockage of qi movement, or long-term illness that does not heal, caused by qi and blood, or liver failure, qi stagnation and blood stasis, can damage the kidney collaterals. Blocked kidney meridians, blocked water channels, and poor opening and closing can cause water vapor to stagnate and form edema. (2) Pathology "Su Wen, Different Treatise on Meridians" says: Drinking enters the stomach, overflows the essence and Qi, and flows upward to the spleen. The spleen and spleen disperse the essence, and returns to the lungs, unblocks the water channels, and flows downward to the bladder. The water essence spreads all over the five meridians. parallel. This is a summary of the normal body fluid metabolism process, which involves the lungs, spleen, kidneys and triple burner. If the functions of the lungs, spleen, and kidneys are weak, and the triple burner channel is unfavorable, the movement of body fluids will be stagnant, and edema will inevitably occur. Clinical nephrotic syndrome has a series of yang symptoms in people with initial onset of edema, oliguria, fatigue, chills, dull complexion, pale tongue, etc. It is suggested that the cause of nephrotic syndrome is the inability of yang deficiency to warm water and dampness. Deficiency of Yang Qi in the body refers to the deficiency of Yang Qi in the lungs, spleen, and kidneys. In the entire process of body fluid metabolism, the yang energy in the kidneys plays a leading role. The spleen's transportation and transformation of water depends on the warming and pushing of kidney yang. The lung's dispersion, release and reduction of water depends on the cooperation of the steaming and transformation of kidney yang. The benefit of the triple energizer depends on the transfusion and qi transformation of kidney yang. Therefore, Zhang Jingyue said: All symptoms of edema are related diseases of the lungs, spleen, and kidneys. Water is the ultimate yin, so it is rooted in the kidneys; water transforms into qi, so it is marked in the lungs; water fears earth, so it is controlled in the kidneys. spleen. Broken down, the three internal organs have their own effects, but taken together, the damage is always caused by Yin, and the root of the disease is attributed to the kidneys ("Jingyue Quanshu, Swelling"). It shows that the disease of edema is always caused by deficiency of kidney yang and cannot restrict the victory of water yin. Proteinuria is one of the characteristics of nephrotic syndrome. Patients with nephrotic syndrome often have spleen and kidney qi deficiency. Long-term illness will also lead to lung qi deficiency. Insufficient spleen, abnormal transportation and transformation, unfavorable qi movement, lack of clear qi, and subtle urine leakage. Proteinuria is seen when substances are present, and the subtle substances are unable to rise, resulting in pale complexion and mental fatigue. Deficiency of kidney qi means that it is lost in sealing and storage, and cannot be absorbed firmly. The secretion of essence can also lead to the production of protein in urine. Before being lost, protein in urine is a subtle substance that makes up the human body. Traditional Chinese medicine believes that it is the basic substance that makes up the human body and is also the material basis for various functional activities of the human body. The essence of the husband is the foundation of the body ("Su Wen, Jin Kui Zhen Comments"), yang transforms into qi, and yin takes shape ("Su Wen, Yin and Yang Yingxiang Da Lun"). Long-term proteinuria further reduces the subtle substances and aggravates the deficiency of kidney yin. Therefore, the essence of nephrotic syndrome should be that the yang is insufficient and the yin is not left. Yin deficiency is caused by yang deficiency, which is caused by yang deficiency and yin. The loss of the subtle substances that perform some functions in the body and the loss of moistening of body fluids in various organs of the body will inevitably lead to more yang deficiency in the body, which is caused by yin deficiency and yang. . If it is delayed and worsened, it will inevitably lead to deficiency of both yin and yang. Water-dampness is the main pathological manifestation of nephrotic syndrome and is the result of the decline of Yang Qi in the body. "Su Wen Ni Tiao Lun" states: The kidney is the water organ and governs body fluids. Kidney deficiency causes abnormal qi transformation and water and liquid metabolism disorders. If water and dampness stops in the body, edema will occur. When dampness prevails, the yang will be weak. Water-dampness is a yin evil, which is the most harmful to people's yang qi. If the water is stopped for a long time, it will further aggravate the deficiency of kidney yang. Once the yang qi is deficient, it will be more difficult to warm up the already formed water-dampness.