Oedema (Nephritis)
Terms
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Clinical Manifestations:
edema of eyes & face with sudden onset, aversion to cold, fever, aches in muscles, retention of urine. Acute facial edema
TB: no change
TC: no change
P: floating-slow -
Wind-Water invading the
Wei Qi layer
causing
Yang Edema
TP:
Release Exterior, expel Wind,
open the water passages,
stimulate the Lung's
dispersing of fluids -
Acupuncture:
LI-4, SJ-5, LU-7, BL-12, BL-13: release the exterior, expel Wind, & restore the Lung's dispersing & descending function
LI-6: opens the Water passages & resolves acute edema of upper limbs & face
LI -
Treatment for
Wind-Water invading the Wei Qi
causing
Edema -
Clinical Manifestations:
Edema of any part of the body, sores, carbuncles or furuncles
TB: red
TC: sticky-yellow
P: slippery-rapid -
Fire Poison
causing
Yang Edema
TP:
Tonify Lungs & Spleen,
drain Dampness,
clear Heat,
& resolve Fire-Poison -
Acupuncture:
Ren-12 & BL-20: tonify Spleen to resolve Dampness & edema
Ren-9, ST-28, BL-22: promote transformation of fluids & resolve edema
SP-9: resolve dampness
LU-7: stimulate Lung's Dispersing & -
Treatment for
Fire Poison
causing
Yang Edema -
Clinical Manifestations:
Edema of whole body or legs, scanty urination, feel heavy, feel oppression in chest
TB: swollen
TC: sticky
P: slippery -
Dampness
causing
Yang Edema
TP:
Strengthen Spleen, resolve Dampness,
benefit Yang, & resolve edema -
Acupuncture:
Ren-12, BL-20, BL-21, ST-36: tonify Spleen & Stomach
Ren-9, ST-28: resolve edema
Ren-6: moxa, tonifies & moves Yang-Qi which helps to move & transform fluids & resolve edema
SP-9, SP-6: r -
Treatment for
Dampness
causing
Yang Edema -
Clinical Manifestations:
Edema of legs or abdomen, thin & shiny skin, a feeling of oppression in chest, thirst no drink, scanty-dark urine, ~loose stools with strong smell, moist constitution
TB: not important
TC: sticky-yellow -
Damp-Heat
causing
Edema
TP:
Clear Heat & resolve Dampness -
Acupuncture:
LI-11: resolves damp-heat & clears heat
SP-9, SP-6: resolve damp-heat from LJ
Ren-9: promote transformation of fluids & separates clear from turbid. Resolves edema
ST-28: promotes the transformat -
Treatment for
Damp-Heat
causing
Yang Edema -
Clincal Manifestations:
Edema of the abdomen and/or legs, pitting on pressure, feeling of oppression of chest & abdomen, loose stools, pale face, tiredness, scanty urine, ~cold limbs, poor appetite
TB: pale, swollen, teethmarks, moist -
Spleen-Yang Xu
causing
Yin Edema
TP:
Tonify & warm the Spleen
& resolve edema -
Acupuncture:
Ren-12, ST-36, BL-20, BL-21, SP-6: tonify Spleen & Stomach
Ren-6: tonifies Qi in general & helps to resolve edema
Ren-9, ST-28, BL-22: promote the transformation of fluids & resolve edema
Her -
Treatment for
Spleen Yang Xu
causing Yin Edema -
Clinical Manifestations:
edema of the whole body or legs, pitting on pressure, sore back & knees, feeling cold especially in the back & legs, urination scanty or profuse but very pale, tiredness, depression, bright-white complexion
-
Kidney Yang Xu
causing
Yin Edema
TP:
Tonify & warm the Kidneys
& resolve edema -
Acupuncture:
Ren-4: moxa, tonify Kidney Yang
BL-23, KI-7: tonify Kidney Yang
BL-20, ST-36: tonify Spleen
BL-22, ST-28: resolve edema
Herbal:
Jin Gui Shen Qi Wan
(add wu ling san) -
Treatment for
Kidney Yang Xu
causing
Yin Edema -
Clinical Manifestations:
Edema of face & eyes of sudden onset gradually spreading to limbs, shiny skin, pitting resolves quickly, aversion to cold, fever, sore throat, body aches, cough, course breathing
TB: slightly red on sides
-
Edema from
Invasion of External Wind-Water
TP:
Expel Wind-Water, release the Exterior, promote sweating -
Clinical Manifestations:
Sallow complexion, anemia, whole body edema, ache in lower back, abdominal fullness, chilliness, mental depression, loose stools, cold limbs, scanty or profuse urine, pronounced albuminuria
TB: pale & swollen -
Chronic Nephritis
Spleen- & Kidney-Yang Xu,
Water Overflowing
TP:
Warm the Kidneys, Strengthen Yang,
Stoke the Fire of the Ming Men,
Strengthen the Spleen, Eliminate Water -
Acupuncture:
ST-36, KI-7, Ren-12, BL-20, BL-23:
Tonify Spleen- & Kidney-Yang (moxa)
SP-6, SP-9, BL-22, Ren-9: eliminate dampness & edema (even method)
Herbal:
Bu Zhong Yi Qi Tang -
Treatment for
Spleen- & Kidney-Yang Xu
Water Overflowing
causing Chronic Nephritis -
Clinical Manifestations:
withered & sallow complexion, mental depression, soreness of lower back, weakness of knees, diarrhea, pronounced albuminuria, severe & chronic Spleen & Kidney deficiency
TB: pale
P: weak -
Spleen & Kidney Xu
Essence Leaking
causing Chronic Nephritis
TP:
Strengthen Spleen,
tonify Kidney-Yang,
nourish Yin & Essence -
Acupuncture:
BL-20, BL-23, Du-4, KI-7: tonify & warm Spleen & Kidneys
SP-4, PC-6: open the chong mai (penetrating vessel) thus relieve stagnation in chest
Ren-13: stop vomiting, subdue rebellious stomach qi
R -
Treatment for
Spleen & Kidney Deficiency
Essence Leaking
causing Chronic Nephritis -
Clinical Manifestations:
lower back-ache, difficulty in walking, chilliness, tinnitus, dizziness, blurred vision, profuse urination at night, palpitations, breathlessness, dull headache, ~ pain in limbs
TB: Pale, ~ bluish-purple
TC: -
Kidney- & Heart Yang Xu,
Qi-Blood Stagnant
causing Chronic Nephritis
TP:
Tonify Kidney & Heart,
Warm Yang,
Move Qi & Blood -
Acupuncture:
ST-36, KI-7, BL-20, BL-23: tonify Spleen- & Kidney-Yang (moxa)
BL-15: tonify Heart-Yang (moxa)
SP-6, SP-9, BL-22, ST-28, Ren-9: eliminate dampness & edema (reduce or even)
Herbal:
Yi Shen To -
Treatment for
Kidney- & Heart-Yang Xu
Qi-Blood Stagnant
causing Chronic Nephritis