(1) External medicine
a. Decoct Radix Aconiti Lateralis Praeparata (Fuzi) 10- 30 g, Muli (Concha Ostreae ) 30 g and Tufuling (Rhizoma Smilacis Glabrae) 30 g in water, concentrate the decoction to 200 ml, then add Shengdahuang (Radix et Rhizoma Rhei) 10 g to decoct for 1 - 3 minutes, collect the decoction in a bottle for later use. Apply the decoction for retention enema at 2 to 3 PM. Control the drop speed at about 100 drops per minute, complete the process in about 20 - 30 minutes, and retain for 2 – 4 hours. It is advisable to induce 2 or 3 motions daily. This can be adjusted by the amount of Shengdahuang (Radix et Rhizoma Rhei ) as well as the time of decocting it. A course of treatment usually lasts two consecutive weeks,then the second course may be resumed after an interval of 5 to 7 days. Usually 2 to 4 courses of treatment are necessary for azotemia and uremia.
b. Decoct Muli ( Concha Ostreae ) 30 g and Pugongying (Herba Taraxaci) 30 g in water, then add Radix et Rhizoma Rhei (Dahuang)10 g to collect about 200 ml of the decoction for retention enema once daily. This is indicated for chronic nephritis with renal failure.
c. Apply Moschus (Shexiang) 0.3 g on the umbilicus, crush a live crucian into a mash, spread the mashed crucian on Moschus (Shexiang) and cover it with oil paper, then with gauze and adhesive plaster, and immobilize the dressing with bandage. Remove the dressing after 24 hours. This is indicated for acute onset of chronic nephritis with generalized edema, scanty
urine, dyspnea, etc.
d. Crush Dasuan (Bulbus Allii) 120 g and Natrii Sulfas (Mangxiao) 60 g into a mash, wrap the mash with a piece of gauze, and put it on the renal regions for 4 hours. Apply the therapy for 3 consecutive days. This is indicated for chronic nephritis with severe edema.
(2) Acupoints Massage
1) Acupoints selected: Shenmen (HT 7), Hegu (LI 4), Neiguan (PC6), Yangxi (LI5), Baxie (EX- UE 9), Yanggu (SI 5), Shenshu (BL23), Pangguanshu (BL28), Tianshu (ST25), Taichong (LR 3), Sanyinjiao (SP6).
2) Manipulation: Apply pressing manipulation to each acupoint for 3-5 minutes until a local soreness, distention and numbness sensation occurs. Manipulate it 2-3 times a day.
(3) Guasha Therapy
1) Back: Shenshu (BL23), Pishu (BL20), Mingmen (GV4); Waist: Zhongwan (CV12), Guanyuan (CV4), Shangwan (CV13), Qihai (CV6), Shuidao (ST28); Lower limbs: Sanyinjiao (SP6), Zusanli (ST 36), Taixi (KI3).
2) The angle between the Guasha board and the skin to be scraped is 45 degree.The manipulator should scrape from the upper to the bottom, inner to outer for about 30 times with comfortable strength for the patient, and repeat it until a local red skin occurs.
(4) Cupping Therapy
1) Acupoints selected:
a. Zhishi (BL52), Weicang (BL50), Jingmen (GB25), Daheng (SP 15).
b. Tianshu (ST25), Qihai (CV6), Yaoyangguan (GV3), Zusanli (ST 36), Sanyinjiao (SP6) and area in the spinous rocess of 11th -12th throacic vertebra , area in the spinous rocess of 1st -2nd lumbar vertebra and area below the 17th vertebra.
2) Manipulation:
a. Select the first group of acupoints, apply simple cupping manipulation or acupuncture with filiform needle to the acupoints for 10-15 minutes, once a day.
b. Select the second group of acupoints, apply simple cupping manipulation or cupping manipulation with warm water to the acupoints for 10-15 minutes, once a day or twice a day.
(5) Pedicure
Basic reflection areas: kidney, ureter, bladder, adrenal gland.
Related reflection areas: solar plexus, lymph gland of the upper and lower body.
Symptom reflection areas: lungs, liver, spleen, stomach, large intestine.
Reflexotherapy is taken up of 10-15 times as a course of treatment, 30-40 times each time, 1-2 times each day, repeat it after 1-2 days. Soak both feet with light salt water to recover the sensitivity of feet to massage.
