Chronic Nephritis (Excess Pathogenic Pattern)

Chronic glomerulonephritis (CGN) refers to a group of conditions primarily involving chronic glomerular lesions. The cause is unknown in most patients. Clinical manifestations include proteinuria, hematuria, hypertension, edema, and impaired renal function; the disease course generally lasts more than one year. Chronic nephritis was not identified by this name in ancient medical texts. Based on its symptoms and signs, chronic glomerulonephritis falls within the categories of “wind edema,” “edema,” “consumptive disease,” “kidney water,” and “low back pain” in traditional Chinese medicine (TCM).

TCM Pattern Differentiation and Medication Reference

|Common Symptoms

Clinical description:

Hot, painful, difficult urination; dark yellow or reddish urine; dry mouth; irritability; yellow, greasy tongue coating; a soggy and rapid or slippery and rapid pulse

In everyday terms:

  • Urination feels hot and difficult, with stinging pain; the urine is yellow or reddish.
  • Your mouth feels dry, and your mouth or throat may feel dry and uncomfortable when speaking or swallowing.
  • You feel restless and irritable and may find it difficult to settle down; rest may not relieve it.
  • The tongue is coated with a thick-looking, yellow, sticky coating.
  • The pulse feels soft and relatively fast, or slippery and relatively fast, when palpated.

|Treatment Approach

Clinical description:

Clear heat and drain dampness; cool the blood and stop bleeding

In everyday terms:

  • Help clear internal heat and promote the elimination of dampness and turbidity, potentially easing discomfort such as feeling feverish or irritable, heaviness in the body, or scant, dark urine.
  • Help cool the blood and stop bleeding, potentially easing manifestations such as nosebleeds, coughing up blood, blood in the stool, or pinpoint skin bleeding.

|Related Products

The products below are provided for informational reference only and do not constitute medical advice or a prescription. Refer to the product packaging and instructions, and use under the guidance of a doctor or pharmacist.

|Common Symptoms

Clinical description:

Red, swollen throat; puffy eyelids; difficulty urinating; red tongue with a thin, yellow coating; floating and rapid or slippery and rapid pulse

In everyday terms:

  • The throat is red and swollen, with an obviously inflamed appearance.
  • The eyelids look puffy and swollen.
  • Urination is difficult or not freely flowing, and may feel laborious or incomplete.
  • The tongue appears noticeably red.
  • The tongue has a thin, yellow coating.
  • The pulse is readily felt at the superficial level and is relatively fast, or feels slippery and relatively fast when palpated.

|Treatment Approach

Clinical description:

Clear and drain damp-heat; resolve toxins and reduce swelling

In everyday terms:

  • Help clear damp-heat, potentially easing discomfort such as bodily heaviness, a bitter taste in the mouth, dark urine, or difficulty urinating.
  • Help dispel pathogenic factors and reduce swelling, potentially easing manifestations such as red, swollen sores, a sore throat, or skin lumps.

|Related Products

The products below are provided for informational reference only and do not constitute medical advice or a prescription. Refer to the product packaging and instructions, and use under the guidance of a doctor or pharmacist.

|Common Symptoms

Clinical description:

Difficulty urinating; frequent urination; urgency or painful urination; red tongue with a thin, yellow or greasy coating; floating and rapid or slippery and rapid pulse

In everyday terms:

  • Urination is not free-flowing and may feel difficult or incomplete.
  • You urinate more often than usual and frequently feel the need to use the bathroom.
  • You may feel a sudden, urgent need to urinate or pain when urinating, with difficulty holding urine or pain in the urethra.
  • The tongue appears noticeably red.
  • The tongue coating is thin and yellow or appears greasy.
  • The pulse is readily felt at the superficial level and is relatively fast, or feels slippery and relatively fast when palpated.

|Treatment Approach

Clinical description:

Clear heat and dry dampness; promote urination and relieve urinary dribbling

In everyday terms:

  • Help clear internal heat and dry dampness, potentially easing discomfort such as feeling feverish or irritable, bodily heaviness, or thirst with reduced urination.
  • Help promote urination and ease urinary passage, potentially easing scant, dark urine, dribbling or difficulty urinating, or a burning sensation during urination.

|Related Products

The products below are provided for informational reference only and do not constitute medical advice or a prescription. Refer to the product packaging and instructions, and use under the guidance of a doctor or pharmacist.

|Common Symptoms

Clinical description:

Shortness of breath, wheezing and coughing; fixed or stabbing low back pain; dusky-purple tongue or purple spots and patches; fine, choppy pulse

In everyday terms:

  • Breathing may become rapid, with coughing and wheezing; this may be more noticeable after activity.
  • Low back pain stays in one area or feels like a stabbing, needle-like pain, causing ongoing discomfort.
  • The tongue appears dark purple, or purple spots or patches may be visible.
  • The pulse feels fine and uneven, with a rough or hesitant sensation when palpated.

|Treatment Approach

Clinical description:

Tonify the lung and nourish the kidney; invigorate blood and resolve stasis

In everyday terms:

  • Help nourish lung and kidney qi, potentially easing discomfort such as shortness of breath, coughing, soreness and weakness in the lower back and knees, or fatigue.
  • Help promote blood circulation and resolve stasis, potentially easing manifestations such as painful bruising, localized swelling or hardness, or menstrual irregularity.

|Related Products

The products below are provided for informational reference only and do not constitute medical advice or a prescription. Refer to the product packaging and instructions, and use under the guidance of a doctor or pharmacist.

|Common Symptoms

Clinical description:

Edema and abdominal distension; epigastric fullness and poor appetite; nausea and vomiting; pale, swollen tongue with teeth marks; white, slippery coating; deep, fine pulse

In everyday terms:

  • Edema may develop, along with a full, distended abdomen; the bloating may be noticeable with movement or pressure.
  • The upper abdomen feels stuffy or uncomfortable, and appetite is poor, so you may eat less.
  • You may feel nauseated and want to vomit, and may sometimes vomit; discomfort may persist afterward.
  • The tongue is pale and enlarged, appearing swollen and broad when extended.
  • The tongue has a white, slippery coating that appears moist and slick.
  • The pulse is fine and can be felt clearly only with deeper pressure; it feels relatively weak.

|Treatment Approach

Clinical description:

Warm yang and promote qi transformation; drain dampness and promote water metabolism

In everyday terms:

  • Help warm and nourish yang and support qi transformation, potentially easing discomfort such as aversion to cold, cold limbs, soreness and weakness in the lower back and knees, or fatigue.
  • Help eliminate dampness and turbidity and promote the movement of fluids, potentially easing difficulty urinating, swelling in the lower limbs, or bodily heaviness.

|Related Products

The products below are provided for informational reference only and do not constitute medical advice or a prescription. Refer to the product packaging and instructions, and use under the guidance of a doctor or pharmacist.

Wuling Powder

|Common Symptoms

Clinical description:

Cloudy urine resembling rice-washing water, or urine with blood clots; hot, painful urination; red tongue; yellow, greasy coating; soggy, rapid pulse

In everyday terms:

  • The urine looks very cloudy, like rice-washing water, and may sometimes contain blood clots.
  • Urination causes burning, stinging, and pain, and may feel hot and difficult.
  • The tongue appears noticeably red.
  • The tongue has a yellow, sticky coating that looks thick and greasy.
  • The pulse feels soft and relatively fast when palpated.

|Treatment Approach

Clinical description:

Separate the clear from the turbid; warm the kidney and drain dampness

In everyday terms:

  • Help regulate body fluids and resolve turbidity, potentially easing discomfort such as cloudy urine, bodily heaviness, or a foggy feeling in the head and body.
  • Help warm and nourish kidney qi and promote the elimination of dampness, potentially easing aversion to cold, cold limbs, soreness and weakness in the lower back and knees, or swelling in the lower limbs.

|Related Products

The products below are provided for informational reference only and do not constitute medical advice or a prescription. Refer to the product packaging and instructions, and use under the guidance of a doctor or pharmacist.

|Common Symptoms

Clinical description:

Aching and swollen joints; foamy urine; pale, swollen tongue with white coating; deep pulse

In everyday terms:

  • Joints may ache, with pain and soreness more noticeable after activity or sitting for a long time.
  • Swelling may occur in the body or in a specific area, which may look puffy and feel full when pressed.
  • Urine may be unusually foamy, with bubbles that take a long time to disappear.
  • The tongue is pale and enlarged, appearing swollen and broad when extended.
  • The tongue has a white coating.
  • The pulse can be felt clearly only with deeper pressure, beneath the superficial level.

|Treatment Approach

Clinical description:

Dispel wind and resolve toxins; eliminate dampness and reduce swelling; relax the sinews and unblock the channels

In everyday terms:

  • Help dispel wind and pathogenic factors, potentially easing discomfort such as fever, headache, sore throat, or skin sores.
  • Help eliminate dampness and reduce swelling, potentially easing bodily heaviness, swelling in the lower limbs, or red, swollen joints.
  • Help relax the sinews and unblock the channels, potentially easing difficulty bending or extending the joints, numbness in the limbs, or aching and pain.

|Related Products

The products below are provided for informational reference only and do not constitute medical advice or a prescription. Refer to the product packaging and instructions, and use under the guidance of a doctor or pharmacist.

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