Clinically, according to the degree of edema, it is divided into three degrees: mild, moderate and severe.
Mild: Edema only occurred in eyelid, suborbital soft tissue, subcutaneous tissue of tibia and ankle. After acupressure, there may be a slight depression in the tissue, which will heal quickly. Sometimes early edema is just rapid weight gain without signs of edema.
Moderate: edema can be seen in all loose tissues of the whole body, and obvious or deep tissue depression can appear after finger pressing, which is calm and slow.
Severe: severe edema of the whole body tissue, tense and shiny skin of the lower body, and even fluid exudation, sometimes accompanied by pleural effusion, peritoneal effusion and hydrocele of tunica vaginalis.
(1) Dispelling lung and promoting diuresis: Fever, aversion to cold, aversion to wind, headache, limb joint pain, cough, thin and white tongue coating, floating pulse, etc. are mainly caused by wind evil. Edema first appears on the face and then spreads to the whole body, which is unfavorable for urination. This kind of edema is called geomantic omen, which is more common in acute attack of chronic nephritis. Commonly used prescriptions include Yuemai Jiashu Decoction and Mahuang Forsythia Red Bean Decoction. Commonly used drugs include Herba Ephedrae, Gypsum Fibrosum, Ginger, Atractylodis Rhizoma, Radix Saposhnikoviae, Cortex Mori, Flos Lonicerae, Fructus Forsythiae, Herba Menthae, Radix Peucedani, Semen Phaseoli, Semen Plantaginis, Rhizoma Alismatis, Rhizoma Imperatae, and Herba Leonuri.
(2) diuresis and detumescence: edema all over the body, especially below the waist, weight loss, fatigue, scanty urine, anorexia, chest tightness, greasy fur and thready pulse. The commonly used prescription is Wuling Powder combined with Wupi Drink, and the commonly used drugs are Poria, Polyporus, Alisma orientalis, Atractylodis Rhizoma, Ramulus Cinnamomi, Cortex Mori, Pericarpium Arecae, Ginger Peel, Pericarpium Citri Tangerinae, Poria Peel, etc. Herba Ephedrae, Semen Armeniacae Amarum and Semen Lepidii are added for patients with upper body edema or even asthma; Tetrandra root, Sichuan pepper, magnolia bark, etc. are used for lower body swelling. For example, excessive damp-heat, upset and thirsty, short and red urine, constipation, yellow and greasy fur, yellow increase, Akebia Akebia, Cirsium japonicum and so on.
(3) Warming the middle warmer and strengthening the spleen, promoting qi circulation and promoting diuresis: This method is suitable for people with spleen-yang deficiency and weak constitution. The main clinical manifestations are edema of lower limbs, difficulty in recovery, chest tightness, loose stool, sallow complexion, listlessness, cold limbs, short and red urine, pale tongue with white fur and slow pulse. The commonly used prescription is Shipiyin, and the medicines are Poria, Atractylodis Rhizoma, Radix Aconiti Lateralis Preparata, Zingiberis Rhizoma, Magnolia Officinalis, Radix Aucklandiae, Pericarpium Arecae, Fructus Chaenomelis, Fructus Tsaoko, Radix Glycyrrhizae, Polyporus, Alismatis Rhizoma, Radix Codonopsis, Radix Astragali, etc. You can add.
(4) Warming kidney and promoting diuresis: it is suitable for patients with kidney yang decline. The main manifestations are high edema all over the body, especially below the waist, soreness in the waist and knees, cold limbs, fatigue, short and red urine, pale and fat tongue with teeth marks and weak pulse. Commonly used prescriptions include Zhenwu decoction. The medicine comprises Poria, Atractylodis Rhizoma, Radix Paeoniae Alba, Radix Aconiti Lateralis Preparata, Rhizoma Zingiberis Recens, Cortex Moutan, Alismatis Rhizoma, Rhizoma Dioscoreae, Corni Fructus, Cortex Cinnamomi, etc.
(1) The main symptoms of yang water: sudden onset, slight swelling of the face at first, then swelling of the whole body, bright skin, bright vaginal cyst, chest tightness and shortness of breath. Or cold without sweat, white and slippery fur, tight pulse; Or sore throat, thin yellow fur and floating pulse.
Treatment: mainly take points of lung and spleen meridians. Acupuncture is used to tonify deficiency and stop diarrhea, to disperse lung and relieve exterior syndrome, and to promote diuresis and diuresis; Yin-water therapy should be used for pathogenic retreat.
Prescription: Legqog Hegu is beneficial to the whole stomach of Yinling. Formula 1: Shui Yang is caused by lung-qi failure and stagnant water. Swelling above the waist is suitable for sweating, so Lieque and Hegu sweat to relax muscles and relieve lung qi; Swelling below the waist is beneficial to urination, so taking Pianli and Yinlingquan to facilitate urination to eliminate edema; Weiyang is the point where the triple energizer meets the lower energizer, which can adjust the gasification function of the triple energizer and eliminate edema.
(2) The main symptoms of cloudy water: slow onset, tarsal edema gradually reaching the whole body, body swelling, especially below the waist, and depression, slow recovery, dull skin and short urination. Or hold your breath, reduce loose stool, weakness of limbs, white greasy tongue coating and slow pulse; Or backache and leg weakness, chills and cold limbs, mental fatigue, pale tongue with white fur, heavy and thin pulse and weakness.
Treatment: Points of Foot Taiyin and Shaoyin Meridian are the main points. Acupuncture supplemented with moxibustion can warm spleen and kidney, promote diuresis and reduce swelling.
Prescription: the water of spleen and kidney is restored to Guanyuan Sanyinjiao prescription; Yin water is caused by yang deficiency of spleen and kidney. Acupuncture warms spleen and kidney, and promotes the gasification of triple energizer. Moxibustion is beneficial to water and eliminates edema; Moxibustion Guan Yuanpei tonifies the yuan, and the temperature supplements the lower coke; Tonifying Sanyinjiao, invigorating spleen and promoting diuresis.
"other therapies"
Ear points: lung, spleen, kidney, triple energizer, bladder and subcortical method: Take 2-3 points at a time, once every other day. You can also bury beans in ear acupuncture points.
1, winter melon soup
Method: about 500g of gills, scales and viscera are removed, 500g of wax gourd is cut into small pieces, 20g of onion is washed, appropriate amount of water is added, the fish soup is cooked until it is thick, a little salt is added, and it is eaten while it is hot. If the market is lacking, crucian carp can be used instead.
Indications: All kinds of edema are suitable for taking.
Contraindications: people with body odor will sweat after eating onions, and the odor will increase. Those with poor renal function should be taken in proportion, because carp contains a lot of protein.
2. Beef soup
Methods: 500 grams of beef, 30 grams of dried ginger, 30 grams of vinegar and a proper amount of water were cooked together until the beef was cooked. Eating meat and soup can help with meals. Beef can be washed with yellow cattle or buffalo. Rice vinegar for vinegar.
Avoid: suitable for edema caused by various reasons. However, people with severe renal function damage and metabolic acidosis should not take it.
3. Fuling cake
Method: Grind Poria into powder, add the same amount of japonica rice powder and white sugar, thicken with water, and then fry and bake pancakes with slow fire as dessert.
Bogey: It can be used for all edema, especially idiopathic edema, because it has diuretic, repercussive and calming effects. This recipe is high in sugar and is not suitable for diabetics.
4. Corn beard, cogongrass rhizome and coix seed porridge: 50 grams of corn beard, cogongrass rhizome and coix seed. First, cook the corn stigma, remove the residue, and cook the coix seed with its juice.
5, melon skin and glutinous rice porridge: 50 grams of winter melon skin, watermelon skin and glutinous rice. Boil the peel in water first, and then cook for 10 minutes. Remove the residue, and cook Coicis Semen with its juice.
6. glutinous rice porridge of reed rhizome and bamboo leaves: 50g of reed rhizome, 50g of bamboo leaves and 50g of glutinous rice. First, put reed rhizome and lophatherum gracile in water and cook for 10 minute to remove residues. Boil coix seed with its juice.
7, a wild duck, unhairing, take out the internal organs from the opening of * * *, put 30 grams of garlic without leather into the duck's belly, sew the incision, steam cooked food (light food is appropriate), eat one every two days and eat a few pieces. Can be used for treating chronic nephritis edema and malnutrition edema.
8. Treat spleen edema or diarrhea. : 1 pork belly, washed with salt, stuffed with water and sent to 40 lotus seeds, put in a pot and boiled with water, and then take out the pork belly and shred it; Take out the lotus seeds and put them in a plate with pork bellies. Add sesame oil, salt, onion, ginger and garlic and mix well to taste. Has effect in invigorating spleen, regulate stomach, tonifying deficiency and relieving diarrhea. Suitable for poor diet, eating less and wasting away, diarrhea due to spleen deficiency and edema.
10, wild duck red bean soup: a wild duck, unhairing and eviscerating, red bean 10-50g, dried tangerine peel 3g (or peanut 100g, winter melon peel 50g), served with boiled soup. Can be used for treating malnutrition edema and chronic nephritis edema.