Zheng deficiency refers to the deficiency of qi, blood, yin and yang and dysfunction of the organs, especially spleen and kidney deficiency. It can be divided into spleen and kidney qi (yang) deficiency, spleen and kidney qi and yin deficiency, liver and kidney yin deficiency The four types of deficiency and yin and yang deficiency are treated separately.
(1) Deficiency of spleen and kidney qi (yang). Tiredness and weakness, shortness of breath and laziness, poor appetite and abdominal distension, soreness in the waist, weak legs, light mouth and no thirst, loose stools, clear and long urination at night, and even aversion to cold, cold limbs, cold waist, weak pulse, pale tongue, and teeth. mark.
Treatment method: Replenishing qi, strengthening the spleen and kidneys.
Recipe: Xiangsha Liujunzi Decoction combined with Erxian Decoction, 10g of Agarwood, 10g of Amomum villosum, 15g of Codonopsis pilosula, 20g of Poria, 12g of Atractylodes, 6g of Zhigancao, 12g of Pinellia ternata, 10g of tangerine peel, Xianpi 10g of Mao Mao, 10g of Xianlingpi, 10g of Morinda officinalis, 15g of Astragalus, and 15g of Chinese yam. If you have cold body, cold limbs, pale complexion, soreness and coldness in the waist and knees, loose stools, long and clear urine or frequent nocturia, a pale tongue, a fat body with tooth marks, a thin or slow pulse, and severe spleen and kidney yang deficiency, You can use Shipi Yin or Jingui Shenqi Pills to warm and nourish the spleen and kidneys. This type is more common in the early stages of chronic renal failure. Symptoms of water qi and blood stasis are not revealed, and symptoms of retention of turbid evil are not severe. Deficiency is the main symptom. When using medicine, be sure to be gentle, replenish qi but do not block evils, warm the kidneys but do not damage yin and change dryness, and do not use cold and cold medicines indiscriminately, otherwise it will easily lead to other syndromes and aggravate the condition.
(2) Deficiency of spleen and kidney qi and yin. Pale complexion, shortness of breath and fatigue, weak waist and knees, dry skin, not drinking much water, or heat in the palms and soles, or lukewarm hands and feet, thin or dry stools, oligouria and yellow color, long and clear nocturnal urine, heavy and thready pulse, tongue Light tooth marks.
Treatment: Replenish qi and nourish yin.
Recipe: Flavored Shenqi Rehmannia Decoction, 10g ginseng (decoction separately), 30g astragalus, 15g rehmannia glutinosa, 15g poria, 20g yam, 10g paeonol, 10g cornus, 20g heterophylla, Ophiopogon japonicus. 30g, 15g wolfberry, 12g angelica, 10g tangerine peel, 10g amomum villosum. If the spleen deficiency is more obvious and the complexion is dull, the patient has anorexia, abdominal distension, and loose stools, you can use Xiangsha Yangwei Decoction to strengthen the spleen and replenish qi; if the main problem is kidney qi deficiency and you see soreness and weakness in the waist and knees, and clear urine, you can use it Jinkui Shenqi Pills are used to warm and nourish kidney qi; if the qi and yin are insufficient, causing palpitation and shortness of breath, Shengmai Powder can be combined with Shengmai Powder to nourish heart qi and nourish heart yin. Products that replenish qi and nourish yin may cause stagnation in the middle and hinder the stomach, especially for patients with chronic renal failure who have spleen and stomach deficiency and retention of dampness and turbidity. Improper use may aggravate the condition and cause retention of turbidity and toxins. Therefore, during use, It should be supplemented with medicines that can widen the middle and move the qi to prevent strengthening the body and retaining evil.
(3) Liver and kidney yin deficiency. Dizziness and headache, dry mouth and tongue, thirst for cold drinks, five upset stomachs and heat, general weakness, soreness and weakness in the waist and knees, dry and hard stools, oliguria and yellow urine, light red tongue without coating, heavy and thready pulse or stringy pulse.
Treatment: Nourish the liver and kidneys.
Prescription: Qiju Dihuang Pills combined with Erzhi Pills plus flavor, 15g wolfberry, 15g chrysanthemum, 20g rehmannia, 15g yam, 10g cornus, 15g poria, 10g paeonol, 10g Alisma, 15g Ligustrum lucidum, Eclipta 15g, Polygonum multiflorum 18g, fried Eucommia 12g. If the liver wind is internally active and the wind yang is disturbed, causing headaches, dizziness, and upset stomach, Lingjiao Uncaria Decoction and Gastrodia Uncaria Decoction can be used to calm the liver and calm the wind. Patients with this type are often clinically accompanied by symptoms of high blood pressure and blood stasis. During treatment, attention must be paid to controlling the development of hypertension, improving blood stasis symptoms, and reducing the damage to the kidneys caused by high blood pressure and blood stasis.
(4) Deficiency of yin and yang. Extreme fatigue, fear of cold, cold limbs, hot hands, feet, and heart, dry mouth and desire to drink, soreness and weakness in waist and legs, loose stools, yellow and red urine, heavy and thin pulse, pale white tongue with tooth marks.
Treatment method: nourishing both yin and yang.
Recipes: Quanlu Pills ("Jingyue Complete Book"), 10g of deer antler glue (tablets), 10g of Morinda officinalis, 5g of Zihe Che Powder (taken as a drink), 3g of Cordyceps sinensis, 10g of Xianlingpi , 15g Cistanche deserticola, 15g Astragalus membranaceus, 20g stir-fried Rehmannia glutinosa, 10g cornus, 15g wolfberry, 15g Poria cocos, 10g Chinese yam, 20g Chinese yam, 15g Plantago (cloth bag), 15g Chinese angelica, 10g tangerine peel. Due to injuries to both yin and yang, patients with this type have severe and varied conditions, so they should be treated with caution. If the medicine is too harsh and harsh, it will consume qi and damage liquid, and the deficiency of righteousness will be even worse; if it is too bitter and cold, it will damage the heart and stomach, and turbid evil will arise; if it is too pungent and dry, it will deplete yin and destroy yang, and the yin and yang will be separated, and life will be in danger.