The treatment of urinary calculi by Chinese medicine is characterized by improving physical fitness, eliminating the pathological state of calculi and promoting the discharge of calculi. According to the different local and systemic manifestations of urolithiasis patients, TCM can roughly divide them into three categories.
(1) Damp-heat of bladder: Damp-heat invades the bladder due to excessive eating and drinking, spleen and stomach damage, endogenous damp-heat, or exogenous pathogens and unclean vulva;
(2) Qi stagnation and blood stasis: qi stagnation and blood stasis lead to stone formation and urethral obstruction;
(3) Deficiency of both spleen and kidney: Deficiency of kidney yin leads to internal heat and injury of body fluid, which is concentrated into stones after long-term decoction; Yang deficiency of spleen and kidney leads to retention of water and dampness, alternating damp and heat, which accumulates in bladder and leads to the formation of stones.
Which single Chinese herbal medicines have the function of removing stones?
Commonly used single Chinese herbal medicines with the function of dissolving and removing stones include Lysimachia christinae, Lygodium japonicum, Pyrrosia, Talcum, Malvaceae, Polygonum Aviculare, Dianthus Dianthi, Endothelium Corneum Gigeriae Galli, Stigma Maydis, Achyranthes bidentata, Plantago, etc. Generally, it can improve the curative effect on the basis of syndrome differentiation and treatment.
What are the common Paishi soups?
Traditional Chinese medicine has the characteristics of obvious curative effect, low price and no toxic and side effects, especially for small stones. It can make up for the defects of poor or ineffective effect of surgery and extracorporeal lithotripsy on small stones and sediment-like stones, reduce the toxic and side effects of antibiotic treatment, and is worthy of popularization and application. The following are commonly used clinical Paishi Tang:
(1) Bazheng Powder (5g of medulla tetrapanacis, 3g of Semen Plantaginis, Polygonum aviculare, Herba Dianthi, talc and Fructus Gardeniae10g, 3g of Radix Glycyrrhizae and 3g of Radix et Rhizoma Rhei). This prescription is mainly suitable for "damp-heat betting", which can clear away heat and promote diuresis, relieve stranguria and expel stones.
Type I urolithiasis. The clinical features are: aversion to cold and fever, low back pain, short abdomen, short and red urine frequency, unbearable astringent pain when drowning, endless dripping, yellow and greasy tongue coating.
(2) Jiawei Pyrrosia Decoction (10g Pyrrosia, Malva, Dianthus, Talcum, Plantaginis). This recipe can promote the circulation of qi, remove blood stasis, relieve stranguria and expel stones, and is mainly suitable for "qi stagnation and blood stasis"
Type I urolithiasis. The clinical features are: dull or dull pain in the waist; Or urination is interrupted, and the pain is severe, and the pain is relieved after sand discharge; Or colic, which leads to less abdomen, frequent attacks, dark red tongue or ecchymosis.
(3) Liuwei Dihuang Pill (Radix Rehmanniae Preparata, Rhizoma Dioscoreae, Corni Fructus, Poria, Alisma orientalis, Cortex Moutan, Malvaceae, Dianthus Dianthi, Talcum each 10g). This recipe can promote qi circulation, nourish yin and tonify kidney, relieve stranguria and expel stones, and is mainly suitable for "kidney yin deficiency"
Type I urolithiasis. Clinical manifestations are: dizziness, tinnitus, backache and leg pain, dripping or uncomfortable urine, insomnia and dreaminess, sometimes low fever, palpitation and shortness of breath, vexation and fever, red tongue or less fur.
(4) Shenqi Pill (3 grams of aconite, 2 grams of cinnamon, 65,438 00 grams of Radix Rehmanniae Preparata, 65,438 05 grams of Chinese yam, Cornus officinalis, Poria cocos, Alisma orientalis, Cortex Moutan, Dianthus dianthi, talc, Plantago asiatica and cornu Cervi Degelatinatum). This recipe can warm and tonify kidney-yang, relieve stranguria and expel stones, and is mainly suitable for urolithiasis of kidney-yang deficiency type. The clinical manifestations are: soreness of waist and legs, listlessness, frequent or unfavorable urination, nocturia, pale face and pale tongue with fur.