Hormone dependent nephrotic syndrome responds well to hormone therapy, however, once the hormone is reduced or stopped, rebound or recurrent episodes often occur. The traditional treatment method for these problems is to combine kidney tonifying traditional Chinese medicine with hormone reduction or withdrawal, in order to improve the remission rate and reduce the recurrence rate.
Traditional Chinese medicine for treating nephrotic syndrome: Chaifen Tang: 10 grams each of Chaihu, raw licorice, Alisma orientalis, and Cinnamomum cassia, and 10 grams each of Huangcen, Baizhu, Codonopsis pilosula, Zhufen, and Huofen, and prepared Banxia grams. For those with severe yin deficiency and excessive fire, remove the osmanthus branch and reuse the yellow qin to gram; For those with low plasma protein, add Atractylodes macrocephala, Baren, Yam, and Black Soybean.
After the hormone is reduced to a small amount, those who develop chills or lack of food nephrotic syndrome should appropriately increase the intake of licorice and cinnamon twigs; For those with both dampness and heat (such as concurrent urinary tract infections), add Tuhufen, Fengwei Grass, and Banzhilian.
For patients with nephrotic syndrome of lung and kidney qi deficiency type, Sijunzi Decoction and Liuwei Dihuang Decoction are used: raw Rehmannia glutinosa, Chinese yam, mountain Juying, red skin, rhizoma alismatis, Huofen, Codonopsis pilosula, Huang Mao, atractylodes macrocephala, and liquorice.
For patients with obvious edema and nephrotic syndrome caused by spleen and kidney yang deficiency, the prescription is Zhenwu Tang with modified: aconite, cinnamon, peeled betel nut, atractylodes macrocephala, pig aroma, Huofen, Alisma orientalis, Xianmao, Xianling spleen, and plantain;
If the edema is not obvious, add or subtract the Jinbian Shenqi Pill: aconite, cinnamon, prepared rehmannia, mountain Zhuying, Huofen, Yuansizi, Psoralea corylifolia, Roucongrong, Xianmao, Xianling spleen, etc.
For patients with liver and kidney yin deficiency type nephrotic syndrome, the formula is to use Da Bu Yin Wan with modifications: raw rehmannia glutinosa, anemarrhena asphodeloides, raw licorice root, mountain holly root, turtle shell, ligustrum lucidum, lotus root, etc.
For patients with kidney disease caused by deficiency of both qi and yin, the formula is to use Qingxin Lianzi Drink with addition or subtraction: Radix Rehmanniae, Huangqin, Maidong, Chaihu, Codonopsis pilosula, Huangmao, Fructus Euryale, Yam, Maogen, Raw Rehmannia, Ligustrum lucidum, etc.
If there is an external infection, you can choose Jingfang Baidu Powder, Yinqiao Powder, and Huoxiang Zhengqi Powder according to the symptoms; For those with both dampness and heat (complicated with urinary tract infections), add Tuhufen, Fengwei Grass, Plantago Grass, Banzhilian, etc; People with blood addiction, such as Danshen, safflower, motherwort, and Guangdi Dragon.