What is deficiency of kidney-qi?

Deficiency of kidney qi is a kind of kidney deficiency and a term of traditional Chinese medicine. It refers to the deficiency of kidney-qi, the decline of growth and reproductive function, and the lack of the right to intake. Clinically, there are both symptoms of kidney deficiency syndrome and manifestations of qi deficiency syndrome. The main symptoms are shortness of breath, spontaneous sweating, mental fatigue, pale face, nocturnal emission, premature ejaculation, endless dripping after urination, frequent urination, soreness of waist and knees, hearing loss, tepid limbs and weak pulse. The treatment is mainly to tonify the kidney.

The kidney is a part of the urinary system. In traditional Chinese medicine, the kidney belongs to one of the five internal organs. Kidney is the innate foundation of human life, which is related to human survival and reproduction. The profit and loss of kidney qi not only reflects the health status of kidney and its related tissues, but also represents vitality. The so-called kidney deficiency and kidney deficiency in the manifestations of kidney deficiency diseases include qi and blood circulation of kidney and kidney meridian, or organs and tissues whose functions are related to kidney, such as urinary system, reproductive system and endocrine system, etc. Some concepts are different from those called kidney in modern medical anatomy.

The cause of disease

There are five main reasons for the formation of kidney-qi deficiency syndrome:

1. Kidney-qi deficiency in the elderly;

2. Young kidney qi is not full;

3. Excessive consumption of essence and gas during sexual intercourse;

4. Long-term illness hurts the kidney or the body is yang-deficient;

5. Chronic cough and asthma, lung deficiency and kidney deficiency, kidney qi consumption, kidney qi deficiency and failure, and qi failure.

Due to the above reasons, kidney qi is insufficient, and intake is not entitled.

clinical picture

There are seven main clinical manifestations of kidney-qi deficiency:

1. The waist and knees are weak and weak;

2. Frequent urination, or endless urination, or nocturia and enuresis;

3. Men have nocturnal emission and premature ejaculation, and women have more semen;

4. Irregular menstruation or restless fetal movement, and slippery fetus;

5. Coughing after a long illness, breathing more and inhaling less, shortness of breath, and difficulty breathing during activities;

6. Pale and tired;

7. The tongue is pale and white, and the pulse is thin or heavy.

The above clinical manifestations are soreness and weakness of the waist and knees, which is caused by deficiency of kidney qi and loss of support of bones; Frequent micturition, or endless micturition, or nocturia and enuresis are kidney-qi deficiency and bladder failure; Male nocturnal emission and premature ejaculation, female leucorrhea is too much, because the essence is not solid; Irregular menstruation or restless fetal movement, slippery abortion. Because the essence of Chong Ren is kidney, kidney qi is not solid, Chong Ren stands up or loses nutrition; Cough and asthma due to chronic illness, shortness of breath, and severe asthma due to exercise are caused by deficiency of both lung and kidney, insufficient breath intake and no return of qi; Pale face, mental fatigue, qi deficiency, lack of yang, can not cheer up; Pale and white tongue, thin or heavy pulse, indicating qi deficiency.

Because of the different constitution and etiology, the clinical manifestations are also different.

The symptoms of kidney deficiency are manifested in brain power: inattention, lack of energy, decreased work efficiency and decreased memory; Memory loss; The emotional manifestations of kidney deficiency are: bad mood, often out of control, dizziness, irritability, anxiety and depression. The symptoms of kidney deficiency are: lack of self-confidence, lack of self-confidence, no enthusiasm for work, no passion for life, no goal and direction; The symptoms of kidney deficiency are manifested in sexual function: decreased sexual function, decreased male libido, impotence or impotence, nocturnal emission, nocturnal emission and premature ejaculation. Microscopic examination found that sperm decreased or sperm motility decreased, leading to infertility. Female uterine dysplasia, such as immature uterus, premature ovarian failure, amenorrhea, irregular menstruation, low libido, infertility and so on. Symptoms of kidney deficiency may also include: premature aging, forgetfulness, insomnia, loss of appetite, bone and joint pain, weakness of waist and knees, fatigue, decreased vision and hearing. Hair loss, gray hair, hair loss or premature graying, loose teeth, etc. There are also premature aging, eye bags, dark circles, dull skin, rough and dry skin, wrinkles, spots, acne in the middle and long term, and skin inelastic; Voice gradually hoarse, female breasts began to droop, waist and abdomen fat accumulation; Male premature baldness, etc. All belong to the category of kidney deficiency.

Generally, if the clinical manifestations are frequent urination, or endless urination, or nocturia and enuresis; Or male nocturnal emission and premature ejaculation, female leucorrhea is more; Or menorrhagia, fetal movement restlessness, and fetal slip can be identified as kidney qi instability.

If the clinical manifestations are chronic cough and asthma, breathing more but inhaling less, shortness of breath, and severe asthma during exercise, it can be distinguished as aspiration due to renal failure.

Diagnosis and treatment based on comprehensive analysis of diseases and patients' conditions

1. General kidney-qi deficiency syndrome

Syndrome: soreness and weakness of waist and knees; Pale and exhausted; Pale white tongue, thin or heavy pulse. Treatment: Bushen Yiqi. Main prescription: Shenqi Pill is modified. Prescription: Fructus Psoraleae, Fructus Lycii, Semen Cuscutae, Radix Aconiti Lateralis Preparata, Ramulus Cinnamomi, Rhizoma Polygonati, Poria, Fructus Corni, Rhizoma Dioscoreae, Herba Taxilli, Radix Codonopsis and Atractylodis Rhizoma.

2. Deficiency of kidney qi syndrome

Syndrome: In addition to the general deficiency of kidney-qi, there are frequent urination, or endless urination, nocturia and enuresis; Or male nocturnal emission and premature ejaculation, female leucorrhea is more; Or menorrhagia, restless fetal movement, and slippery fetus. Treatment principle: Bushen Sejing. Main prescription: Shenqi Pill, or Jinsuo Gu Jing Pill and Suoquan Pill. Commonly used Chinese medicines: Fructus Psoraleae, Fructus Lycii, Semen Cuscutae, Radix Aconiti Lateralis Preparata, Ramulus Cinnamomi, Rhizoma Polygonati, Poria, Fructus Corni, Rhizoma Dioscoreae, Herba Taxilli, ootheca Mantidis, Fructus Rosae Laevigatae, Fructus Alpinae Oxyphyllae, etc.

3. Syndrome of kidney failing to receive qi

Syndrome: On the basis of unstable kidney-qi, chronic cough and asthma, more breathing but less inspiration, shortness of breath and severe exercise asthma can be seen. Treatment: Bushen Zener. Main prescription: Qiwei Duqi Pill plus Shenfu Long Mu, etc. Prescription: Fructus Schisandrae, Radix Rehmanniae Preparata, Cortex Moutan, Alismatis Rhizoma, Poria, Cornus officinalis, Rhizoma Dioscoreae, Fructus Lycii, Semen Cuscutae, Radix Aconiti Lateralis Preparata, Ginseng Radix, Os Draconis, Concha Ostreae, Gecko, Cordyceps, Syngnathus, Hippocampus, etc.

differential diagnosis

1. Discrimination between Deficiency of Kidney Qi and Deficiency of Kidney Yang

(1) Deficiency of kidney-qi and deficiency of kidney-yang should be differentiated from etiology, pathology and clinical manifestations. Both pathological changes belong to yang deficiency, but the main clinical manifestations of kidney yang deficiency are deficiency of yuan yang, neglect of warmth and sexual dysfunction. Symptoms of deficiency and cold in the whole body are obvious, with cold limbs, pale tongue and white fur.

(2) Deficiency of kidney-qi refers to the syndrome of deficiency of kidney-qi, which can't be sealed and consolidated. Its clinical manifestations are soreness of waist and knees, mental fatigue, tinnitus and deafness, frequent and clear urination, or endless urination, or enuresis, or frequent urination at night, or urinary incontinence, men's nocturnal emission, premature ejaculation, women's menstrual bleeding, or loose and heavy leucorrhea, or greasy fetal movement.

2. Syndrome differentiation of bladder damp-heat and kidney qi instability.

(1) Syndrome of damp-heat in bladder and insufficiency of kidney qi should be differentiated from etiology, pathology and clinical manifestations. Both of them have frequent micturition symptoms, but the main manifestations of bladder damp-heat syndrome are urgent micturition, frequent micturition, dysuria and yellow urine. Damp-heat has systemic manifestations such as body heat, red tongue and yellow greasy fur, and slippery pulse.

(2) Deficiency of kidney-qi refers to the syndrome of deficiency of kidney-qi, which can't be sealed and consolidated. Its clinical manifestations are soreness of waist and knees, mental fatigue, tinnitus and deafness, frequent and clear urination, or endless urination, or enuresis, or frequent urination at night, or urinary incontinence, men's nocturnal emission, premature ejaculation, women's menstrual bleeding, or loose and heavy leucorrhea, or greasy fetal movement.

prevent

In terms of prevention, if the onset is related to indulgence, masturbation should be stopped; If it is related to general weakness, malnutrition or physical and mental fatigue, we should appropriately increase nutrition or pay attention to the combination of work and rest to control sexual desire.

Symptoms of kidney deficiency can be improved by dietotherapy, but for people with obvious symptoms of kidney deficiency, it is not enough to rely solely on food supplements. If male kidney deficiency leads to impotence and premature ejaculation, those with severe symptoms can be treated with traditional Chinese medicine.

1. Dietotherapy for kidney deficiency

(1) Pork loin porridge Pork loin, japonica rice, scallion, five-spice powder, ginger and salt. Production: Wash pig kidney, remove fascia, cut into pieces, wash japonica rice, put it in a pot to cook porridge, and mix the cooked onion, ginger, salt and spiced powder. How to take it: eat it for breakfast. Efficacy: tonify kidney and strengthen waist. It is suitable for the symptoms of weakness of waist and knees, difficulty in walking, deafness and so on caused by deficiency of kidney qi in the elderly.

(2) Stewed pork kidney, Eucommia ulmoides and walnut meat. Production: First, cut the pig kidney, remove the kidney calyx, wash it, stew it with Eucommia ulmoides and walnut kernel, and then remove Eucommia ulmoides and walnut kernel. How to take it: Dip pig kidney in a little refined salt and eat it as a meal. Efficacy: tonifying kidney and strengthening yang, strengthening waist and benefiting qi. It is suitable for low back pain, fatigue, chills, frequent urination, blurred vision, impotence, nocturnal emission and other symptoms caused by deficiency of kidney qi.

(3) Cherokee rose cream Cherokee rose, honey. Production: Wash the Rosa laevigata, boil it in water, brew the soup for two hours, then boil it in water, and so on for four times, then juice it. Mix the four kinds of soup, continue to boil and evaporate, from thin to thick, add honey and mix well, cool and defoam. Efficacy: Bushen Yijing. It is suitable for nocturnal emission, leukorrhagia, incontinence, leukorrhagia in women, dizziness, insomnia, night sweats and other symptoms caused by deficiency of kidney-qi.

(4) Semen Cuscutae Pills Semen Cuscutae, Poria, and Shi Lian meat. Production: grind the three herbs into fine powder, make pills with yellow wine, and bottle them for later use if five pills are big. Dosage: 9 ~ 12g each time,/kloc-0 each time in the morning and evening. Efficacy: tonifying kidney and consolidating phlegm. It is suitable for enuresis caused by deficiency of kidney qi and instability of qi movement, accompanied by backache and backache. When it is freezing in cold weather, frequent urination and endless urine will lead to painless urethra.

(5) Walnut duck walnut kernel, water chestnut, old duck, chicken paste, rape powder, onion, ginger, salt, egg white, cooking wine, wet corn flour, monosodium glutamate and peanut oil. Production: Slaughter the old duck, remove its hair, gut it, wash it, blanch it with boiling water, put it in a pot, add a little onion, ginger, salt and cooking wine, steam it in a cage, take it out to cool, remove the bones, cut it into two pieces, and mix it into paste with minced chicken, egg white, wet corn flour, monosodium glutamate, cooking wine and salt, walnut kernel and water chestnut. Put the oil in. When the oil is hot, add the duck and fry it. Remove and drain the remaining oil, cut it into long strips, put it on a plate, and sprinkle rape powder around it. How to take it: It can be taken with meals. Efficacy: tonifying kidney, solidifying essence, warming lung and relieving asthma, moistening intestine and relaxing bowels. It is suitable for cough due to kidney deficiency, lumbago, impotence, nocturnal emission, dry stool and stranguria.

Kidney-tonifying medicated diet is a kind of medicated diet food made of traditional Chinese medicine with the functions of tonifying kidney, invigorating qi, warming kidney-yang and nourishing kidney-yin. It has the effects of warming kidney, strengthening yang, replenishing essence and promoting marrow production, and is suitable for kidney deficiency syndrome. It should be noted that medicated diet cannot replace drug treatment. For those with obvious symptoms of kidney deficiency, it is recommended to go to a regular Chinese medicine hospital, and a qualified Chinese medicine doctor will prescribe a classic prescription for treatment. Kidney deficiency syndrome includes kidney yin deficiency and kidney yang deficiency, with symptoms such as soreness of waist and knees, dizziness and tinnitus, insomnia and forgetfulness, frequent nocturnal emission, hot flashes and night sweats, dry mouth, cold limbs and asthma.

2. Exercise prevention and control

(1) Hold the thumb firmly in the palm of your hand, with the fingertip at the root of the ring finger (fourth finger), then bend the other four fingers and hold the thumb firmly with a little force. Grasping can stick the spirit in the body, walking, cycling, chatting and watching TV.

(2) When lift heel steps on LiftHeel, grab the ground with five toes, put your legs together, lift your anus and abdomen, sink your shoulders, set up a project, erect a ridge, and lead the meeting; When you jump down, relax your body, grind your teeth gently, slowly fall by half first, and then gently shake the ground. Lift heel can pull the bladder meridian and kidney meridian of the waist, back and legs, and gently shake the ground to drive the five internal organs.

(3) Take a big step with your heel, and touch the ground with your heel first. Don't bend your knees. When the legs move forward, the toes are straight like kicking a ball; The front foot touches the ground, and the toes of the back foot stand on tiptoe. Touching the heel first actually stimulates the "kidney meridian" acupoint, and walking like this often can effectively prevent osteoporosis.

(4) Knead the legs of the kidney meridian and sit on the edge of the bed, make fists with both hands, press them on the back and waist respectively, and massage the points of the back and kidney meridian up and down until you feel fever. This method can not only relieve fatigue, but also replenish energy, tonify kidney qi and keep fit in a short time.

(5) The two feet of the ternary standing pile are separated, the shoulder width is separated, the hands are folded forward in front of the abdomen from both sides of the body, which is the same height as the navel, and the arms are round; At the same time, the knees are slightly bent, the center of gravity sinks, and the knees are slightly opened to both sides. The back is slightly arched, the chest should be tolerant, the back should be pulled outward, the back should be slightly arched backward, and the Mingmen point should be opened. In this way, the front, back, left and right are round, and the whole person looks very harmonious. This is a basic standing pile method to replenish vitality, which can make kidney qi abundant and bones and muscles strong.

(6) The most suitable time for soaking feet with hot water is 7-9 o'clock every night, which is the worst time for kidney meridian qi and blood. At this time, foot bathing and massage can improve the blood circulation of the whole body and achieve the purpose of nourishing the kidney and liver. The container for soaking feet is preferably a wooden basin. Foot bath water should not be too hot, about 40℃ is appropriate. The foot soaking time should not be too long, 15 ~ 30 minutes is appropriate.

(7) When taking a deep breath, choose an environment with fresh air and try to inhale through your nose. Take a deep breath gently, slowly and evenly. Take six deep breaths in a group. Then calm down and adjust, and do it again and again. Exercise therapy only plays an auxiliary role and cannot replace drugs.

3. Daily health care

(1) Sexual life should be moderate, without compulsion or indulgence.

(2) When the diet is weak and tired, eat more foods containing iron and protein, such as black fungus, jujube and black-bone chicken; People with indigestion drink more yogurt and eat hawthorn; Eat more leeks, sea cucumbers, ginseng, black-bone chicken and domestic pigeons on weekdays to protect the kidneys. Too much bitter and cold food is easy to hurt the kidney, such as aloe, bitter gourd, ice cream, goose meat, beer and so on. You should eat more Chinese medicines with high melanin content and warm tonic, such as black rice and black beans.

(3) Tonifying kidney and massage. Regular waist exercise can enhance vital signs and tonify the kidney. You can also do more massage to stimulate the soles of your feet, because Yongquan point on the soles of your feet is the place where turbidity drops. Regular massage of Yongquan point can benefit essence, tonify kidney, strengthen body, prevent premature aging, soothe the liver, improve eyesight, clear the throat and soothe the nerves, promote sleep and stimulate appetite.

(4) Work and rest to maintain good work and rest habits and avoid staying up late. Adequate sleep is also an important guarantee to restore vitality.

(5) Exercise Appropriate exercise can delay aging, but the intensity should not be too great. We should choose exercise within our power to promote blood circulation and improve blood stasis and qi loss. Walking, jogging, brisk walking, or walking barefoot on pebbles will promote blood circulation and have an auxiliary treatment effect on kidney deficiency.

(6) decompression does not put too much pressure on yourself. Learn to decompress reasonably, such as taking an active part in outdoor sports and relaxing.

4. Bushen food

(1) Sesame is sweet and has the functions of nourishing liver and kidney and moistening five internal organs. For example, it is recorded in the Classic of Materia Medica: "Sesame is mild in smell, neither cold nor hot, and it is also a good valley for nourishing liver and kidney." Especially those with kidney deficiency such as backache and leg weakness, dizziness and tinnitus, dry hair, gray hair in early years and dry stool are most suitable for eating.

(2) Millet is also called millet and rye. It can tonify kidney qi. "Records of Famous Doctors" and "South Yunnan Materia Medica" say that "millet nourishes kidney qi." Li Mingzhizhen also said: "Millet is also the valley of kidney, suitable for kidney disease. Cooking porridge can benefit dantian and make up for deficiency. "

(3) Cowpea is also called rice bean and long bean. Mild in nature, sweet in taste, and can tonify kidney and strengthen spleen. In addition to people with spleen deficiency, people with kidney deficiency should also eat. It is most suitable for patients with kidney deficiency, thirst, nocturnal emission, turbid urine or frequent urination, and female leucorrhea. "Compendium of Materia Medica" once recorded: "Cowpea can benefit qi, tonify kidney and stomach, and produce sperm." The Records of Sichuan Traditional Chinese Medicine also says that it can "nourish yin and tonify the kidney, strengthen the spleen and stomach, and treat leukorrhagia due to kidney deficiency, white turbidity and nocturnal emission."

(4) Bovine bone marrow has the functions of moistening lung, tonifying kidney and benefiting marrow. "Compendium of Materia Medica" says that it can "moisten the lungs and tonify the kidney, smooth the muscles and delight the face". It is especially suitable for people with kidney deficiency and blood loss.

(5) Dog meat is warm and salty. It can not only tonify the middle energizer, but also warm the kidney and help yang. Therefore, it is the most suitable food for kidney-yang deficiency, soreness of waist and knees or cold pain. "Rihuazi Materia Medica" holds that dog meat "tonifies stomach qi, strengthens yang, warms waist and knees, tonifies fatigue and benefits qigong." The Compendium of Medical Forests also says: "Dog meat tonifies lung and kidney." Zhang Lu, a physician in the Qing Dynasty, also said: "Dog meat is the most suitable for the Yuan Dynasty." Deficiency of lower yuan refers to weakness of kidney yang and failure of life gate.

(6) scallops are also known as rivers. Flat in nature, sweet and salty in taste, can tonify kidney and nourish yin, and those with kidney yin deficiency should eat it regularly. Wang Mengying, a food doctor in the Qing Dynasty, said: "Scallops tonify the kidney, just like mussels." "Materia Medica Seeking Truth" also says that it can "nourish true yin", which is actually nourishing kidney yin.

(7) Perch is also called sea bass and perch. Flat in nature and sweet in taste, it can not only tonify the spleen and stomach, but also tonify the liver and kidney and benefit the bones and muscles. There was a record in the Classic of Materia Medica: "Perch tastes sweet, light and flat, suitable for the spleen and stomach. The kidney dominates the bone, and the liver is the main reinforcement. When the taste is yin, it is always dirty, which is beneficial to the two dirty Yin Qi, so it can benefit the bones and muscles. " "Jiaku Materia Medica" said: "Perch is more enjoyable to eat, especially grasshoppers." All patients with liver and kidney yin deficiency or spleen deficiency and stomach weakness are suitable.

(8) Sheep bones are warm and sweet, which can tonify kidney and strengthen bones and muscles. "Food Contract" says: "The sheep's tail bone is becoming more and more kidney, which supplements the deficiency and cold of coke." "Compendium of Materia Medica" records: "Sheep spine can supplement bone deficiency, dredge du meridian and treat low back pain and diarrhea; Sheep's tibia and spleen are weak, kidney deficiency can't absorb sperm, and it is white and turbid. " The Tang Dynasty's "Physician's Heart Mirror" also introduced: "To treat kidney deficiency and cold, the waist should not be rotated: a sheep spine, mashed and cooked, and eaten on an empty stomach." It is most suitable for people with kidney deficiency, strain, weak waist and knees, fear of cold and muscle contracture.

(9) Pig kidney is flat and salty. Wei believes that pig kidney is "the master of kidney deficiency". "Rihuazi Materia Medica" says "supplementing water to cure deafness". People with dirty water actually refer to kidneys. Therefore, the elderly should eat low back pain, nocturnal emission, night sweats, deafness and tinnitus caused by kidney deficiency.

(10) Mytilus edulis has the effects of nourishing liver and kidney and benefiting essence and blood. "Livable Life Diet Spectrum" says "tonifying kidney and benefiting essence". Materia Medica Yan Hui also said: "Mussel is also a medicine for tonifying deficiency and nourishing kidney. This thing is an intermediate, sweet and light in taste, cool in nature, and good at kidney deficiency and heat. " Therefore, anyone who is emaciated due to kidney deficiency, fatigue, bone steaming, dizziness, night sweats, low back pain and impotence is the most suitable food.

5. Bushen decoction

From the point of view of Chinese medicine, improper sexual intercourse will cause damage, so it is necessary to supplement some homologous foods, such as longan, lotus seeds, chicken, pigeons, jujube, etc., and make soup to drink, which will play the role of benefiting qi and nourishing yin, astringing sweat and solidifying essence. Or drink soup with the functions of filling essence and marrow, regulating qi and resolving hard mass. Here are three kinds of dietotherapy soups for common injuries.

(1) yam medlar soup Fresh yam, dried lotus seed meat, medlar, tremella and a small amount of rock sugar. Peel fresh yam, cut into pieces, put it in an oil-free pan with other ingredients, soak it in clear water, simmer for 2 hours, and take it out when the soup is thick. This dessert is especially suitable for the symptoms of yin and yang deficiency.

(2) Sea clam squid soup Sea clam, squid, Radix Rehmanniae Preparata, Radix Codonopsis and ginger. Practice: Wash sea clams and cuttlefish, cut cuttlefish into sections, pat ginger, put them in an oil-free crock with other ingredients, add water to soak the raw materials, simmer for 2 hours, and add a little salt when taking out. Never add too much salt to hurt your kidneys. This soup uses salty and cold things such as sea clams and cuttlefish to tonify kidney and yin, and cooperates with ginger to dispel cold, and Codonopsis pilosula can replenish qi and promote fluid production.

(3) papaya kelp black chicken soup papaya half, kelp, black chicken half, Codonopsis pilosula. Peel papaya, wash kelp and cut into pieces, chop black-bone chicken into small pieces, put it in a pot and stew it slowly with clear water, and add salt after 2 hours. This soup uses papaya and kelp to regulate qi and disperse stagnation, black-bone chicken nourishes liver and kidney, and codonopsis pilosula helps papaya regulate qi.