The Treatment of Modern Western - Biblio.nhat-nam.ru

29FANCONI’S SYNDROMEFanconi’s syndrome is an inherited or acquired disorder involvingabnormalities of renal proximal tubular function. Theseabnormalities include glucosuria, phosphaturia, aminoaciduria,and bicarbonate wasting. When inherited, Fanconi’ssyndrome usually accompanies other genetic disorders, such ascystinosis, Wilson’s disease, hereditary fructose intolerance,Lowe’s syndrome, tyrosinemia, galactosemia, and glycogenstorage disease. Acquired Fanconi’s syndrome may be due toheavy metal intoxication or other chemical agents, renal transplantation,multiple myeloma, or vitamin D deficiency. Ininherited Fanconi’s syndrome, the main clinical features arepolyuria, polydispsia, and rickets which usually appear in infancy.In acquired Fanconi’s syndrome, adult patients commonlypresent with osteomalacia and muscle weakness. Western medicaldiagnosis of this condition is mostly based on blood analysisdemonstrating abnormal renal function. There is no specificWestern treatment of this syndrome. If caused by a nephrotoxin,removal of that toxin from the patient’s environment isessential.CHINESE DISEASE CATEGORIZATION: Based on its clinicalmanifestation, this disease falls under the categories ofturbid urination (niao zhuo) and yao tong (low back pain) inChinese medicine.DISEASE CAUSES: This condition is mostly due to formerheaven natural endowment insufficiency and extreme taxationand fatigue causing detriment and damage to the kidneyorigin. It may also be due to overeating sweet, fatty foods andan unregulated diet which damages the spleen qi and causesloss of nourishment of the kidneys.DISEASE MECHANISMS: The kidneys rule the bones, and thelow back is the mansion of the kidneys. Therefore, bone pain ingeneral and low back pain in particular are related to the kidneys.If the spleen becomes vacuous and the central qi fallsdownward or if kidney vacuity results in securing and gatheringlosing their duty, the finest essence many flow downward resultingin turbid urination. In that case, the urine may be white likerice-washing water. Therefore, the fundamental disease mechanismof this condition is spleen-kidney depletion and vacuity,with kidney vacuity being the main thing. However, because ofthe long course of this disease, typically there is repletion mixedwithin vacuity, meaning that spleen-kidney dual vacuity is usuallymixed with dampness and turbidity.TREATMENT BASED ON PATTERN DISCRIMINATION:1. SPLEEN-KIDNEY DUAL VACUITY PATTERNMAIN SYMPTOMS: Generalized bone pain, low back sorenessand knee limpness, turbid urination, lower abdominal saggingand distention, a lusterless facial complexion, lassitudeof the spirit, disinclination to speak and weak voice, a paletongue with thin, white fur, and a deep, moderate (i.e.,relaxed or slightly slow) pulseNOTE: This pattern describes a spleen and kidney qi vacuity.TREATMENT PRINCIPLES: Secure the kidneys and strengthenthe bones, fortify the spleen and boost the qiRX: Gu Shen Zhuang Gu Tang (Secure the Kidneys & Strengthenthe Bones Decoction)INGREDIENTS:calcined Mu Li (Concha Ostreae)Jin Ying Zi (Fructus Rosae Laevigatae)Sang Piao Xiao (Ootheca Mantidis)Wu Wei Zi (Fructus Schisandrae)30g20g20g20g