Renal edema

Renal edema refers to the phenomenon of excess fluid caused by kidney disease in the tissue gap or body cavity. Edema is a very common symptom of kidney disease. For many patients with kidney disease, they initially come to the hospital for treatment that is derived from inexplicable edema and then knowing that they are suffering from kidney disease. Renal edema

The cause of renal edema
Renal edema is generally divided into two categories:
1. Glomerular filtration rate decreased, while the renal tubular reabsorption of edema is still good, resulting in water and sodium retention. This situation more common in patients with nephritis.
2. A large number of protein loss from the urine, resulting in lower plasma osmotic pressure, water from the bureaucratic into the tissue gap, causing edema. This is more common in nephrotic syndrome.
Renal edema symptoms
Renal edema is a major feature of kidney disease, often with the aggravation of kidney disease increased. Renal edema will first occur in the eyes, facial and ankle and other parts of the loose tissue. When severe, edema can involve the lower limbs and the body. In addition, renal edema often refers to the concave edema that is used to suppress the local skin can be depressed.

Swelling and Kidney Disease

Renal edema treatment
1. Limit the intake of protein and water
Reduce protein leakage. Intake of protein less, natural protein leakage will be reduced, osmotic pressure decreased, edema to be alleviated. But this method only helps to avoid worsening the kidneys and can not repair the damaged kidney tissue, so it is not the fundamental solution. In addition, long-term protein deficiency can cause malnutrition, low immunity, so this method can not be used as a fundamental treatment.
2. Use diuretics to diuretic
Diuretics can promote water discharge and ease edema, and can relieve hypertension and reduce heart load. Although diuretics are effective, but also can not repair kidney damage, so it is not a long-term fundamental solution.
3. Limit moisture and salt intake
Salt rich in nano-ions, excessive intake of salt will not only increase the retention of sodium water, but also cause high blood pressure, so limiting salt and water intake can help relieve symptoms of renal edema.
4. Immunotherapy

Immunotherapy is currently the world's most advanced method of treating kidney disease. Immunotherapy deals with protein leakage by repairing damaged glomerular filtration membranes. So immunotherapy can fundamentally treat renal edema.
Renal edema not only affects the normal life of patients with kidney disease, but also increase the kidney condition, so the timely treatment of renal edema can help slow the development of kidney disease to uremia.

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Renal hematuria

Renal hematuria caused by kidney disease hematuria, refers to the hematuria from the glomerular. Renal hematuria performance is the main performance of hematuria. Microscopic examination showed red blood cell count> 8 × 106 / L, which shaped erythrocytes (ring, target, spheroid, etc.)> 30%, generally identified as glomerular hematuria. The main reason for the red blood cell deformation is due to increased blood pressure within the glomerular blood red blood cells through the membrane filtration into the renal tubules, in the extrusion process to red blood cells deformed. So non-homogeneous erythrocyte hematuria and renal biopsy diagnosis rate of up to 96.6%.
Renal hematuria more common in primary glomerular diseases, such as IgA nephropathy, mesangial proliferative glomerulonephritis, focal glomerulosclerosis, renal cysts, polycystic kidney disease, can also be found in secondary glomerular diseases such as Purpura nephritis, lupus nephritis.
Hematuria early renal function has little effect, so many people think that hematuria without treatment, in fact, this is wrong, because hematuria is due to the formation of a large number of anti-source antibody immune complex deposition in the glomerular basement membrane and mesangial area , Destruction of glomerular filtration membrane, and cause basement membrane and mesangial proliferation. While the loss of red blood cells can cause human anemia, leading to renal tubular ischemia, hypoxia increased renal tube burden.
So early in the hematuria should be timely and thorough treatment, because in the early standardized treatment can effectively control and ease, if the treatment is not always always easy to repeatedly renal damage, and even the development of renal failure, uremia.
In the treatment of micro-traditional Chinese medicine infiltration therapy, direct observation of renal lesions. The use of microwave osmosis to reduce the loss of active ingredients. Microculture of traditional Chinese medicine has the role of intrinsic cell stimulating activity and repair of damaged cells. And have exaggerated the role of blood vessels, reduce the pressure within the glomerular, so that blood flow more smooth. Thereby promoting metabolism, improve immunity. To achieve the role of both the symptoms. Effectively prevent the disease repeatedly.

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Is proteinuria a kidney failure?

Proteinuria is kidney failure Sometimes, when we urinate will find abnormal urine bubble, some people will ignore this phenomenon, some people will think that this is a very serious phenomenon. Different people have different understanding of foam urine, for those who have kidney disease, they are very concerned about the bubble urine. Because this is a typical symptom of kidney problems, but also indicates that this deteriorating renal function, if not timely treatment will lead to very serious condition.
But the bubble urine is not kidney failure, in order to better detect foam urine, you can do these tests, such as urine routine examination, urinary protein electrophoresis, 24-hour urine protein quantitative, and even urine protein.
In doing these tests, you can have a preliminary distinction between your own urine.
If the foam is large or the size is not uniform, it lasts only for a short time, this foam is normal, which is due to urinary organic and inorganic substances such as glucose and mineral salts.
If the foam is large and soon disappears, this may indicate urinary sugar substances.
If the bubble is fine and long time will not disappear, it may be proteinuria. In this case, urinary protein quantification and urinary protein electrophoresis are necessary.
In addition foam urine, if the patient has urinary urgency, frequent urination, dysuria or edema, high blood pressure or drink a lot, a lot of urine, eat a lot, so the patient recommended to the local kidney disease hospital has early diagnosis and timely and appropriate treatment The
For patients with renal failure, foam urine is very common.
Foam urine is very common in patients with renal failure, it is due to impaired glomerular filtration membrane and in some cases, renal tubules caused by excessive leakage of urinary protein.
However, when the urine bubble is reduced, this does not mean that it will improve the disease condition. Reducing the foam in the urine can also be caused by further deterioration of renal function when the glomeruli have scarring and fewer proteins can be filtered.

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renal-disease@hotmail.com,or WhatsApp : 008615132830921.

Urinary occult blood performance

Urine occult blood is the centrifugal precipitation of urine per high magnification field of view ≥ 3 red blood cells, or non-centrifugal urine more than 1 or 1 hour urine erythrocyte count more than 100,000, or 12 hours urine sediment count more than 500,000, showing urine Abnormal red blood cells, is a common urinary system symptoms.
Urine occult blood as a result of other diseases, common causes of urinary occult disease are a variety of nephritis, urinary tract infections, hemorrhagic cystitis, urinary stones, kidney tuberculosis, kidney tumors, kidney and urethral injury and so on. Urinary occult blood is one of the main symptoms of these diseases. The disease to the patient's physical and mental health caused a great harm, if the daily discovery of urinary occult blood symptoms, the need for early medical treatment, so as to exacerbate the condition.
Urinary urinary tract common symptoms
1, urine color changes
Urinary occult blood is the main performance of the urine color changes, in addition to the urine under the eyes of normal urine, the flesh and blood of the flesh and blood according to the amount of bleeding was different colors. Urine was pale red like washing meat samples, suggesting that blood per liter of urine more than 1mL. Bleeding can be severe when the urine can be blood. Kidney bleeding, urine and blood mixed evenly, the urine was dark red; bladder or prostate bleeding urinary dolphin bright red, and sometimes blood clots.
2, segmented urine abnormalities
The whole urine segmentation observation color, such as urine three cup test, with three clean glass, respectively, to stay in the beginning, the middle and end of the urine observation, such as the beginning of urinary occult blood in the urethra; terminal urinary occult blood Suggesting that the bleeding site in the bladder neck, triangle or posterior urethra of the prostate and seminal vesicle; three urine were red that whole urine occult blood, suggesting that urinary occult blood from the kidney or ureter.
3, renal or postrenal urinary occult blood
Microscopic urine occult blood color normal, but the microscopic examination can determine urinary occult blood, and can be judged to be renal or postrenal urinary occult blood. Microscopic red blood cells vary in size and shape for the glomerular urinary occult blood, seen in glomerulonephritis.
4, symptomatic urinary occult blood
Urine occult blood while patients with systemic or local symptoms. And the main symptoms of the urinary system. Such as accompanied by kidney dull pain or colic prompted lesions in the kidneys. Bladder and urethral lesions are often urinary urgency and urination difficult.
5, asymptomatic urinary occult blood
Some patients with urinary residual blood neither urinary tract symptoms nor systemic symptoms, seen in the early stages of certain diseases, such as kidney tuberculosis, kidney cancer or early stage of bladder cancer.
6, with symptoms
① urinary occult blood with renal colic is the characteristics of kidney or ureteral stones;
Urinary occult blood with urinary obstruction seen in the bladder and urethral stones;
③ urinary occult urine with dysuria and dysuria seen in prostatitis, prostate cancer;
④ urinary urinary with urinary urinary urgency in cystitis and urethritis, accompanied by low back pain, fever chills often pyelonephritis;
⑤ urinary occult blood accompanied by edema, hypertension, proteinuria seen in glomerulonephritis;
⑥ urinary occult blood with renal mass, unilateral can be seen in the tumor, hydronephrosis and renal cysts; bilateral swelling seen in congenital polycystic kidney disease, touch the kidney found in the kidney or drooping kidney;
Â'¡ urinary occult blood associated with skin and mucous membranes and other parts of bleeding, found in blood diseases and certain infectious diseases; ⑧ urinary occult hemoptysis seen in the treatment of filariasis, chronic pyelonephritis.
Conclusion: Above for everyone on the urine occult blood of some of the relevant knowledge, I believe we read it after a further understanding of it, urinary occult blood is a manifestation of our body disease, only to the hospital to identify the reasons for urinary occult blood in a timely manner Treatment is good, in order to avoid the emergence of urinary occult blood situation. I wish you a speedy recovery.

If you still have other questions, you can consult our online doctors, or you can feel to contact me by E-mail renal-disease@hotmail.com,or WhatsApp:008615132830921.

What causes urinary occult blood

Most of the people who do not know it, so when we diagnose the results of the word when many people are very confused, in our lives and the hospital routine examination, presumably have urine occult blood indicators check it, So we know what is the matter of urinary occult blood, urinary occult blood 3 + serious, urinary occult blood how to do it, let us work together to find out about it
What is urinary occult blood
Urine occult blood is a routine check in the blood, if we check the urine after the case of erythrocytosis, it is called urinary occult blood, and if the urinary occult blood index is high, then it will be kidney disease or urinary tract infection Oh the situation
Urine occult blood can not be observed in the naked eye or under the microscope there is the presence of red blood cells, but if the test paper when there is a reaction, why so? Because when the red blood cells were destroyed, the inclusion of heme will be released, so Urine test rod to detect the reaction of heme.
Blood in urine and kidney disease

But why will the red blood cells rupture before leaving the body? This is because the life of the red blood cells itself has come, as the foam itself to dissolve, it may be drank a lot of water, urine becomes weak, the tension is reduced, red blood cells and thus rupture , No matter how there are occult blood, as with urinary occult blood is generally a warning, can not be taken lightly.
Usually, the urine is being checked most of the three cases, one is the urinary tract or kidney appeared serious, one is with stones, there is a tumor.
On the inflammation, such as glomerulonephritis, pyelonephritis, cystitis, etc., in addition to urinary occult blood may occur, urine examination will have occult blood occurs, regardless of the stones themselves, the ureter or bladder stones, may cause occult blood, Other circumstances such as the physiological period, constipation may also cause occult blood.
Another tumor can also cause occult blood, such as kidney, bladder, ureter benign or malignant tumor, of course, older men because of prostatic hypertrophy because of more than urine, bladder irritability, prostate surface vascular congestion, coupled with difficulty in urination, After urination, urinary occult or occult blood may occur.
In fact, the prostate hypertrophy can be considered a kind of tumor, it is prostate cancer, due to hyperplasia and hypertrophy, so the urinary tract of the tumor can not be taken lightly. At this time should do intravenous pyelography, if the angiography is no problem, you can rule out the migration of cell tumors, usually should regularly review urine routine, if there is occult blood, should go to the Department of Nephrology, if necessary, renal biopsy.
Urine occult blood, the most worrying or nephritis, and many people will have recurrent episodes of nephritis, which is due to nephritis is not completely caused by the treatment, and only a thorough treatment of nephritis to solve the situation of urinary occult blood.

I hope the above informations can help you and your friends around you. If you still have other questions, you can consult our online doctors, or you can feel to contact me by E-mail renal-disease@hotmail.com,or WhatsApp:008615132830921.

Prevention of nephrotic syndrome recurrence of three steps

Nephrotic syndrome has a certain recurrence rate. Statistics show that the treatment of nephrotic syndrome follow-up 36 months in the recurrence rate as high as 31%. Of course, some patients relapse, because the disease itself caused; but there is a considerable proportion of recurrence, because the patient factors.
How To Treat Nephrotic Syndrome Without Making It Relapse

Some patients do not strictly follow the doctor's medication, medication is not a meal, arbitrarily too large; some patients over-consider the drug side effects, inadequate course of self-medication, or even withdrawal; some feel sick in the body , Should be "tonic", eating too much intake of protein; some life is not control, fatigue, eating unclean, do not pay attention to increase or decrease clothes, three days of diarrhea, cold and so on. These are common causes of recurrent renal syndrome. "After recognizing these reasons, how to prevent the recurrence of the problem will be solved.The first step should be closely with the doctor diagnosis and treatment, as soon as possible a clear diagnosis. Conditional conditions for renal biopsy, from the cell structure to determine the nature of the disease, and then develop targeted treatment programs.

How to Treat Proteinuria++ and Creatinine 2.8 in Nephrotic Syndrome

The second step in the program after the development of patients to do is strictly in accordance with doctor's advice. Medication must be taken by the dose, taking the cycle to reach the doctor described the course of treatment; regular outpatient follow-up, follow the doctor's advice to adjust medication. Especially when the strong loose reduction to 20 to 25 mg per day, the disease more chance of repeated. Do not panic after relapse, and quickly contact the doctor, according to the disease adjustment program, often able to regain the relief. The treatment of nephropathy is relatively long, long treatment is easy to make some patients have slack mood, so stressed that "follow the doctor's advice, regular follow-up", is particularly important for reducing recurrence.The third step to actively deal with infection. Kidney patients with a large number of blood in the blood of the protein from the loss of urine, the loss of substances, including the composition of our immune line of important components, such as immunoglobulin, complement and so on. At the same time the body white blood cell function decreased, zinc and other trace elements are lost. Which are seriously weakened the body's resistance to external pathogenic factors.In the treatment, often use glucocorticoids, cytotoxic drugs and other immunosuppressive agents, which patients have a weak immune line of defense, is tantamount to worse. So kidney disease prone to infection, including respiratory infections, intestinal infections, peritonitis, pleurisy, subcutaneous soft tissue infections.If an infection occurs, care should be taken to grasp the two principles: positive and careful, and at the same time medical treatment.

Patients in the treatment attitude to be positive. Because the patient is not only prone to infection, and infection is easy to spread. Early active treatment, can eliminate the infection in the bud.
Treatments for Proteinuria in Children with Nephrotic Syndrome

 

After the infection, the patient himself must be treated with care, must not be taken lightly. Can not think that a small upper respiratory tract infection, eat their own antibiotics to eat on it, and this made a kidney disease treatment on the taboo. Because now the use of antibiotics, the majority is still liver and kidney toxicity, such as aminoglycosides gentamicin, kanamycin, there are tetracyclines, sulfonamides, antipyretic analgesic. If this time to buy their own wrong wrong medicine, your kidney disease is tantamount to worse, counterproductive. So this is advised to have kidney disease and infected patients, even if it is a small cold should go to the hospital to see a doctor, under the guidance of a doctor prescription is a good policy.

In addition, patients should also strengthen their own health care, appropriate exercise, improve physical fitness.

I hope the above informations can help you and your friends around you. If you still have other questions, you can consult our online doctors, or you can feel to contact me by E-mail renal-disease@hotmail.com,or WhatsApp:008615132830921.

Nephrotic syndrome diet

Nephrotic syndrome diet is a way to treat nephrotic syndrome, but the effect is no drug treatment of nephrotic syndrome effect is obvious. However, the treatment of nephrotic syndrome can not lack the nephrotic syndrome diet adjuvant therapy. General kidney disease syndrome diet should be adjusted according to the following characteristics.

How To Treat Nephrotic Syndrome Without Making It Relapse

 

For edible people, suitable for eating with spleen and water, Qi swelling of the items; malnutrition edema, or plasma protein (albumin) caused by low edema, should eat high protein nutrition diet; edema of the people and There are cold cold cold, should eat warm warm food. Edema patients avoid eating salt or salty food, avoid eating cold greasy, sea haun hair and Xin spicy food.Kidney disease edema patients appetizing items: edible patients appetizer the following items: melon, gourd, red beans, black beans, green beans, watermelon rind, beans, cucumber, carrot, white Poria, loach, carp, carp, snake fish, Snail, catfish, grapes, corn, white duck, frog meat, badger meat, snail, mud carp, peaches, celery;
How to Stop Swollen Stomach for Nephrotic Syndrome Patients

 

Nephrotic syndrome patients also should eat silver carp, shepherd's purse, water chestnuts, bamboo shoots, Jerusalem artichoke, hops, yam, watermelon, white beans, Rhizoma Imperatae and so on. Eating items: Edible people should avoid eating the following foods: salt, edible people should avoid eating salt salted salted food, such as bacon, salted duck, salted fish, pickles, salted duck eggs, preserved eggs and sea fish such as salty fish , Yellow croaker, etc., also avoid eating shrimp, crab, Brassica juncea, pig meat, goose and other hair food.

Treatments for Proteinuria in Children with Nephrotic Syndrome

At the same time, in daily life, patients with kidney disease also need to pay attention to the following points

1, the diet to eat some light, avoid eating wine and spicy food, Eat greasy and animal protein containing more than the Hunxing food (such as fat, shrimp, crab, etc.)

2, boiled beans and their products (such as tofu, bean sprouts, soy flour, etc.)

3, edema, high blood pressure, heart failure, should eat less salt or salt-free diet.

4, renal insufficiency, uremic patients to note more special meaning:

① fasting beans and their products, Eat nuts (such as: walnuts, chestnuts, almonds, etc.) and pickled foods (such as pickles, pickles, etc.).② daily intake of high protein (such as lean meat, milk, eggs, etc.) should be controlled. According to the patient's condition, the average adult 2-3 per day or so, and 3-5 times consumption.③ renal failure in the kidney drainage capacity is limited, need to control the intake of water, the proposed formula: water = the day before the total urine output +500-800 ml.④ In order to make creatinine, urea nitrogen can increase the discharge, it is necessary to make the toilet smooth, stool would rather two or three times a day and not two or three days. Melon, watermelon, gourd can diuretic, red bean soup, black bean soup, mung bean soup, put sugar to drink, heat diuretic. Honey, banana, raw pear, radish, walnut meat, black sesame seeds, can laxative, these foods can be used with drugs, often used.

Nephrotic Syndrome in Children: How to Prevent Kidney Failure

These dietary principles, not only beneficial nephrotic syndrome control, but also conducive to the treatment of nephrotic syndrome. So the diet is not a drug, will not see a very obvious treatment effect, but it can cause the disease to reduce the disease no recurrence, get better treatment and faster to see the effect. So the daily diet of kidney disease need long-term adherence.

I hope the above informations can help you and your friends around you. If you still have other questions, you can consult our online doctors, or you can feel to contact me by E-mail renal-disease@hotmail.com,or WhatsApp:008615132830921.
 

Guidelines for Diet

Chronic kidney disease diet to make guidance:1زWater intakeNephrotic patients if there is no urine edema is no need to control the intake of water in patients with symptoms should also be based on their own physical condition to determine the intake of water, if the edema is obvious, in addition to eating, the daily water Intake in the 500-800ml. If the patient is accompanied by urinary tract infection, the patient can drink plenty of water to avoid and reduce the bacteria in the urinary tract to stay and reproduce, dilute urination has reached the purpose of reducing urinary tract infection.
Foods to Avoid With Chronic Kidney Disease

 

2. salt intakeIf the kidney disease patients without edema or high blood pressure situation is not limited salt, 10 grams per day is more appropriate. Too much salt in the body will increase the symptoms of edema and high blood pressure, so patients with this symptom daily intake of salt in 2-3 grams.

 

3. Protein intakeLimit the intake of protein can reduce the blood of nitrogen retention, reduce the burden on the kidneys, delay the process of chronic renal failure. Daily protein intake of 0.4-0.6g / kg is more appropriate, and the use of high-quality protein, such as milk, eggs, lean meat and other animal protein, these proteins have been used and provide enough calories for human metabolism.
Is Honey Good for Kidney Disease Patients

 4. Potassium intakeUrine, elevated serum potassium will have an impact on the heart, so patients avoid potassium and more fruits and vegetables, such as mushrooms, oranges, bananas and so on.5. Phosphorus intakeChronic renal failure secondary to hyperparathyroidism patients also actively control the intake of phosphorus in the diet, Pro high will have an impact on many systems, 600mg per day is appropriate.

I hope the above informations can help you and your friends around you. If you still have other questions, you can consult our online doctors, or you can feel to contact me by E-mail renal-disease@hotmail.com,or WhatsApp:008615132830921.

Patients with Nephrotic Syndrome Attention

Nephrotic syndrome clinical manifestations of a large number of proteinuria, hypoproteinemia, hyperlipidemia and highly edema, diet therapy is very important.(1) limit the salt: should be based on the degree of swelling of the patient may be, a high degree of swelling of those who avoid salt, edema to reduce the low salt (salt amount of about 3 grams per day), to swollen retreat, plasma protein recovery close to normal To an ordinary diet.

What Does Nephrotic Syndrome Patient Need on Diet

 

(2) protein intake: nephrotic syndrome, a large number of protein discharge, hypoproteinemia often colloid osmotic pressure decreased, so that swollen stubborn hard to eliminate, the body resistance also decreased, so in the case of renal failure , Should ensure that adults per day about 90-100 grams of protein intake, the general can maintain a positive nitrogen balance. In the loss of appetite can not eat, you can give 1 g / kg / day, while conditioning the spleen and stomach function of Chinese medicine and diuretics, reduce gastrointestinal edema, to be improved when the appetite can gradually increase protein intake until 1.5 G / kg / day, when the patient appetite is good to allow free to eat, until the plasma protein increased near normal or edema subsided can be changed to universal food.

Diet to Prevent Kidney Stones in Nephrotic Syndrome

(3) fat: nephrotic syndrome patients often hyperlipidemia, mild lesions in patients with short-term disease can be improved, so the anti-intake is not restricted; for membranous nephropathy and other refractory nephrotic syndrome patients, Long-term hyperlipidemia can cause atherosclerosis, therefore, should limit the fat and fat foods rich in animal fat.(4) vitamins, calcium, trace elements intake, in patients with nephrotic syndrome, due to increased glomerular basement membrane permeability, urinary addition to albumin in addition to, but also lost with the protein binding of certain elements and Hormones, indirectly, can cause calcium deficiency, magnesium, zinc, etc., available drugs can be food supply.

I hope the above informations can help you and your friends around you. If you still have other questions, you can consult our online doctors, or you can feel to contact me by E-mail renal-disease@hotmail.com,or WhatsApp:008615132830921.

The best way to treat creatinine 3.8 renal failure

Renal failure patients with higher levels of creatinine, in addition, patients also experienced a variety of symptoms of poisoning, renal failure. Therefore, some patients are eager to know what is lowering the creatinine 3.8 with renal failure drugs.
Traditional Chinese Medicine

To be honest, it is easy to take some drugs to reduce creatinine 3.8. But what is the main cause of high creatinine? Under normal circumstances, the kidneys are responsible for filtering the blood to drain a variety of wastes and toxins, including creatinine, urea and excess water. When the kidneys do not function, a lot of toxins and waste accumulate in the blood, resulting in increased levels of creatinine. In addition, in the event of high creatinine, more than 50% of renal function is impaired. Creatinine 3.8 means that your condition is at the third stage of renal failure, which is a critical stage of kidney disease and requires the patient to receive treatment as soon as possible to prevent further damage.
Micro-Chinese Medicine

Detoxification therapy is a cure that gradually removes all toxins and gradually withdraws the product from the body, not only to improve the health of the internal environment to repair the sick kidney, but also to improve other treatment. Therefore, the removal of various toxins to repair the affected kidney plays an important role.In a healthy, clean internal environment, minimizing traditional Chinese medicine infiltration therapy can most effectively repair diseased kidney cells and tissues. This is an external application, in this therapy contains a lot of herbs, in addition, herbs refined into powder to improve its efficiency. By connecting the osmolator and the two packs, the active substance in herbs will penetrate directly into the kidney and directly replenishes the blood, oxygen and nutrients in the kidney. In addition to other treatments such as medicine bath, foot bath, hot therapy, acupuncture therapy is also used to restore renal function.

If you still have other questions, you can consult our online doctors, or you can feel to contact me byE-mail renal-disease@hotmail.com,or WhatsApp:008615132830921.