Traditional Chinese medicine therapy （TCM-CURE）

Traditional Chinese medicine treatment of uremia

Li Ke: Exploration of Uremia‌
Introduction: Li Ke (1930- ), a renowned traditional Chinese medicine (TCM) practitioner from Lingxi, Shanxi. Chief consultant at the Guangxi University of Chinese Medicine's Classic TCM Clinical Research Institute. Self-taught in medicine during hardships, he demonstrated innate medical brilliance. Dedicated to TCM clinical practice and research for 46 years, he revered Zhang Zhongjing's theories. Specialized in integrating cold-warm therapies and using heavy doses for critical illnesses. Over five decades, he saved countless lives. Author of Li Ke's Experience Album on Critical and Rare Diseases, his dedication reflects a commoner's resolve and a healer's heart.

‌Case 1: Chronic Nephritis with Uremia‌
Patient: Yang Changgeng, 61 years old. Developed sudden edema and oliguria after travel-induced cold exposure in Datong (1995). Diagnosed with chronic nephritis acute infection, hospitalized for 50 days until critical. Discharged home for palliative care, daughter requested consultation.

First Consultation (Sept 17):

• Diagnosis: Uremia (proteinuria ++, CO2 combining power 35%, BUN 50 mg%)

• Symptoms: Gourd-shaped face, headache/vomiting, black stool, dark tea-colored urine, generalized edema, fetor hepaticus, black greasy tongue fur, thready choppy pulse.

• Syndrome: Prolonged nephritis with pathogen excess and qi deficiency. Damp turbidity entering blood, tri-phase disorder, stomach qi collapse, kidney yang decline.

• Formula: Warming yang, dredging turbidity (Aconite 30g, Rheum 15g, Asarum 10g, Ginseng 15g, etc.), 3 doses.

Follow-ups:

• Sept 21: Vomiting stopped, appetite improved, urine cleared. Adjusted formula (removed Pinellia, reduced ginger).

• Sept 25: Edema halved, stool normalized. Continued with adjusted doses.

• Oct 7: Full recovery. Given Peiyuan Gusan Powder (Placenta 1, Deer antler velvety 50g, etc.) for consolidation. Remained well in 5-year follow-up.

‌Case 2: Critical Uremia‌
29-year-old son of county secretary (1987). After 2 months dialysis, condition deteriorated. Symptoms: Grayish complexion, vomiting, fetor hepaticus, bleeding gums, cold limbs, coma. Lab: Proteinuria +++, BUN 60 mg%.

Formula:

• Extreme warming-yang formula (Aconite 100g, Shen Siwei 80g, etc.) with musk 1g/dose.

• Outcome: After 1 dose, patient purged 3 times, regained consciousness, ate normally. Continued 3 doses.

• Complication: Another physician altered prescription to tonics; patient relapsed into coma.

‌Conclusion‌
Uremia's core is toxin in blood with pathogen excess. Only proper elimination (e.g., modified Dahuang Fuzi Decoction) can save lives. The two cases (1 success, 1 failure) merely suggest a direction - further validation needed.