Severe edema in nephrotic syndrome can be treated with traditional Chinese medicine as an adjunct to reduce swelling, but it must be combined with Western medicine treatment. Traditional Chinese medicines such as Poria cocos, Alisma plantago-aquatica, and Astragalus membranaceus have diuretic and swelling-reducing effects, but they should be used under the guidance of a doctor to avoid adverse reactions with Western medicines.
1. Traditional Chinese Medicine Treatment: Herbs such as Poria cocos, Alisma plantago-aquatica, and Astragalus membranaceus have diuretic and swelling-reducing effects, which can help improve edema symptoms. Poria cocos can strengthen the spleen and eliminate dampness, Alisma plantago-aquatica can clear heat and promote diuresis, and Astragalus membranaceus can replenish qi, strengthen the exterior, and enhance the body's immunity. When using traditional Chinese medicine, attention should be paid to dosage and compatibility to avoid interactions with Western medicines.
2. Western Medicine Treatment: Edema in nephrotic syndrome is mainly related to massive proteinuria and hypoalbuminemia. Western medicine treatment includes using diuretics such as furosemide and spironolactone to reduce edema, while supplementing albumin to increase plasma colloid osmotic pressure. For severe cases, immunosuppressants such as cyclophosphamide and tacrolimus may be needed to control the primary disease.
3. Dietary management: A low-salt diet is key to controlling edema; daily salt intake should be limited to less than 3 grams. Adequate intake of high-quality protein, such as eggs, fish, and lean meat, can help improve hypoproteinemia, but excessive intake should be avoided to prevent overburdening the kidneys.
4. Lifestyle adjustments: Avoid prolonged standing or sitting, and elevate your lower limbs appropriately to promote blood circulation. Moderate exercise such as walking and yoga can help improve edema, but strenuous exercise should be avoided as it can increase the burden on the kidneys.
Treatment of severe edema in nephrotic syndrome requires a combination of traditional Chinese and Western medicine. Traditional Chinese medicine can be used as an adjunct, but it must be used under the guidance of a doctor. In addition, it should be combined with Western medicine treatment, dietary regulation and lifestyle adjustments to effectively control symptoms and improve prognosis.