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Renal
Disorders
Clinical Evidence and Scientific Mechanism
In patients with chronic kidney disease (CKD), acupuncture improves renal function, reduces proteinuria, controls hypertension, corrects anemia, relieves pain, and controls many hemodialysis related complications such as uremic pruritus, insomnia and fatigue. The mechanisms are related to the regulation of sympathetic nerve and the activation of bioactive chemicals.
A nationwide retrospective cohort study in Taiwan showed that Chinese Herb Medicine (CHM) improves long-term survival in patients with chronic kidney disease, suggesting that CHM is an effective adjuvant therapy for CKD.
Acupuncture improves many clinical symptoms or complications of CKD, including improving renal function, reducing proteinuria, controlling hypertension, correcting of anemia, relieving of pain, controlling of hemodialysis-related complications, through different mechanisms. SNS, sympathetic nervous system; RAAS, renin-angiotensin-aldosterone system; NO, nitric oxide; ET-1, endothelin-1; rHuEpo, recombinant human erythropoietin; IGF-1, insulin-like growth factor 1.
Fig. 1. The potential mechanisms of acupuncture techniques in CKD patients.
References:
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Xiong W et al. Acupuncture application in chronic kidney disease and its potential mechanisms. Am J Chin Med.. 2018;46(6):1169-1185
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Huang K et al. Chinese Herbal Medicine improves the long-Term survival rate of patients with chronic kidney disease in Taiwan: a nationwide retrospective population-based cohort study. Front Pharmacol. 2018 Oct 1;9:1117.
Our Special Approach
We help people based on their body constitution and symptoms. Some key acupuncture points for chronic kidney disease include UB 23 (Shenshu) and KI3 (taixi).
Some Chinese herbs such as Radix et Rhizoma Rhei (da huang), Radix Astragali (huang qi), Fructus Arctii (niu bang zi) have been proved be beneficial for renal function.