Managing Kidney Stones: Insights from Traditional Chinese Medicine - Traditional Chinese Medicine

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Daily Management for Patients with Kidney Stones


Hello, doctor.
I often see your kind responses online, and I would like to ask you some questions.
Two weeks ago, I underwent extracorporeal shock wave lithotripsy, and the results were quite good; a one-centimeter stone has indeed been expelled from my body.
However, I have some deeper questions I would like to consult you about.

1.
Before the diagnosis of kidney stones, I experienced lower back pain and frequent urination for one to two years, but medical examinations showed no issues.
A traditional Chinese medicine (TCM) practitioner diagnosed me with problems related to qi and blood, but Western medicine found nothing wrong.
Now that the stone has been shattered, the lower back pain and frequent urination symptoms still persist, and there is calcification in the kidney indicating a potential stone formation.
Given this constitution, what kind of treatment can TCM provide?
2.
Because my family has a history of diabetes, TCM also diagnosed me with symptoms of "Xiao Ke" (wasting-thirst syndrome).
However, my Western medical tests show blood glucose levels around 100, sometimes slightly above, and sometimes normal.
I have been careful with my diet and hydration, and I have been taking herbal medicine for a while.
Why do I still develop stones? Is there any explanation or preventive measures for this in TCM?
Thank you, doctor, for your answers.
Your help is greatly appreciated.

Ms. Chen, 40~49 year old female. Ask Date: 2011/07/13

Dr. Yan Sumei reply Traditional Chinese Medicine


Dear Ms.
Chen,
I am pleased to receive your letter! Your questions are regarding lower back pain, frequent urination, a history of diabetes, and the reasons for kidney stones.
The persistence of lower back pain and frequent urination after the removal of the stones indicates that the connection to the stones has diminished, suggesting other underlying issues in the body.
Although there is a family history of diabetes, your blood sugar levels are not elevated, indicating that the hereditary condition has not fully manifested.
As for why you still develop kidney stones despite being careful with your diet and hydration, it is indeed frustrating.
Unfortunately, kidney stones are related to genetics; if one or both parents have had kidney stones, the likelihood of their children developing stones is three times higher than that of the general population.
If a sibling or one parent has had kidney stones, the risk increases by 5 to 10 times.
Here are some preventive measures:
1.
Limit the intake of foods rich in purines, as these can lead to increased uric acid levels and the formation of crystals, resulting in stones.
High-purine foods include:
- Chicken liver, chicken gizzards, duck liver, pork liver, pork intestines, beef liver, etc.
- Fish such as pomfret, catfish, milkfish, tilapia, mackerel, black fish, sardines, and dried small fish.
- Shellfish like shrimp, oysters, clams, and scallops.
- Vegetables such as bean sprouts, soybeans, asparagus, seaweed, and mushrooms.
- Yeast, meat extracts, and concentrated meat broths.
2.
Ensure adequate hydration.
Drinking plenty of water is an effective method to prevent the recurrence of kidney stones.
Sufficient fluid intake can dilute various substances in the urine, reducing accumulation.
Additionally, ample hydration can help expel small kidney stones that have already formed.
3.
Limit the consumption of carbonated beverages and foods high in oxalates (such as chocolate and spinach), and avoid consuming them simultaneously with calcium-rich foods.
For instance, do not eat tofu or soy pudding while consuming spinach or drinking soda, as this can reduce the chances of forming calcium carbonate or calcium oxalate.
4.
Reduce the intake of alcoholic beverages, as alcohol can increase the concentration of calcium and uric acid in the urine.
Beer, in particular, is high in oxalates, so it should be consumed in moderation.
This is my response to you.
I hope it meets your satisfaction.
Wishing you peace, success, and good health!
Sincerely,
Yen Su-Mei
Department of Traditional Chinese Medicine
Nantou Hospital

Reply Date: 2011/07/13

More Info


Managing kidney stones through Traditional Chinese Medicine (TCM) can be a holistic approach that addresses not only the stones themselves but also the underlying conditions that may contribute to their formation. Your experience with kidney stones and the accompanying symptoms of lower back pain and frequent urination, despite negative findings from Western medical evaluations, highlights the complexity of diagnosing and treating such conditions.

1. Understanding Your Symptoms: The persistent lower back pain and frequent urination you experienced prior to your kidney stone diagnosis may indicate an imbalance in your body's energy (Qi) and blood. In TCM, the kidneys are considered the source of vitality and are closely linked to the bladder and urinary function. Symptoms like yours can suggest a deficiency or stagnation of Qi and blood, which may lead to the formation of stones. TCM practitioners often assess these symptoms through pulse and tongue diagnosis, looking for signs of deficiency or excess.

2. TCM Treatment Options: For your condition, TCM may offer several treatment modalities:
- Herbal Medicine: Formulas such as "Shu Gan San" (for promoting Qi flow) or "San Jin Pian" (for dissolving stones) may be recommended. Herbs like Jin Qian Cao (Lysimachia) and Che Qian Zi (Plantago seed) are commonly used to promote urination and dissolve stones.

- Acupuncture: This can help alleviate pain and improve kidney function by promoting the flow of Qi and blood. Specific points may be targeted to address kidney health and urinary issues.

- Dietary Adjustments: TCM emphasizes the importance of diet in managing kidney stones. Foods that are considered cooling and hydrating, such as watermelon, cucumber, and mung beans, can help reduce heat and promote urination. Avoiding foods high in oxalates (like spinach and chocolate) and purines (like organ meats) is also advised, as these can contribute to stone formation.

3. Addressing the Risk of Diabetes: Given your family history of diabetes and the diagnosis of "Xiao Ke" (消渴, or "wasting-thirst" syndrome) in TCM, it is crucial to manage your blood sugar levels effectively. While your blood sugar readings are within a normal range, the fluctuations may indicate an underlying issue. TCM may suggest dietary changes, such as reducing sugar and refined carbohydrates, and incorporating more whole grains, vegetables, and lean proteins. Herbal remedies like "San Qi" (Panax notoginseng) may also be beneficial for regulating blood sugar levels.

4. Preventive Measures: To prevent future kidney stones, TCM emphasizes the importance of maintaining a balanced lifestyle. This includes:
- Hydration: Drinking plenty of water to dilute urine and prevent stone formation is essential. TCM recommends warm water over cold, as it is believed to be more beneficial for kidney health.

- Regular Exercise: Engaging in moderate physical activity can help improve circulation and Qi flow, which may reduce the risk of stone formation.

- Stress Management: Chronic stress can lead to Qi stagnation, which may contribute to various health issues, including kidney stones. Practices such as Tai Chi, Qi Gong, or meditation can be beneficial.

In summary, TCM offers a comprehensive approach to managing kidney stones and associated symptoms by addressing both the physical and energetic aspects of health. By combining herbal treatments, acupuncture, dietary changes, and lifestyle modifications, you may find relief from your symptoms and a reduction in the risk of future stones. It is advisable to consult with a qualified TCM practitioner who can tailor a treatment plan specific to your needs and health history.

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