Nephrotic Syndrome

Nephrotic Syndrome Overview:

Nephrotic syndrome is characterised by an increase in permeability of the kidneys due to a loss of podocytes. This allows the passage of protein from the blood to the urine. This leads to increased protein in the urine (proteinuria, and a loss of protein in the blood (hypoalbuminemia).


Aetiology:

  • loss of podpcytes
  • proteinuria
    • damage to glomeruli (becomes leaky)
    • frothy urine
  • Dislipidemia
    • liver thinks there isnt enough proteins and cholesterol
  • Peripheral edema
    • hyperproteinuria
    • dc blood vol = activates RAA system and inc retention of H2O and sodium (causing even more fluid to move to the interstitium). 

Symptoms:

Peripheral Oedema

Frothy urine (proteinuria)

Dyspnea

Anaemia

Muehrcke's nails

Hyperlipidemia

Thrombophilia

Lipiduria

Hypoalbuminurea


Diagnostic Considerations:

Insert nephritic vs nephrotic syndrome chart once complete. 


Therapeutic Aims:

1. Determine And Treat The Cause

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  • Diet and Medication Review (NSAIDs, Lithium, Gold, Mercury, antineoplastics, Quinine)

2. Manage Co-morbidities

Especially cardiovascular co-morbiditiesand uremic complications.

  • ...
  • ...

3. Reduce Inflammatory Damage In The Nephrons

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  • Inhibit TNF-a and NF-kB (Curcuma longa)
  • Flavonoid-rich Herbs (Scutellaria baicalensis, Vitis vinifera)
  • Glucocorticomimetics (Bupleurum falcatum, Rehmannia glutinosa)

4. Reduce Immune Mediated Damage

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  • Immunomodulators (Astragalus membranaceus, Echinaceae purpurea, Hemidesmus indicus)
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5. Tonify Renal Structure & Function

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  • Renal Trophorestoratives (Solidago virgaurea, Crataeva nurvala)
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6. Reduce Oedema

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  • Diuretics (Solidago virgaurea, Taraxicum officinale, Asparagus officinalis, Petroselinum crispum)
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7. Reduce Dysuria

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  • Urinary Demulcents (Eltrygia repens, Zea mays, Althaeaofficinalis)
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8. Prevent & Treat Opportunistic Urinary Tract Infection

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  • Urinary Antiseptics (Juniperus communis)
  • Prevent Bacterial Adhesion (Vaccinum macrocarpon)
 

Differential Diagnosis:

  • Nephritic syndrome
 

Cautions:

Insert.

 

Herbs For Nephrotic Syndrome:

 

Nephritic Syndrome Formula

Herb Name Ratio Amount in mL
Herb1 1:2 XX mL
Herb1 1:2 XX mL
Herb1 1:2 XX mL
Herb1 1:2 XX mL
Herb1 1:2 XX mL
Herb1 1:2 XX mL
Total 100 mL

Author:

Justin Cooke

The Sunlight Experiment


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References:

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