Dr.Shi-Nephrologist, No. 5 Feiyi Road, Shijiazhuang Shi (2025)

24/10/2025

【Creatinine 700 and Want to Avoid Dialysis? There Might Be Hope! New Options Offer a Turning Point】

A kidney friend messaged us: "My latest test shows creatinine 712. Do I have to start dialysis?" This number indeed indicates severely impaired kidney function, Stage 5 CKD (Uremia). However, creatinine 700 isn't an automatic sentence to immediate dialysis! Under specific conditions, through systematic, standardized conservative treatment in Traditional Chinese Medicine (TCM), patients might still gain precious time and delay the need for dialysis.

Re-Evaluating Creatinine 700: When Dialysis Isn't the Only Option
Doctors consider several key factors before deciding on immediate dialysis. If you meet these criteria, conservative treatment might be an option:

Near-Normal Urine Output – Your body's "natural dialysis." Output over 800ml/day means your kidneys still remove some fluid and toxins.

No Severe Complications – Like drug-resistant high potassium, uncontrollable metabolic acidosis, acute heart failure, severe edema, uremic pericarditis, or severe digestive/neurological symptoms.

Slow Progression – If kidney function declined slowly over years, your body may have adapted better than in acute cases.

Adequate Heart Function – Crucial for tolerating medication and maintaining blood flow to the kidneys.

TCM Conservative Treatment: A Multi-Target "Kidney Repair" Approach
Modern TCM for kidney failure is a systematic protocol combining ancient wisdom with modern medicine.

Core Mechanisms:

Colon Dialysis (Herbal Retention E***a): Acts as a "second kidney," using the intestinal lining to adsorb and expel toxins like creatinine and urea nitrogen from the blood.

Herbal Skin Dialysis (Medicated Bath/Steam): Utilizes the skin – our largest organ – to excrete toxins through sweat, improving symptoms like itching.

Oral Herbal Formulas (Tailored): The core treatment, customized to each person.

Fu Zheng Bu Xu: Strengthens the body, improves energy, boosts albumin.

Huo Xue Hua Yu: Improves blood microcirculation in the kidneys.

Hua Zhuo Jie Du: Reduces toxin generation at the source.

Acupuncture & Acupoint Therapy: Regulates immune/endocrine function, helps control BP, improves sleep/appetite.

Success Story: The Miracle of Integrative Medicine
Mr. Zhang, 56, with diabetic nephropathy, saw his creatinine hit 780. Advised for immediate dialysis. Upon transfer, we noted his urine output was ~1000ml/day without acute heart failure or hyperkalemia.

Treatment Plan:

Western Medicine Baseline: Strict BP/sugar control, anemia correction, proteinuria medication.

TCM Core: Herbal colon dialysis 3x/week, herbal baths 2x/week, tailored oral herbal decoction.

Result after 3 Months: Creatinine stabilized between 550-600. Fatigue and appetite improved significantly. Urine output maintained. Dialysis was successfully delayed for over 1.5 years with much better quality of life.

A Rational Perspective: Hope Has Boundaries

Goal isn't "Cure": It's to protect residual function, delay dialysis, and improve life quality.

Not for Everyone: Patients with no urine or severe complications need dialysis – a life-saving measure.

Consistency is Key: This requires strict adherence and long-term commitment.

Professional Guidance Essential: All treatment must be under the guidance of qualified doctors in a integrative nephrology department.

For patients with creatinine 700 hoping to avoid dialysis, modern TCM conservative treatment offers a hopeful path. Through a multi-pronged strategy of "detoxification, repair, and regulation," it gives weary kidneys a chance to rest and recover. This isn't just about treatment; it's about quality of life and preserving dignity.

10/10/2025

【 Dialysis & Urine Output: That "Liquid Gold" Makes a HUGE Difference! 💧】

Did you know? For dialysis patients, having even a little urine output can significantly impact your quality of life and long-term health.

We break down the 3 key differences between having urine and having none:
☑️ Quality of Life: Fluid freedom & feeling better between sessions.
☑️ Toxin Removal: Your kidneys still help 24/7 vs. relying only on dialysis.
☑️ Long-Term Survival: Better outcomes for those preserving kidney function.

Your urine is LIQUID GOLD! Learn how to protect your residual kidney function in our latest article. Share to spread awareness!

24/09/2025

【6 Types of Kidney Disease That Usually Don’t Affect Lifespan – Live Well and Age Safely!】

Many people panic when they hear “kidney disease,” assuming it’s a one-way ticket to dialysis or a shortened life. But the truth is, not all kidney conditions are severe or life-threatening. With early detection and proper management, many people can live a full, healthy life—even into old age.

Let’s clear up the confusion: only about 10% of kidney patients progress to kidney failure. Most forms of kidney disease can be managed like hypertension or diabetes—as chronic but controllable conditions.

Here are 6 common kidney diseases that, with care, generally don’t affect lifespan:

1. Simple Renal Cysts

-Small fluid-filled sacs in the kidney, usually harmless if smaller than 5 cm.

-No treatment needed if stable; larger cysts can be drained minimally.

“Like a skin mole—if it doesn’t grow or cause issues, leave it alone.”

2. Asymptomatic Proteinuria/Hematuria (Silent Nephritis)

-Minor urine abnormalities without symptoms.

-Progresses slowly; rarely affects kidney function with regular check-ups.

-Avoid overmedication and maintain a healthy lifestyle.

3. Acute Glomerulonephritis

-Often follows infections (e.g., strep throat) in children/teens.

-Treatable; over 90% recover completely without long-term damage.

4. Hypertensive Kidney Damage

-Caused by long-term high blood pressure.

-Control BP (

03/09/2025

【10 Daily Habits to Quietly Improve Your GFR and Lower Creatinine! (Doctor Approved)】

For anyone managing kidney disease, the desire to see that creatinine number drop is always there. But it's crucial to remember that creatinine is a symptom of reduced kidney function. The real goal is to protect your remaining nephrons and improve your kidneys' overall filtering capacity.

True kidney recovery comes from consistent daily care. Alongside your medical treatment, these daily "kidney-protecting habits" can create the perfect environment for your kidneys to heal and potentially see your numbers improve!

Here are 10 key habits:

1. Control Blood Pressure: Keep it below 130/80 mmHg. Limit salt (

23/08/2025

[Creatinine 700 But No Dialysis? A Nephrologist Explains the 4 REAL Reasons for Dialysis]

Many kidney disease patients live in fear of their creatinine number, seeing it as a countdown clock. But here's a reality check: Creatinine is NOT the sole deciding factor for dialysis.

I've seen patients with creatinine over 700 who are stable without dialysis, while others with creatinine at 300 need immediate treatment. The key isn't just the number, but whether you've crossed certain critical "red lines."

Creatinine tells us toxins are building up, but it doesn't show the whole picture. A better measure is your Glomerular Filtration Rate (GFR) – your kidneys' actual filtering capacity. While a GFR below 10 indicates severe loss of function, even that doesn't automatically mean dialysis if you avoid these complications:

The 4 "Red Lines" That Truly Decide Dialysis Need:

1. High Potassium (Hyperkalemia): Kidneys manage potassium. If levels spike above 6.5 mmol/L (normal: 3.5-5.5), it can cause slow heart rate, arrhythmia, or even cardiac arrest. Dialysis is urgent to lower potassium, regardless of creatinine.

2. Metabolic Acidosis: Kidneys balance blood pH. If pH drops below ~7.15 and doesn't respond to medication, severe acidosis occurs. This can lead to breathing difficulties, coma, and organ failure. Dialysis quickly corrects this.

3. Fluid Overload & Heart Failure: When kidneys can't remove fluid, it causes swelling and can fill the lungs, leading to severe shortness of breath (especially when lying down) and heart failure. If diuretics fail, dialysis is needed to remove the excess fluid.

4. Uremic Symptoms: When toxins severely accumulate, they cause debilitating symptoms like constant nausea/vomiting, severe itching, insomnia, confusion, or worsening anemia. Dialysis becomes necessary for survival and quality of life.

What if your creatinine is high but you haven't crossed these lines? If your GFR isn't critically low, you have good urine output (>1000ml/day), and no severe symptoms, you might not need dialysis yet! The focus should be on preserving remaining kidney function through strict blood pressure/blood sugar control, diet, and avoiding nephrotoxic drugs. This can delay dialysis for years.

Remember: Dialysis is a life-saving tool, not a failure. Protecting your current kidney function is investing in your future quality of life.

07/08/2025

【3 Critical Warning Signs from Your Glomeruli! Miss the First Two & You Could Lose 70% Kidney Function!】

Your kidneys are your body’s silent heroes, working tirelessly to filter blood, remove toxins, and maintain balance. Yet Chronic Kidney Disease (CKD) is a "silent killer" – often showing no early symptoms. The glomeruli, the kidneys' core filtering units, are vital. If damaged and untreated, you could lose up to 70% of kidney function within just a few years!

Learn to recognize the glomeruli's three urgent cries for help and seize the golden window for treatment!

1st Cry for Help: Urine Changes – The First Alarm

Signs: Frothy urine (fine bubbles that don't disappear), Blood in urine (pink, cola-colored, or bloody), Cloudy urine (positive protein test).

Why?: Damage to the glomerular filter lets protein and red blood cells leak into urine.

Act Now!: See a doctor immediately (urinalysis, 24-hr protein test, possible biopsy). Control diabetes/hypertension (BP target

30/07/2025

【20 Lifesaving Kidney Care Tips Every Patient MUST Know! (Trusted by Renal Specialists)】

Your kidneys are silent heroes – often showing damage only after 70% loss! As a nephrology director caring for 2M+ patients, I’ve compiled 20 critical but overlooked tips that have helped thousands delay dialysis. SAVE & SHARE to protect yourself or loved ones!

🔥 Core Insights 🔥
🧂 1. Salt Control Revolution
→ Daily salt ≤5g (1 level beer cap!)
→ Beware hidden salt in sauces/pickles/processed foods
→ Use 2g measuring spoons – max 2 spoons/meal for 3-person families

💧 2. Smart Hydration
→ Drink = Urine output + 500ml (if heart healthy)
→ Swelling/low urine? Strict "output-matched" intake!

🥚 3. Protein Priority
✅ Top picks: Egg whites > Freshwater fish > Milk > Chicken breast
🚫 Limit tofu: 50g tofu ≈ 50g lean meat protein

💊 4. Medication Red Flags
→ NSAIDs (e.g., Ibuprofen), cold meds, herbal mixes REQUIRE doctor approval
→ Carry a "banned meds" card!

🩸 5. Blood Pressure Targets
→ Urine protein

25/07/2025

【Creatinine 200-500: Your Golden Window to Fight Kidney Decline! Avoid the "Miracle Drug" Trap & Focus on What Works.】

“My creatinine was 280. After 3 months of a 'creatinine-lowering miracle drug,' it dropped... but less than 6 months later, it skyrocketed to 513! What happened?" This 58-year-old diabetic kidney patient's regret is common. Let me be clear: There is NO true "miracle drug" that just lowers creatinine. Real drops only happen with genuine kidney function improvement. Quick-fix drugs often create dangerous false numbers.

The Deadly Mistake at Creatinine 200-500 (CKD Stage 3-4): Focusing ONLY on the creatinine number. Drugs like charcoal tablets, laxative-based "detox" pills, or oxystarch offer minimal, temporary drops at best. Worse, stopping them often causes a worse rebound because the real damage continues unchecked.

Behind Rising Creatinine: The Triple Crisis:

1. Mass Nephron Loss: Over 50% of filters can be dead by 265 µmol/L – irreversible.

2. Kidney "Starvation" (REVERSIBLE - Last Chance!): Dehydration, low BP, artery narrowing can slash blood flow. Fix this (fluids, med adjustment, stents) and creatinine can drop 30%!

3. Toxic Swamp: Buildup poisons remaining filters – a deadly cycle.

REAL Reversal Strategy: Attack the Root (Not Just the Number):
GOAL: Improve actual kidney function & filtration power by boosting blood flow.

Strategy 1: Western Medicine - The "3 Protectors":

-BP Control (CRITICAL): Use ARBs/ACEis even if BP is normal. They protect filters.
-Metabolic Relief: Strict low-protein diet + keto analogs. Reduce kidney workload & toxins.
-Anemia Correction: EPO shots to raise hemoglobin ≥110g/L. Give kidneys oxygen!

Strategy 2: Chinese Medicine - Activate Healing:

-Detoxify: Herbs (Rhubarb, Smilax glabra) clear toxins – shown to lower urea 23%.
-Repair Tubules: Cordyceps boosts cell energy (mitochondria).
-Boost Blood Flow: Moxibustion (GV4/GV23 points), herbal steaming (Cinnamon twig, Alisma) warm & clear pathways.

This is YOUR GOLDEN WINDOW! Below ~500 µmol/L, significant potential for slowing decline, partial reversal, or avoiding dialysis exists through combined Western & Chinese medicine. Action NOW is crucial – hope diminishes significantly above 500.

Don't chase false numbers. Protect your function!

16/07/2025

【After Starting Dialysis & Want Freedom? Protect Kidney Function - This Strategy Works!】

When kidney disease reaches the end-stage (uremia), patients usually face three paths:

-Dialysis (Hemodialysis, Peritoneal Dialysis, Plasmapheresis)

-Kidney Transplant (Long waiting times)

-Conservative Management (Active medication to improve kidney function, delay dialysis)

Dialysis, due to its relatively "quick results," is often the first choice. Starting ~3 months after fistula creation, it rapidly helps remove toxins in patients with high creatinine, reducing acute complication risks.

However, a harsh reality exists: one major long-term risk of dialysis is the irreversible reduction in urine output, even leading to complete anuria (no urine)!

More worryingly, many patients fall into a dangerous misconception: once dialysis starts, they think they're "set," even stopping medications. The truth is: your body and kidneys are never "off the hook"! Dialysis dependence and reduced urine output are themselves complications. If neglected, your remaining kidney function declines faster, and the chance to ever escape dialysis is lost forever!

Dialysis patients who want to avoid "no urine" and keep hope alive for potentially stopping dialysis MUST prioritize this: 👉 Actively using medication to improve blood circulation within the kidneys and boost their natural detox power! This is KEY to reducing dialysis frequency, extending intervals, and potentially becoming dialysis-free!

How to Improve Kidney Circulation & Natural Detox?

1. Integrate Chinese & Western Medicine: Source Treatment (Activate Blood, Remove Toxins): Use primarily TCM-based "blood-activating and toxin-removing" approaches to unblock detox pathways. Focus on improving the internal kidney environment, correcting the root issue of inadequate blood/oxygen supply. Enhance filtration, activate remaining healthy nephrons, and gradually reduce dialysis dependence.

2. Scientifically Combine Kidney-Protective & Vascular Meds: Under medical guidance, use kidney-protective drugs and vasodilators. Strictly manage underlying conditions (high BP, high blood sugar) with necessary meds to protect remaining function.

3. Prevent Complications, Protect the "Lifeline": Actively correct anemia, acidosis, calcium-phosphorus imbalance. Prevent dialysis-related low BP to maintain kidney blood flow. Avoid fluid overload and heart failure. Stick to a strict kidney-friendly diet & lifestyle to reduce burden.

A Surprising Fact: ~90% of uremia patients have potentially reversible factors! Not all high creatinine is untreatable. Poor results often stem from incorrect medications, imprecise treatment plans, or abandoning medication hope after starting dialysis. The power of medical therapy never disappears – the keys are: Accurate diagnosis, scientific treatment, and persistence!

Dialysis isn't the only path for uremia, nor does it mean the end of treatment. Scientific medication, meticulous management, and actively improving the internal environment to protect every bit of remaining kidney function can extend dialysis intervals, improve quality of life, and even offer hope for freedom from dialysis. This path requires wisdom, patience, and the right actions, but every step is worth the effort!

15/07/2025

【Dean Shi Wei Appointed Standing Committee Member of Hebei TCM Association’s Internal Medicine Committee】

We are proud to announce that Dean Shi Wei of our hospital has been elected as a Standing Committee Member of the Fourth Internal Medicine Professional Committee of the Hebei Traditional Chinese Medicine Association! His three-year term (July 5, 2025 – July 4, 2028) recognizes his outstanding contributions to TCM and internal medicine.

This prestigious appointment reflects the growing recognition of our medical team’s expertise by provincial and national professional bodies. Dean Shi’s leadership continues to elevate our hospital’s reputation in advancing Traditional Chinese Medicine.

Join us in congratulating Dean Shi on this well-deserved honor! We look forward to his impactful work in shaping the future of TCM internal medicine across Hebei.

Dr.Shi-Nephrologist

24/10/2025

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