What Chinese herbal medicines should be used with caution in patients with impaired renal function?

Patient's question:

Recently, my appetite has been poor, and I've been a bit swollen all over. I feel weak all the time. When I went to the hospital for a check-up, they said it was kidney disease. Could you please tell me which Chinese herbal medicines should be used with caution for people with impaired kidney function?

Doctor's answer:

Hello, recurrent kidney insufficiency should be appropriately supplemented with calcium to strengthen bones. Generally, medications that affect kidney function should be avoided. Chronic patients may experience anemia again and must be supplemented with iron and folic acid vitamins to stabilize the permeability of renal tubules and reduce immunity. Pay attention to a low-salt, low-phosphorus diet, maintain a light diet, avoid spicy and irritating foods, reduce physical fitness, and actively re-examine kidney function.

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