Abstract:Chinese medicine has a long history and rich experience in the treatment of renal edema. Based on the theory of harmonizing five viscera,authors discussed the syndrome and treatment of renal edema. It is believed that origins of renal edema are mostly external pathogen invading the lu ng and affecting the lung and the kidney. The long-term disease leads to the deficiency of both the spleen and the kidney as well as water- dampness flood. The main factors of the recurrent renal edema are the liver failing in free coursing and the disorder of qi transformation of the triple energizers. The important pathological change is the combination of qi stagnation,blood stasis and water retention. Therefore,the treatment should pay attention to the kidney,the spleen and the lung and the triple energizers. According to the condition,we can use the methods of warming yang and transforming qi, cultivating earth and engendering water, diffusing the lung to promote urination, dredging the triple energizers,as well as moving qi and activating blood,and by doing so,the five viscera can be harmonized and the edema can be solved. It is hoped that it can provide a useful thinking for the treatment of renal edema with Chinese medicine.