Professor Li Jianmin’s experience in treating IgA nephropathy
CHEN Huixi1,2 LI Jianmin2 XIE Chen2 ZHANG Ya’nan2 LIU Cong2
1.The First Clinical Medical College, Beijing University of Chinese Medicine, Beijing 100700, China;
2.Department of Nephrology, Beijing Hospital of Integrated Traditional Chinese and Western Medicine, Beijing 100039, China
Abstract：IgA nephropathy is one of the common primary glomerular diseases, with hematuria, hypertension and proteinuria as the main clinical manifestations. Professor Li Jianmin believes that the basic pathogenesis of the disease is deficiency in origin and excess in superficislity, deficiency of spleen and kidney, qi and yin is origin, dampness, heat, toxin and blood stasis is superficislity. Emptiness of veins, loss of kidney collaterals, stagnation of kidney collaterals and blood stasis throughout the disease. Syndrome differentiation emphasizes the combination of disease stage and syndrome differentiation, and pays attention to replenishing deficiency and purging excess in treatment. Taking the common clinical syndrome types as the starting point, this paper expounds the etiology and pathogenesis, syndrome manifestations, treatment principles and methods, addition and subtraction of prescription and medication, etc. According to the core pathogenesis and the deviation of the core pathogenesis, taking “Tongluo Baoshen Compound” as the basic formula, and absorbing the time formula of Jingfang and the experience of famous experts as the component, the medication is added or subtracted. Achieve accurate syndrome differentiation, proper medication and delay the progress of the disease. Clinical curative effect is quite good, and an experimental case is attached, so as to share with competitors.
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