Theoretical discussion on “lifting the pot and removing the lid” method in the treatment of IgA nephropathy
TANG Wenli1，2 ZHAN Yongli1 YANG Liping1
1.Department of Nephrology, Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China;
2.Graduate School, Beijing University of Chinese Medicine, Beijing 100029, China
Abstract：“Lifting the pot and removing the lid” is one of the analogistic treatment methods in Chinese medicine, mainly including two contents: in the narrow sense, invigorating the body and dispelling pathogenic factors to operate the stagnated lung qi; in a broad sense, it means that supporting the qi of five internal organs to regulate qi activity. IgA nephropathy is a common primary glomerular disease. The onset or acute exacerbation is often characterized by exogenous pathogenic factors invading lung and insecurity of the lung and the defensive qi, and chronic protracted stage is often characterized by dysfunction of qi movement. Therefore, for the reason that wind is the main exogenous pathogenic factor leading to the onset or acute exacerbation, it can be considered to treat IgA nephropathy by focusing on the lung, with Yupingfeng Power, Yinqiao Powder and other prescriptions to strengthen and protect lung, and to expel pathogenic factors. For patients with poor clinical efficacy of chronic delay or frequent relapse, the method of “lifting the pot and removing the lid” can be used. For patients whose lung qi are stagnated in the upper jiao, using Platycodonis Radix and bitter apricot seed can promote and regulate the lung qi. For those with disorder of ascending and descending of the spleen qi of the middle jiao, small dose of Cimicifugae Rhizoma and Bupleuri Radix can be added to raise yang. The exploration on the theoretic foundation of “lifting the pot and removing the lid” opens a new avenoue to clinical treatment of IgA nephropathy.
汤文丽1,2 占永立1 杨丽平1. “提壶揭盖”法治疗IgA肾病的理论探讨[J]. 中国医药导报, 2021, 18(18): 136-139.
TANG Wenli1，2 ZHAN Yongli1 YANG Liping1. Theoretical discussion on “lifting the pot and removing the lid” method in the treatment of IgA nephropathy. 中国医药导报, 2021, 18(18): 136-139.
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